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
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|
|National/worldwide urgent care and emergency coverage||Yes||Yes|
|Convenient Virtual Care options such as Teladoc and the
Memorial Hermann Virtual Clinic
|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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