What are Medicare HMO plans?

What are Medicare HMO plans?

Medicare itself is not an HMO or PPO or any other type of network. Original Medicare, which is now what is commonly known as Medicare, is accepted or not by a doctor. By accepting Medicare, the doctor agrees to accept what Medicare pays for a particular procedure/visit. The doctor can also accept or not Medicare, which is a totally different topic.

What are Medicare HMO plans?

The Medicare HMO plans will be Medicare Advantage plans or Medicare Part C plans. These plans are completely different from Original Medicare. When joining a Medicare HMO plan, you should know the network of doctors and centers with which the HMO plan is contracted. If you find a provider outside the HMO network, HMO insurance will not pay the bill. With Medicare HMO plans, you must stay in the network all the time, except for emergency and urgent care when you travel. Medicare HMO plans also require a referral in most cases to see a specialist. There are some exceptions to this rule, but not many. Finally, these plans generally also require permits for more expensive brand procedures and medications. On the positive side, you will find that you generally save money on premiums and co-participate when you are in a Medicare HMO plan, which is why many Medicare beneficiaries find them so attractive.

Is a Medicare HMO plan right for you?

Everyone has different needs and wants when it comes to health insurance coverage. The first thing to keep in mind is how attached you are to your doctor. If you have a primary care doctor who will not leave, you should make sure you are in the HMO network. If you find multiple experts, the same applies. Also, consider how willing you are to deal with WMO that requires referrals and permits. Keep in mind that most specialists will require a referral, even if insurance does not require it.

And finally consider the cost. Often, the HMO will be considerably cheaper for more expensive procedures. Hospital stays, MRI and outpatient surgery are some of the typical areas where you can save a lot of money with an HMO. Also, keep in mind that not all health plans are the same. Some HMOs offer better networks than others and make faster payments to doctors. Some examples of companies that offer HMOs are Humana, United Healthcare, Wellcare and Healthspring.