Medicare HMO member/enrollees must receive care only from the providers in the network except in emergencies.

Question

Quizplus · Accepted Answer

Medicare HMO plans typically require members to receive care from providers within the plan's network, unless it is a medical emergency. If a member seeks care from an out-of-network provider without prior authorization, they may be responsible for the entire cost of the care received.

Medicare HMO Member/enrollees Must Receive Care Only from the Providers