2025 Medicare Advantage Plans

By aligning care delivery, physicians and health insurance, Memorial Hermann has created an integrated health system unique to Houston.

 

Member Benefit Videos

Quick Reference

The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans.

Medicare Stars Rating 2025 - HMO (English) Spanish

Sales Materials

Benefits Materials

This document includes a detailed legal description of your benefits and costs as a member. All Evidence of Coverage (EOC) documents are organized by plan name.

Evidence of Coverage 2025 — HMO (English) / (Spanish)
Evidence of Coverage 2025 — Dual Advantage HMO (DSNP) (English) / (Spanish)
Evidence of Coverage 2025 — Memorial Hermann Advantage Prime Value MA Only HMO (English) / (Spanish)

The Summary of Benefits provides some of the features of our plans. These documents are organized by plan name. For a complete list of benefits, see your Evidence of Coverage (EOC).

Summary of Benefits 2025 — HMO (English) / (Spanish)
Summary of Benefits 2025 — Dual Advantage HMO (DSNP) (English) / (Spanish)
Summary of Benefits 2025 — Memorial Hermann Advantage Prime Value MA Only HMO (English) / (Spanish)

Additional Benefit Information

Dental benefits under the Memorial Hermann Medicare Advantage plans are provided by Liberty Dental Plan®. Please review your plan’s Evidence of Coverage (EOC) to ensure you fully understand the dental benefits offered with your specific plan, or view specific dental fees here.

Available for all Memorial Hermann Advantage Plans, Modivcare manages routine non-emergency medical transportation (NEMT) for Memorial Hermann Health Plan members. Access to Modivcare is a benefit of your health plan and is designed to help you get to your:

  • Medical and dental appointments,
  • Pharmacy to pick up medication, and
  • Ongoing care such as dialysis.

Trip Allowance:

  • Medicare Advantage HMO - Twenty (20) one-way transports to a Health-related location per year.
  • Dual Advantage HMO (DSNP) – Unlimited one-way transports to a Health-related location per year.
  • Memorial Hermann Advantage Prime Value MA Only HMO - Twenty (20) one-way transports to a Health-related location per year.

To book your ride, visit MyModivcare.com or call (855) 330-9138.
(Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)

Please be sure to have the following information available when booking your ride:

  • Your Memorial Hermann Health Plan Member ID #
  • Date and time of your scheduled appointment
  • Name and address of your medical provider
  • Pick up address or location

Please call at least 3 business days in advance, but not more than 2 weeks before your scheduled appointment.
Ride Assist Help Line: (855) 330-9138
Call the Ride Assist Help Line if your transportation is late or if you need to schedule a pick up from a facility.

For 2025, you may use your new flexible spending card to purchase vision and hearing equipment. Each year your card is pre-loaded with your plan benefit dollar amount. Click Here to learn more about your vison/hearing benefit and how to use your Flex card.

Available for all Memorial Hermann Advantage Plans, Mom’s Meals® provides members with meals post-discharge of an in-patient hospitalization stay. For more information about using this benefit click here, please call our customer service team at (855) 645-8448 (TTY 711)

Available for all Memorial Hermann Advantage Plans, the Over-The-Counter (OTC) benefit provides members with a quarterly allowance for OTC products. For more information on the OTC benefit, click here.

Pharmacy Information

For plans Memorial Hermann Advantage HMO and Memorial Hermann Dual Advantage please see the formularies below:

HMO (English) HMO (Spanish)

Pharmacy Directory:

 Medicare.gov Pharmacy Lookup

Provider Search

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