Medicare Advantage, or Medicare Part C, is an easy way to combine your Medicare benefits into one plan with one identification card.
With a Medicare Advantage plan, you get everything that is covered under Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance), plus you may get extra benefits like vision and hearing benefits. Some plans also include prescription drug coverage (Medicare Part D).
Private companies contract with Medicare to offer Part C coverage. When you have one of these private Medicare Advantage plans, you are still a member of Medicare, but you only need to carry one card when you go to the doctor, hospital or pharmacy.
A Medicare Advantage plan works similar to the way a traditional private insurance plan works. At Memorial Hermann Health Plan, we offer an HMO network plan. This means that you have a network of doctors, hospitals and pharmacies to use when you need services.
With many Medicare Advantage plans, you could pay a monthly plan premium, in addition to your Medicare Part B premium and then pay a copay when you need services. Some plans require deductibles to be met for types of health care services and may also offer a maximum on the amount you pay out-of-pocket each year.
With Memorial Hermann Advantage HMO, our plan includes prescription drug coverage and has a $0 monthly premium. This means that you continue to pay your Part B Medicare premium, but pay no additional premium each month for the Memorial Hermann Advantage HMO Plan.
For services such as going to the doctor or to the hospital, you pay a low, fixed copay. You also pay copays for prescription drugs based on a formulary. A copay can be beneficial for members because you know you will never pay more than a certain amount for a service, as opposed to coinsurance, where you pay a percentage of the service cost.
Memorial Hermann Advantage HMO also offers a maximum on the amount you pay out-of-pocket for health care services, so you can relax knowing your bills will never exceed a set amount each year.
If you would like more information about Memorial Hermann Advantage HMO, or if you already have a Medicare Advantage plan and want to compare your plan’s benefits to ours, call us at (866) 350-2715 (TTY 711) or attend one of our free Medicare Advantage Seminars in your area.
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