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HMO Plans

Health Maintenance Organization (HMO) plans are one of the many types of Medicare Advantage plans. It offers the coverage you’d get with Original Medicare, with special forms of coverage missing from traditional Medicare. However, there are some considerations to take when joining.

What Do HMO Plans Cover?

All HMO plans offer inpatient and outpatient coverage. Some also provide coverage for medications. This is why HMO plans can be seen as a combination of Medicare Parts A and B, with Part D added in with some plans.

You will not be able to add on Part D if your HMO plan does not offer prescription drug coverage. In order to get prescription coverage while enrolled in this plan, you must enroll in a plan that already has prescription drug coverage included.

Your additional coverage benefits include dental, vision, and hearing. These services are not covered under Original Medicare, but can be covered by HMO plans.

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“This is a solicitation of insurance. By submitting this form, I agree to be contacted by a licensed insurance agent for the marketing of Medicare Insurance products (i.e., Medicare Advantage Plans (Part C), Prescription Drug Plans (Part D), and/or Medicare Supplement (Medigap) Products) and services. I’m aware the person who will discuss the products is a licensed and certified representative of Medicare Advantage organizations and/or stand-alone Prescription Drug Plans. Each of the organizations they represent has a Medicare contract. This individual may also be paid based on my enrollment in a plan. Enrollment in any plan depends on contract renewal. I am aware that the person who will contact me is not affiliated with or works directly for the Federal government. I understand that I may be contacted via telephone, email, text messaging, artificial or prerecorded voice messages, or automatic dialing at the contact information provided above (even if my number is currently listed on any state, federal, local, or corporate Do Not Call list). Carrier data use charges and rates may apply. I understand that my consent is voluntary and is not a condition of purchasing any goods or services, and that I may change my preferences at any time.”

What Makes HMO Plans Different?

HMO plans restrict coverage to a network of providers, except in the case of emergencies. This network can change over time, as providers come and go each year. If you get out-of-network treatment, you may not get any coverage at all, and you may have to pay the full price for your treatments.

You will also select a primary care physician when you join. This will be someone who will guide the course of your treatment and refer you to specialists when necessary. 

It’s important to be aware of the healthcare providers who accept your plan’s coverage. This way, you can avoid confusion and the possibility of paying more out-of-pocket.

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We’ll Help You Get Started With Medicare Advantage

Covenant Medicare is here to give you expert assistance in getting the right Medicare plan for you. We offer a wide variety of options, so that you’ll be able to find coverage that is right for you at the lowest cost. Feel free to call us today.

Talk with us about your medical needs

“This is a solicitation of insurance. By submitting this form, I agree to be contacted by a licensed insurance agent for the marketing of Medicare Insurance products (i.e., Medicare Advantage Plans (Part C), Prescription Drug Plans (Part D), and/or Medicare Supplement (Medigap) Products) and services. I’m aware the person who will discuss the products is a licensed and certified representative of Medicare Advantage organizations and/or stand-alone Prescription Drug Plans. Each of the organizations they represent has a Medicare contract. This individual may also be paid based on my enrollment in a plan. Enrollment in any plan depends on contract renewal. I am aware that the person who will contact me is not affiliated with or works directly for the Federal government. I understand that I may be contacted via telephone, email, text messaging, artificial or prerecorded voice messages, or automatic dialing at the contact information provided above (even if my number is currently listed on any state, federal, local, or corporate Do Not Call list). Carrier data use charges and rates may apply. I understand that my consent is voluntary and is not a condition of purchasing any goods or services, and that I may change my preferences at any time.”