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HMO Guide for Seniors - Office of the Patient Advocate - State of ...

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34<br />

Your Medicare <strong>HMO</strong> Benefits<br />

W<br />

hen you get health insurance, you get a set <strong>of</strong> services called a<br />

benefit package. All Medicare <strong>HMO</strong>s must <strong>of</strong>fer <strong>the</strong> same benefits<br />

that Original Medicare covers. These are <strong>the</strong> Medicare Part A and<br />

B benefits. However, <strong>the</strong> costs may be different. Most Medicare<br />

<strong>HMO</strong>s in Cali<strong>for</strong>nia also include Part D prescription drug coverage.<br />

Marvin is having<br />

some routine tests.<br />

All Medicare<br />

<strong>HMO</strong>s cover care<br />

like this to find<br />

and help prevent<br />

problems.<br />

Medicare Basic Benefits<br />

All Medicare <strong>HMO</strong>s <strong>of</strong>fer <strong>the</strong>se benefits:<br />

Doctor services<br />

Hospital and outpatient services<br />

Lab work like blood tests and<br />

urine tests<br />

Tests like x-rays and colonoscopies<br />

Preventive care, like vaccinations<br />

Emergency and urgent care<br />

Some physical and occupational <strong>the</strong>rapy<br />

Some home health or nursing home care<br />

Hospice care <strong>for</strong> people who are<br />

terminally ill<br />

Mental health care<br />

Diabetes home care supplies<br />

Drug and alcohol treatment<br />

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