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

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9<br />

Questions & Answers<br />

How can I learn about <strong>the</strong><br />

Medicare <strong>HMO</strong>s in my<br />

area?<br />

Call 1-800-Medicare<br />

or HICAP. Or go to<br />

Medicare Options Compare<br />

at www.medicare.gov.<br />

I am confused by <strong>the</strong><br />

different plans. How can<br />

I choose one?<br />

It is <strong>of</strong>ten hard to compare<br />

plans. A HICAP counselor<br />

can show you <strong>the</strong> different<br />

plans in your area and help<br />

you compare <strong>the</strong>m.<br />

I have a chronic condition.<br />

What questions should I ask<br />

about a Medicare <strong>HMO</strong>?<br />

See page 44 <strong>for</strong> a list <strong>of</strong><br />

questions to ask. Also ask a<br />

HICAP counselor if your area<br />

has any Special Needs Plans<br />

<strong>for</strong> people with your chronic<br />

condition. These are a kind<br />

<strong>of</strong> Medicare Advantage plan.<br />

things you can do<br />

<br />

Be<strong>for</strong>e You Choose a Plan, Ask:<br />

Does it serve <strong>the</strong> area I live in?<br />

Are people I know happy with <strong>the</strong> plan?<br />

How much will I have to pay?<br />

Does <strong>the</strong> plan cover <strong>the</strong> drugs I use now?<br />

Are my doctors in <strong>the</strong> plan’s network?<br />

Is <strong>the</strong> hospital near my home?<br />

How much will I have to pay if I am in <strong>the</strong><br />

hospital?<br />

What cancer treatments are covered and how<br />

much will I have to pay?<br />

Can I get a doctor who speaks my language?<br />

Does <strong>the</strong> plan <strong>of</strong>fer any extra services that<br />

Medicare does not cover, like vision care?<br />

Does <strong>the</strong> plan <strong>of</strong>fer a shuttle or van service to<br />

help me get to appointments?<br />

where to find help<br />

1-800-Medicare<br />

In<strong>for</strong>mation and help with Medicare<br />

1-800-633-4227 www.medicare.gov<br />

HICAP (Health Insurance Counseling & Advocacy)<br />

Free counseling and in<strong>for</strong>mation on Medicare<br />

1-800-434-0222 www.aging.ca.gov/hicap

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