This Week’s Medicare Quick Bite is Health Maintenance Organization!

“Medicare Quick Bites” is your weekly treat of Medicare information. Hawaii SHIP has created these bite-sized lessons to help you understand this complex federal health insurance, thus “Making Medicare Digestible!” Follow us on Facebook or Twitter to get your weekly delivery of Medicare Quick Bites! This week’s treat is Health Maintenance Organization or “HMO.”

HMO is a type of Part C-Medicare Advantage Plan. It’s also a medical insurance group that provides health services at a fixed annual fee. While members must get their care and services from in-network providers, there are a few exceptions:

  1. Emergency Care,
  2. Out-of-Area Urgent Care,
  3. Temporary Out-of-Area Dialysis.

These services are covered whether they are provided in or outside the plan’s network. Please note that the cost for receiving non-emergency health care won’t be covered when it’s unauthorized and outside the plan’s network.

MedQkBite_HMO_ 3.17.2022

MedQkBite_Part C_6.24.2021


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