Formed in the United States, Medicare Advantage is a health insurance program that acts as a substitute for “Original Medicare” that covers both parts A and B Medicare benefits. The program covers managed health care which includes the health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). Part A covers payments for in-patient hospital, hospice, and skilled nursing services. Part B covers for medically necessary outpatient hospital service including the physicians, surgeons, and top-notch medical equipment and supplies.
The Medicare Advantage Plans, also referred to as Medicare Private Health Plan, integrate with the federal government and are offered a fixed amount per person to provide the numerous Medicare benefits. The most common kind of Medicare Advantage Plans includes Health Maintenance Organizations, Preferred Provider Organizations, and Private Fee-For-Service.
People who use the Medicare Advantage plan still have access to Medicare which means that you still have to pay either your monthly part A premium or part B premium (whichever you have). Both part A and part B services offered under the Medicare Advantage plan of InnovaCare Health come about with different rules, restrictions and costs which can influence when and how you receive medical care. As such these differences also depend on the companies that offer them; therefore, one should directly research a plan and find out how the coverage works.
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An additional premium is often charged to the Medicare Part B premium courtesy of Medicare Advantage Plan. A copayment, which is a fixed amount, is generally charged whenever you receive any of Medicare services. Other plans might also charge a coinsurance, which is a percentage of some or all services offered.
Being a leader in the provision of managed health care services in North America, InnovaCare Health also offers Medicaid, Medicare Advantage plans and physicians practice services. Considering today’s advanced technologies, InnovaCare is unsurpassed in the provision of quality healthcare through sustainable and cost-effective plans. The two Medicare Advantage Plans provided by InnovaCare Health in Puerto Rico, including MMM Healthcare and PMC Medicare Choice, has a membership base of close to 200,000 individuals.
Dr. Rick Shinto is the current president and Chief Executive Officer of InnovaCare since he was appointed in 2008. He has acquired 20-years’ worth of experience in clinical and operational healthcare which makes him fit for the position. Mr. Shinto is supported by the Chief Administrative Officer of InnovaCare, Penelope Kokkinides. Penelope joined the company in 2015, and brought in her valued expertise in government programs and managed care industry.