Which of the following statements about eligibility criteria for Medicare Advantage HMO plans is accurate?

The accurate statement regarding the eligibility criteria for Medicare Advantage HMO plans is that all members must choose an in-network primary care physician. This is a fundamental characteristic of HMO (Health Maintenance Organization) plans, as they operate under a managed care model that emphasizes the use of a primary care physician to coordinate care and keep treatment cost-effective. By requiring members to select an in-network primary care physician, HMO plans help streamline patient care and maintain oversight on healthcare services used by members.

While it may seem appealing to think that all care can be accessed from out-of-network providers, this is not true for traditional HMO plans, where members typically need to use providers within the network for their services, except in emergencies or certain circumstances. Additionally, automatic enrollment in plans may occur under specific circumstances, but the situation can vary based on individual situations and is not a standard eligibility requirement for HMO plans.

Thus, the accurate statement regarding eligibility criteria is the requirement for members to choose an in-network primary care physician, as it reflects a critical element of how HMO plans are structured and operate.