Could a Medicare Advantage HMO plan be right for you?
Typically HMO plans offer coverage for in-network providers only, with the exception of urgent and emergency care while out of the area. So if you don't receive routine care out of the area, an HMO plan might be a good fit. You'll also need to designate a primary care physician (PCP) to enroll in an HMO plan.
Check out the Medicare Advantage HMO plans listed below to see which one may best fit your needs.
Compare Plans
| Basic Rx HMO1 |
|
Monthly Premium*
$31
|
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Primary Care Physician Office Visit Copayment
$0
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Doctor on Demand
$0
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Specialist Office Visit Copayment
$35
|
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Routine Annual Physical Exam Copayment
$0
|
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Urgent Care Copayment
$60 worldwide coverage
|
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Emergency Room Copayment2
$90 worldwide coverage
|
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Ambulance
$260
|
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Outpatient Surgery
$280-$330
|
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Physical Therapy
$35
|
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Inpatient Hospitalization
Days 1-6: $315 per day
|
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Dental Reimbursement for All Dental Services
Routine Cleaning/Restorative/Dentures (not for whitenings)
$725 reimbursement
|
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Vision: Annual Routine Eye Exam
$20
|
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Frames/Lenses (per year)
$215 reimbursement
|
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Hearing Care Solutions Hearing Aid Benefit
$599 or $899
|
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Over-the-counter Benefit
$75 / quarter
|
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Senior Fit Included
Yes
|
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CDPHP Life Points® Rewards
Earn up to $175
|
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Lab Services
$0 or $5
|
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X-rays
$35
|
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Advanced Imaging Studies (CT, MRI, etc.)
$140
|
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OOP Max
$6,700
|
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Plan Documents
Evidence of Coverage (EOC), Summary of Benefits (SOB), and 2023 Inflation Reduction Act Part B Changes
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*You must continue to pay your Medicare Part B premium; You may qualify for lower premiums with EPIC or Low Income Subsidy
Disclaimers:
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Must use plan providers
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Copayment waived if admitted to the hospital within 24 hours for the same diagnosis.