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Memorial Hermann Medicare Advantage HMO Plans

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.

Benefits of our Medicare Advantage HMO Plans

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 Benefit No Yes
Lifestyle Drug Benefit2 No Yes
Out of Pocket Max $3,900 $3,900

1 DMHO (Dental Health Maintenance Organization) provides services from a specific group of dentists within a service area. A member must designate a dentist. The PPO (Preferred Provider Organization) benefit provides a larger network of dentists to choose from. A member must see an in-network provider, but does not need to designate a dentist.
2 The Lifestyle Drug benefit helps with cost of drugs for Erectile Dysfunction.

*For a detailed description of benefits and features by plan, click here.

What to Consider Before Enrolling in a Memorial Hermann Advantage HMO Plan

  • You cannot enroll in a Medicare Advantage plan if you are not already enrolled in Medicare Part A and Part B. To enroll in original Medicare, visit the Social Security Administration’s website, (Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)
  • In order to be eligible for a Memorial Hermann Advantage HMO plan, you must live within the Harris, Fort Bend or Montgomery counties in Texas.
  • If your current doctor does not participate in the Memorial Hermann Advantage HMO Plan network, you can talk to an authorized plan representative at (866) 350-2715 (TTY 711) to learn about other providers. You can also view a list of Memorial Hermann Advantage HMO providers, by clicking on the Memorial Hermann Advantage HMO Provider Directory.
  • The plan requires you to use doctors and other health care professionals that participate in the Memorial Hermann Medicare Advantage HMO Plan network. With the exception of emergency situations like ER visits, urgent care stays and renal dialysis services, without authorization, neither Medicare nor Memorial Hermann Advantage HMO will pay for these services.

*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.

Learn about additional benefits that Original Medicare does not cover

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Call one of our licensed Medicare agents from 8 a.m. to 8 p.m. CST Monday - Friday at (866) 350-2715

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