Print This Page Print This PageEmail to a Friend Email This Page

Abacus

Is an ACO a health maintenance organization, managed care or an insurance company?

No. An ACO is a group of doctors, hospitals and other health care providers who work together to provide you with better, more coordinated care. Doctors and hospitals in an ACO communicate with you and with each other to make sure that you get the care you need when you’re sick, and the support you need to stay healthy and well.

Unlike health maintenance organizations (HMOs), managed care or some insurance plans, an ACO can’t tell you which health care providers to see and can’t limit your Medicare benefits. If your doctor participates in a Medicare ACO, you always have the right to choose any doctor or hospital who accepts Medicare at any time. Only people with Original Medicare can be assigned to an ACO. You can’t be assigned to an ACO if you have a Medicare Advantage Plan (like an HMO or a PPO).