Medicare Advantage

 

Medicare Advantage

What is Medicare Advantage?

What are Medicare Advantage Plans

What do I need to know about these plans when coming to your office?

Are any of these Medicare Advantage Plans good for me?

Medicare Advantage (MA) is a health insurance program of managed health care (preferred provider organization (PPO) or health maintenance organization (HMO)) that serves as a substitute or supplement for "Original Medicare" which include Parts A and B Medicare benefits. Most Medicare Advantage plans (sometimes referred to as "Part C") include the Part D prescription drug benefit plan, and are known as a Medicare Advantage Prescription Drug plan or "MAPD."

Criteria:

  • People age 65 or older,
  • People under age 65 with certain disabilities, and
  • People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Our office participates in the following Medicare Advantage Plans:

  • Humana Gold Plus (HMO) Plans
  • Humana Choice (PPO) Plans
  • Freedom Health Insurance
  • Optimum Healthcare
  • Florida Blue (Medicare Advantage) HMO and PPO Plans

Our office strives on the goal of well-being and preventative service. With each Medicare Advantage Plan we offer preventative care screenings. Regular health exams and tests can help find problems before they start. They also can help find problems early, when your chances for treatment and cure are better. By getting the right health services, screenings, and treatments, you are taking steps that help your chances for living a longer, healthier life. (CDC)

Medicare covers the following preventive services and screenings, subject to certain eligibility and other limitations:

  • Abdominal Aortic Aneurysm Screening
  • Adult Immunizations
  • Annual Wellness Visit; Including Personalized Prevention Plan Services
  • Bone Mass Measurements
  • Cancer Screenings
  • Cardiovascular Screening
  • Diabetes Screening
  • Diabetes Self-Management Training
  • Diabetes Supplies
  • Glaucoma Screening
  • Hepatitis C Virus Screening
  • HIV Screening
  • Initial Preventive Physical Exam ("Welcome to Medicare" Physical Exam)
  • Intensive Behavioral Therapy for Cardiovascular Disease
  • Intensive Behavioral Therapy for Obesity
  • Medical Nutrition Therapy (for Medicare beneficiaries with diabetes or renal disease)
  • Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
  • Screening for Depression in Adults
  • Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling to Prevent STIs
  • Tobacco-Use Cessation Counseling Services

Additional information: