To be eligible for a Medicare Advantage plan, you:
- Must have Medicare Parts A and B.
- Must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicare or by another third party.
- Must live in the plan's service area.
- Must have no employer or union coverage.
- Cannot have end-stage renal disease (permanent kidney failure).
With an HMO plan, if you get care from out-of-network providers, neither Medicare nor we will be responsible for the costs.