Medicare Cost Plans

Medicare cost plans are a type of HMO that contracts as a Medicare Health Plan. As with other HMOs, the Medicare Cost plan only pays for services outside its service area when they are emergency or urgently needed services. If a Medicare beneficiary enrolled in a Medicare Cost Plan gets any routine services outside of the plan's network without a referral, the Medicare-covered services will be paid for under Original Medicare, and the patient will be responsible for the Original Medicare deductibles and coinsurance.