Question

Ms. Levi is considering enrollment in a Medicare Advantage HMO plan offered in her area. Ms. Levi often travels to visit relatives and is concerned that she may need emergency care outside of her plan's service area. What should you tell her about coverage of emergency care?

Answer 1

Answer:

Plans are required to cover out-of-network emergency care.

Answer 2

Cover the following services even when

provided by non-network providers:

• emergency services;

• out-of-area urgently needed services; and

• out-of-area renal dialysis.

Have access to doctors, specialists and hospitals:

Get emergency care when and where they need it.

CMS may offer services through non-network providers at the in-network enrollee cost-sharing level.