Medicare Advantage Plans & Services: General Details
For those readers unfamiliar Medicare Advantage plans, they are specific health insurance plans offered by private businesses that have contracts with the U.S. government to provide customers with additional benefits that standard Medicare plans do not. The Medicare Advantage plans reportedly pay for all services and expenses. It includes health maintenance groups where customers pay a set monthly premium for numerous medical services from doctors who are registered with the business.
If the patient gets treated by a physician or other health services provider who is not contracted with the specific group, the health insurance plan will not cover the patient unless it is established that the treatment was given in emergency circumstances. Additionally, “provider preferred organizations” are doctors, hospitals and other healthcare providers who belong to a contracted network of providers. Members or customers of a network like this pay less than those who don’t have a membership. Of course, program members are free to seek treatment from doctors who are not part of the network but this costs members a significantly higher amount of money because again the benefits are restricted to treatment within the network.
Health insurance companies also offer “private fee-for-service” plans. In the case of these plans, they set the amount physicians, hospitals and other service providers are paid. This is what is sometimes called a “C service”. It is available from the U.S. government and is meant to lower what patients actually pay for the service.
Medicare Advantage also offers a “special needs” plan. It only covers patients with specific conditions or diseases. It focuses on specific medications and provider options serving only those with certain special needs like InnovaCare Health.
In general, InnovaCare, the company that offers these plans, is headed up by Rick Shinto. Shinto is currently employed as the president, CEO (chief executive officer), and the managing director of the company. One of his main responsibilities is to make certain that InnovaCare provides all the services listed in their charter.
Another important person in the InnovaCare organization is Penelope Kokkinides. Kokkinides is the CAO or chief administrative officer. InnovaCare employs specific methods of management, accounting, billing and record keeping to optimize medical services. They have generally received good reviews and been named as one of the leading health care providers. InnovaCare use advanced technology in order to cover all of their patients’ needs.