A health plan with a Medicare contract available to Medicare-eligible individuals who reside in Harris, Fort Bend or Montgomery counties in Texas.
Questions? Contact Customer Service at (855) 645-8448
Your health is important to us, and we’re proud to offer a choice of Memorial Hermann Medicare Advantage plans that give you the comprehensive coverage you need along with the high-quality, local care you deserve.
For a quick glance at our available Memorial Hermann Medicare Advantage HMO plans, see the comparison chart below.
Benefits & Features* | Memorial Hermann Advantage HMO Plan |
Memorial Hermann Advantage Plus HMO Plan |
---|---|---|
Monthly Plan Premium | $0 | $50 |
Copay for Primary Care Physician (PCP) | $0 | $0 |
Copay for In-Network specialist (with no PCP referral needed) | $40 | $20 |
Prescription Drug (Part D) Coverage – at no additional cost | Yes | Yes |
Copay for 90-day mail order of Tier 1 preferred generic drugs | $0 | $0 |
Prescription Drug Deductible | $300 | $300 |
Fitness Benefits and Wellness Program – at no extra cost | Yes | Yes |
Vision and Hearing Coverage | Yes | Yes |
Dental Benefit1 | DHMO | PPO |
National/worldwide urgent care and emergency coverage | Yes | Yes |
Convenient Virtual Care options such as Teladoc and the Memorial Hermann Virtual Clinic |
Yes | Yes |
Over-the-Counter Benefit2 | No | Yes |
Lifestyle Drug Benefit3 | No | Yes |
Out of Pocket Max | $3,900 | $3,900 |
1 For the Dental Benefit, the DHMO (Dental Health Maintenance Organization) provides services on the Memorial Hermann Medicare Advantage HMO plan from a specific group of dentists within a service area. In the HMO plan, a member must designate a dentist. On the Memorial Hermann Medicare Advantage Plus HMO plan, the PPO (Preferred Provider Organization) benefit provides a larger network of dentists to choose from. In the Plus HMO plan, a member must see an in-network provider, but does not need to designate a dentist. To learn more about the dental benefits offered with your specific plan, visit Delta Dental. (Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)
2 For the Over-the-Counter Benefit available on the Memorial Hermann Medicare Advantage Plus HMO plan, Medline At Home provides over-the-counter products covered under your specific plan at no additional cost to you. To view the Over-the-Counter (OTC) benefits catalog, click here. To learn more about the Over-the-Counter (OTC) benefit offered with your specific plan, visit Medline At Home. (Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)
3 For the Lifestyle Drug Benefit available on the Memorial Hermann Medicare Advantage Plus HMO plan, the Lifestyle Drug benefit helps with cost of drugs for Erectile Dysfunction.
*For a detailed description of benefits and features by plan, click here.
*You must continue to pay your Medicare Part B premium. Benefits and features vary by plan. This information is not a complete description of benefits. Call Customer Service at (855) 645-8448 (TTY 711) for more information. Their hours of operation are 8 a.m. to 8 p.m. CT, 7 days a week from Oct. 1 – March 31 and 8 a.m. to 8 p.m. CT, Monday – Friday from April 1 – Sept. 30.
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