Medicare Health Maintenance Organization (HMO)
If you enroll in a Health Maintenance Organization (HMO) plan, you must obtain services from a designated network of doctors, hospitals and other health care providers who have agreed to provide services for plan enrollees. The plan has a limited service area and you must live within that service area to enroll and not have End Stage Renal Disease (ESRD). Generally, if you receive treatment outside the network of providers, you probably will be responsible forpay the entire bill unless the service is for emergency or urgently needed care. A primary care physician (PCP)controls your access to other services. HMO plans have co-payments for some services.
You continue to pay your Part B premium directly to Medicare and pay the plan a premium. In addition to any co-payments required you also must continue to pay your Part B premium directly to Medicare and pay the HMO plan premium.