Hometown Journey

How Medicare Advantage Works

Medicare Advantage is what is called a Health Management Organization. HMO’s are a substitute for Medicare Part A and B, Part A will cover in-patient hospital care,nursing, and hospice care. Part B includes physicians visits, surgeon services, and several forms of patient care.

Medicare is a federal government program. A company like Medicare Advantage is offered by for profit commercial insurance companies. The federal government does offer compensation for Medicare Advantage which covers Medicare Part A and B services.

Medicare Advantage provides the same type of medical services to those enrolled as Medicare, The difference is they do not have to offer every form of benefits the same way. An example is the fact that Medicare Advantage users will have to pay more out of pocket payments for a portion of the benefit package. They are able to balance the situation by getting lower co-payments for doctor office visits. There is a cap on how much clients are required to pay themselves at 6,700 dollars.

Read more: SieMMMpre Saludable

Over the years enrollment in Medicare Advantage has grown. They were at 5.4 million in the year 2005. By 2015 the number had risen to 15.7. Attempts to rate Medicare Advantage vs regular Medicare have been inconclusive.

People receiving health coverage from their union or an employer, may sometimes be automatically enrolled in Medicare Advantage. It is up to the person being covered to decide if they want regular Medicare, or a different version of Medicare Advantage. But beware that you can experience benefits reduction or termination of your plan as a result.

InnovaCare Health is a top notch provider of Managed Healthcare programs and services in North America. Medicare Advantage programs are a key component of the types of medical coverage provided by InnovaCare. A key goal of InnovaCare Health is to redefine healthcare management to conform to the ever changing world of healthcare, The company’s sets of beliefs include the patient coming first. They stress strong patient to provider relationships. InnovaCare’s goal is to provide a better quality of life for their members.

Dr. Rick Shinto is the CEO and President of InnovaCare Health Solutions. He has more than 20 years experience in operational and clinical healthcare management. He served as the Corporate Vice President of Medical Management for the parent company of MedPartners. With the help of Penelope Kokkinides as Chief Administration Officer of the company.

Learn more about InnovaCare Health: https://www.companybooknetworking.com/aveta-inc-/Rick%20Shinto

1 comment

  1. I like the fact that people who previously enrolled for the sometimes be automatically enrolled in Medicare Advantage. This will be a good topic for my coursework writing service and it will helo Medicare greatly. This is what we need.

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