Medicare Advantage plans come in different flavors including the HMO. In evaluating which plan is best for you, consider the following.
Advantage HMO plans have limited networks. If your current doctor is not in the network you will need to switch doctors if you want your treatment covered.
HMO plans generally offer in network coverage only. If you receive treatment outside the network you are responsible for 100% of the charges. Exceptions apply for emergency medical situations.
Your out of pocket limit (usually $3000 - $6000) does not include out of network expenses.
If you want more flexibility and would rather not deal with out of network penalties, you may want to consider a Medicare supplement plan. Original Medicare is accepted nationwide, there are no networks, and the supplement plan picks up approved Medicare charges that are not paid due to deductibles and coinsurance.
For many, Medigap plan N or Hi F is a good alternative to a Medicare Advantage HMO plan.
You really need to research the Medicare Advantage HMO plans in your area. No two states are the same and even within the state they are different county by county.
Your Medicare Insurance broker can show you the plans available or you can do research yourself at Medicare's own website.
Also consider the PPO network plans as well as the HMOs.
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Advantage HMO plans have limited networks. If your current doctor is not in the network you will need to switch doctors if you want your treatment covered.
HMO plans generally offer in network coverage only. If you receive treatment outside the network you are responsible for 100% of the charges. Exceptions apply for emergency medical situations.
Your out of pocket limit (usually $3000 - $6000) does not include out of network expenses.
If you want more flexibility and would rather not deal with out of network penalties, you may want to consider a Medicare supplement plan. Original Medicare is accepted nationwide, there are no networks, and the supplement plan picks up approved Medicare charges that are not paid due to deductibles and coinsurance.
For many, Medigap plan N or Hi F is a good alternative to a Medicare Advantage HMO plan.
Your Medicare Insurance broker can show you the plans available or you can do research yourself at Medicare's own website.
Also consider the PPO network plans as well as the HMOs.