Access to quality healthcare is a fundamental human right. The US federal government has been actively developing healthcare programs and plans to ensure more people can access and afford quality health care services. To achieve this objective, the government makes use of Medicaid and Medicare Advantage Plans.
Under the Medicare plan, people are able to choose between enrolling in the original Medicare and upgrading to a Medicare Advantage Plan. The original Medicare is provided by the federal government exclusively and covers hospital expenses (Part A) and medical expenses (Part B). The cover allows you to access healthcare services from any hospital or doctor in the country.
While the original Medicare gives you access to countrywide healthcare services like InnovaCare Health, you may need to enroll for various Medicare Advantage Plans to enjoy additional medical services not included in the original Medicare cover. Medicare Advantage Plans are privately provided healthcare plans where private companies sign contracts with the government to extend the services.
The common Medicare Advantage Plans include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private Fee-For-Service (PFFS). Apart from the above plans, you may also need specialized plans such as Provider Sponsored Organizations (PSOs), Special Needs Plans (SNPs), and Medicare Medical Savings Account (MSAs).
All Medicare Advantage Plans will enable you to access all the services covered under the original Medicare. This implies that you will be required to pay your Part A and Part B premiums where applicable. Alternatively, your Medicare Advantage Plan could provide all Part A and Part B services albeit at terms and conditions different from those outlined in the original Medicare.
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Most Medicare Advantage Plans will cover additional health care services not included in the original Medicare cover. While you may have medical expenses for dental checkups, vision care, or joining a wellness program covered by Medicare Advantage Plans, it is important to check with your provider first before taking any service.
All Medicare Advantage Plans must also limit your out-of-pocket expenses on health care services. In 2016, the limit was set at $6850 for all the holders of HMOs. Additionally, you are protected from paying beyond the limit set by the original Medicare for copays involving services such as chemotherapy or dialysis.
It is important to note that most Advantage Plans are location sensitive and may require you to get a referral from your primary provider before accessing services from other areas.
InnovaCare is leading in the provision of Medicare Advantage Plans in North America. Led by a highly experienced team, InnovaCare remains committed to providing unique and personalized healthcare services to its clients. Its current President and CEO, Dr. Rick Shinto, is a symbol of commitment and professionalism having been a clinical officer for over 20 years.
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InnovaCare also enjoys the leadership of Penelope Kokkinides who is currently serving as the organization’s Chief Administration Officer. Ms. Penelope Kokkinides brings on board over 20 years of experience handling government health care programs and managed care services.
Learn more about InnovaCare Health: https://www.pmcpr.org/nonmembers/corporate/ceo.html