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Comparing the Traditional Medicare Plan and Medicare HMO's

Part 3, Chapter 11: Medicare and Medicare Related Programs: Medicare HMO's Page 3

Continued from Previous Page

Medicare HMOs

Table 16: Comparison of the Traditional Medicare Plan and Medicare HMO's

Issue Traditional Medicare Plan Medicare HMO's
Coverage for standard types of care
such as doctors' visits and tests
Yes Yes
Need for Medigap plan Yes May not be necessary
Need to obtain approval for expensive tests
or consultations with a specialist
No Yes
Coverage for prescription medications No Yes, in many cases
Coverage for eyeglasses, hearing aids No Yes, in many cases
Coverage for preventive care No (except for situations such
as coverage for certain vaccines)
Yes

Note: Coverage for some of these services may also be available through a Medigap plan

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