Medicare Advantage Plans are healthcare plans that allow individuals to receive medical coverage and require monthly payment of premiums from members. This is a form of a private health plan and is a close substitute of Original Medicare. Part A provides cover that excludes payments of surgeons and physicians. Part B provides full in-patient cover including payments to surgeons, physicians and outpatient hospital services like X-rays, ER, laboratory and diagnostics.
Medicare Advantage Plans include Health Maintenance Organizations (HMOs), Private Fee-For-Service (PFFS) and Preferred Provider Organizations (PPOs). Other plans include Medicare Medical Savings Accounts (MSAs), Provider Sponsored Organizations (PSOs) and Special Needs Plans (SNPs).
Those who enroll in Medicare Advantage Plans still retain their Medicare. However, the difference is that services offered come with different rules, restrictions and costs. This affects when and how members receive care. These plans come with limits for out of pocket payments. In addition, they do not have higher cost-sharing coverage than that offered under Original Medicare. This applies for certain services such as dialysis and chemotherapy. However, they have additional benefits like dental care and routine vision check-ups.
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Those eligible to join Medicare include:
Individuals with Medicare subscription to Part A and Part B.
People who live within the service area of the plan.
Individuals without End-Stage Renal Disease (ESRD). However, some Special Needs Plans accept individuals suffering from ESRD.
It is important to carefully consider one’s options before enrolling in any medical cover plan especially when under health coverage from an employer or union.
InnovaCare provides managed healthcare services to patients in North America. This is done via two primary avenues namely Medicare Advantage Programs and Provider Networks. The company is fully committed to providing quality healthcare through the creation of sustainable and cost effective models that are well integrated with modern technologies. InnovaCare Health is committed to sustaining strong provider-patient relationships through the provision of quality medical care. It believes that organizational growth requires corporate strategy, experienced leadership and results-oriented goals.
InnovaCare is headed by Rick Shinto as CEO and President. Shinto is an experienced M.D. and holds an MBA. He has over 20 years of operational and clinical healthcare experience. Shinto has authored several articles on clinical medicine and general healthcare. He got his medical degree from the revered State University of New York and his MBA from University of Redlands.
Penelope Kokkinides is the Chief Administrative Officer of the organization. She joined InnovaCare Inc. in 2015 after serving as Aveta Inc.’s Chief Operating Officer and V.P. of Clinical Operations. With over 20 years of work experience, Penelope has become an expert in the managed care industry. She has gained extensive expertise and knowledge in managing health care and developing clinical programs. Other executive members of InnovaCare Health include Douglas Malton (CFO), Michael J. Sortino (Chief Accounting Officer), Jonathan Meyers (Chief Actuary Officer) and S Bhasker (Chief Information Officer).
Learn more about InnovaCare Health: http://innovacarehealth.com/leadership/penelope-kokkinides/