Medicare Advantage, sometimes called, Medicare Private Health Plan serves as another option for the “Original Medicare” Parts A and B. With Medicare Advantage, you’re still on Medicare, but it’s a private Medicare plan, which has different costs, benefits, and restrictions. It must cover Original Medicare coverage and could also cover other benefits such as vision and dental.
The most common Medicare Advantage plans are Health Maintenance Organizations (HMO’s), Preferred Provider Organizations (PPo’s), and Private-Fee-for-Service (PFF’s) plans. Medicare Advantage plans are administered through private insurance companies that provide Medicare benefits.
With Medicare Advantage, you will be paying a deductible and/or co-pay, (Which are usually fixed) alongside your regular Medicare premiums. Your plan may add other premiums you have to pay for as well. You will also have an out-of-pocket maximum each year after you pay it, you will have nothing for the rest of the year. If you want a Medicare prescription drug coverage premium, sign up for a plan that covers health and drug coverage, which is called Medicare Advantage Prescription Drug Plan (MA-PD). Unless you’re in a Medical Savings Account (MSA) or a PFFS plan, you usually can’t have a Part D plan (Which is for Original Medicare plans).
One of the leading providers in managed Healthcare services is InnovaCare Health, Inc. They have two primary avenues of care Medicare Advantage and Provider Networks. They create plans that are sustainable, cost-effective and fully integrated with advanced technologies. They have the leading plans in Porto Rico and the fastest growing plans in the United States. The plans provided are MMM Healthcare, Inc (MMM) and PMC Medicare Choice, Inc (PMC), that have over 230,000 members and are served by over 7,500 providers. Both companies promote the physical and emotional wellbeing of their members. InnovaCare Health has a satisfaction rate consistently in the 90th percentile.
The current President of InnovaCare is Dr. Rick Shinto. He is also currently the CEO of InnovaCare’s health plans in Puerto Rico. Before InnovaCare, he was President and CEO of Aveta until 2012.
From 1996-1997, Dr. Shinto served as the Corporate Vice President of Medical Management for MedPartners, after which he left to become the Chief Medical Officer for Cal Optima Health Plan. Afterward, he became the Chief Operating Officer and Chief Medical Officer for Medical Pathways. He then served as Chief Medical Officer of NAMM California.
Penelope Kokkindides is the current Chief Administrative Officer at InnovaCare. She has more than 20 years of experience specializing in government programs (Medicare and Medicaid). She previously served as Chief Operating Officer of InnavaCare, Inc and Chief Operating Officer and Vice President of Clinical Operations of Aveta, Inc.
Kokkindides went to Binghamton University, where she got her Bachelor’s Degree in biological sciences and classical languages. She got her Master’s Degree from New York University. She also went to Columbia University School of Public Health to get her Post’s Master’s Program Degree in alcohol and substance abuse and a Master’s Degree in public health.
Learn more about InnovaCare Health: http://innovacarehealth.com/