Medicare Advantage is a health insurance program in the United States. The majority of people with Medicare normally get their coverage from the original Medicare while around a third of the beneficiaries opt to get their benefits from Medicare Advantage plan also known as the private health plan. The Medicare Advantage Plans have contracts with the federal government and are paid fixed amount for every person to provide the Medicare benefits.
The type of Medicare Advantage Plan commonly used are Health Maintenance Organizations (HMOs), Private Fee-For-Service (PFFS) and Preferred Provider Organizations (PPOs).
If one gets enrolled in Medicare Advantage Plan, they still have Medicare. What this means is that you pay for monthly for part B premium and part A premium if you have one. Respectively, every Medicare Advantage must provide all part A and part B services that the original Medicare offer, but they are allowed to do it with different rules, restrictions and costs that will how one receive care.
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Every single Medicare Advantage Plan must comprise of a limit on out of pocket expenses for both part A and B services. The limits at many times are usually high. The plan also cannot include the cost-sharing that remains higher than would normally be under original Medicare for some services such as dialysis and chemotherapy but can have higher cost sharing for additional services.
Indeed, different types of plans have different of guidelines how and where one can get coverage. It is important therefore to check how a plan coverage works even if it is of the same type but offered by a different company.
Medicare Advantage will often charge a premium and also a Medicare part B premium. To join Medicare Advantage, you should have either of the following:
Medicare Parts A and B,
Live in the plan’s service area, and Do not have End-Stage Renal Diseases
InnovaCare Health, Inc. is a leading provider of Medicare Advantage plans and physician practice service. The company is committed to giving high-quality healthcare through creating sustainable, cost effective plan that is fully integrated with today’s technology. InnovaCare Health has two Medicare Advantage plans, PMS Medicare Choice and MMM Healthcare in Puerto Rico.
Rick Shinto is currently the president and the CEO of InnovaCare. He previously served as a member of managing team then became President and CEO of Aveta Inc. in 2008 to 2012. He has for over 20 years worked in clinical and healthcare with experience in manage care. He has medical degree from the State University of New York at Stony Brook and also an MBA. from the University of Redlands.
Chief Administrative Officer at InnovaCare, Inc is Penelope Kokkinides. She has previously worked in InnovaCare as the COO, COO of Aveta Inc., and the vice president of Clinical Operations. Kokkinides has over 20 years of healthcare experience. She has a bachelor’s degree in biological sciences and classical languages from Binghamton University, master’s degree in social work from New York University.
Learn more about InnovaCare Health: http://www.bloomberg.com/research/stocks/private/snapshot.asp?privcapId=225431891