Content Overview 
- Summary
- What Rights Do I Have As A Member Of A Medicare HMO
- Emergency Care
- Urgently Needed Care
- What Should I Do If I Have An Emergency Or Urgently Need Care?
- What To Do If You Intend To Do Travel Outside Your Service Area Including Outside The Country
- How Do I Handle A Bill For Emergency Or Urgently Needed Care?
Medicare Advantage: HMO Special Rules
Urgently Needed Care
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Medicare defines Urgently Needed Care as an unexpected illness or injury that needs immediate medical attention, but is not life threatening.
Urgently Needed Care is only covered when provided by non-network providers if you are temporarily outside the HMO service area. If you are in the HMO's service area, you must receive Urgently Needed Care from a network provider in order for it to be covered.
Examples of Urgently Needed Care:
- Food poisoning causing diarrhea and/or vomiting.
- Replacing needed medication that was lost with your luggage.
- Flu or other illness severe enough to require medical attention.
- Blisters or other foot problems that impair your ability to walk comfortably.
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