Tuesday, January 13, 2015

Advantra

How do Medicare Advantage coordinated care plans work?

A coordinated care plan (CCP) is much like the kind of health care you may already be familiar with through your or your spouse&rsquo,s employer. There are Health Maintenance Organization (HMO), Preferred Provider Organization (PPO) and Point-of-Service (POS) plans.

Members in our HMO plans must use plan providers (sometimes called &ldquo,in network&rdquo, providers), except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-plan providers, neither Medicare nor our health plan will be responsible for the costs.

Advantra is available to beneficiaries in select counties in several Coventry Health Care health plan service areas including: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Missouri, Nebraska, New Mexico, North Carolina, Ohio, Pennsylvania, South Dakota, Texas, Utah, Virginia, West Virginia and Wyoming.

*benefits may vary by plans and/or by county

Source

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