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Medicare Advantage HMO Plans

With many ${company} Medicare Advantage HMO plans, you typically choose an in-network primary care physician (PCP). Your PCP works with you to help you get the right care at the right time. So you can achieve your best health.

How do Medicare Advantage HMO plans work?

A health maintenance organization (HMO) gives you access to a network of doctors and hospitals. Your plan requires you to use these network providers in most cases. Some HMO plans require you to get a referral from a PCP for hospital care and specialist visits. There are typically limited out-of-network benefits with an HMO plan.

${company} Medicare Advantage plans at a glance

Our HMO plans

Our HMO-POS plans

Our PPO plans

Requires you to use a provider network

Yes, unless it’s an emergency

Varies by plan. Seeing out-of-network providers generally costs more. But most allow non-network dental providers.

No. But seeing out-of-network providers generally costs more.

Requires you to have a primary care physician (PCP)

Yes, in many plans

Yes, in many plans

Usually no PCP required

Requires referral to see a specialist

Some plans

Some plans

No referral required

Monthly premiums

Varies by plan, check your ZIP code for details

Varies by plan, check your ZIP code for details

Varies by plan, check your ZIP code for details

Medical deductible

Varies by plan, check your ZIP code for details

Varies by plan, check your ZIP code for details

Varies by plan, check your ZIP code for details

Limits what you pay out-of-pocket for medical care each year

Yes

Yes

Yes

Includes prescription drug (Rx) coverage

Yes, in most plans

Yes, in most plans

Yes, in most plans

Includes Rx mail-order benefit 

Yes, if plan has Rx coverage

Yes, if plan has Rx coverage

Yes, if plan has Rx coverage

Dental, vision and hearing coverage

Yes, in most plans

Yes, in most plans

Yes, in most plans

ER and urgent care coverage worldwide

Yes, in most plans

Yes

Yes

Fitness benefit

Yes, in most plans, through SilverSneakers®

Yes, through SilverSneakers®

Yes, through SilverSneakers®

Over-the-counter (OTC) benefit

Yes, in most plans

Yes, in most plans

Yes, in most plans

Meals-at-home program 
(meals delivered after an inpatient hospital or skilled nursing facility stay)

Yes, in many plans

Yes, in most plans

Yes, in most plans

${company} Medicare Advantage plans at a glance

Our HMO plans

Requires you to use a provider network

Yes, unless it’s an emergency

Requires you to have a primary care physician (PCP)

Yes, in many plans

Requires referral to see a specialist

Some plans

Monthly premiums

Varies by plan, check your ZIP code for details

Medical deductible

Varies by plan, check your ZIP code for details

Limits what you pay out-of-pocket for medical care each year

Yes

Includes prescription drug (Rx) coverage

Yes, in most plans

Includes Rx mail-order benefit 

Yes, if plan has Rx coverage

Dental, vision and hearing coverage

Yes, in most plans

ER and urgent care coverage worldwide

Yes, in most plans

Fitness benefit

Yes, in most plans, through SilverSneakers®

Over-the-counter (OTC) benefit

Yes, in most plans

Meals-at-home program 
(meals delivered after an inpatient hospital or skilled nursing facility stay)

Yes, in many plans

Our HMO-POS plans

Requires you to use a provider network

Varies by plan. Seeing out-of-network providers generally costs more. But most allow non-network dental providers.

Requires you to have a primary care physician (PCP)

Yes, in many plans

Requires referral to see a specialist

Some plans

Monthly premiums

Varies by plan, check your ZIP code for details

Medical deductible

Varies by plan, check your ZIP code for details

Limits what you pay out-of-pocket for medical care each year

Yes

Includes prescription drug (Rx) coverage

Yes, in most plans

Includes Rx mail-order benefit 

Yes, if plan has Rx coverage

Dental, vision and hearing coverage

Yes, in most plans

ER and urgent care coverage worldwide

Yes

Fitness benefit

Yes, through SilverSneakers®

Over-the-counter (OTC) benefit

Yes, in most plans

Meals-at-home program 
(meals delivered after an inpatient hospital or skilled nursing facility stay)

Yes, in most plans

Our PPO plans

Requires you to use a provider network

No. But seeing out-of-network providers generally costs more.

Requires you to have a primary care physician (PCP)

Usually no PCP required

Requires referral to see a specialist

No referral required

Monthly premiums

Varies by plan, check your ZIP code for details

Medical deductible

Varies by plan, check your ZIP code for details

Limits what you pay out-of-pocket for medical care each year

Yes

Includes prescription drug (Rx) coverage

Yes, in most plans

Includes Rx mail-order benefit 

Yes, if plan has Rx coverage

Dental, vision and hearing coverage

Yes, in most plans

ER and urgent care coverage worldwide

Yes

Fitness benefit

Yes, through SilverSneakers®

Over-the-counter (OTC) benefit

Yes, in most plans

Meals-at-home program 
(meals delivered after an inpatient hospital or skilled nursing facility stay)

Yes, in most plans

Medicare Advantage plans for every need

In addition to HMO plans, ${company} offers you other Medicare Advantage plan options — some with a $0 monthly plan premium. We can help you find a plan that’s right for you.

Questions? We’ve got answers

Call us

Talk to a licensed agent at
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Medicare FAQs

Get answers to common Medicare questions.