Managed care

SilverSneakers Available to Arizona Medicare Advantage Members in 2019

Retrieved on: 
Tuesday, October 16, 2018

Arizona seniors enrolled in participating health plans will have access to SilverSneakers at no additional cost to them.

Key Points: 
  • Arizona seniors enrolled in participating health plans will have access to SilverSneakers at no additional cost to them.
  • Members in Arizona and across the country ask for SilverSneakers by name and encourage their friends to participate."
  • SilverSneakers is offered through more than 65 health plans including the nation's leading Medicare Advantage health plans, Medicare Supplement carriers and group retiree plans.
  • The program was founded in 1992 and is available to more than 15 million Medicare beneficiaries through many Medicare Advantage plans and group retiree plans.

HAP's Enhanced Medicare Advantage Plans Offer More Benefits and Easier Access to Health Services

Retrieved on: 
Tuesday, October 16, 2018

The Plan Finder is an Internet-based tool on Medicare.gov that helps Medicare beneficiaries find, view and compare health insurance plans in their geographic area.

Key Points: 
  • The Plan Finder is an Internet-based tool on Medicare.gov that helps Medicare beneficiaries find, view and compare health insurance plans in their geographic area.
  • "HAP is working hard to offer affordable plans to meet the growing needs of Medicare beneficiaries and collaborating with our members to offer the benefits and services they've asked for," said Margaret Anderson, chief sales and marketing officer, HAP.
  • "People are living longer, more productive lives, and at HAP, we've enhanced our Medicare Advantage benefits significantly to help those over 65 live full, active and healthy lives.
  • Hearing benefits Medicare Advantage members with hearing care needs will have a $0 copay for routine exams, evaluations and fittings.

BayCare Health Plans Launches Insurance Products

Retrieved on: 
Monday, October 15, 2018

CLEARWATER, Fla., Oct. 15, 2018 /PRNewswire/ --BayCare Health Plans begins enrollment in its first health insurance products, two Medicare Advantage (HMO) plans called BayCarePlus.

Key Points: 
  • CLEARWATER, Fla., Oct. 15, 2018 /PRNewswire/ --BayCare Health Plans begins enrollment in its first health insurance products, two Medicare Advantage (HMO) plans called BayCarePlus.
  • BayCare Health System established BayCare Health Plans Inc. to create health insurance products.
  • About BayCare Health Plans Inc.
    BayCare Health Plans Inc. is a subsidiary of BayCare Health System, a leading not-for-profit health care system with 15 hospitals and hundreds of other locations in the Tampa Bay and central Florida regions.
  • BayCare Health Plans launched its first products, two Medicare Advantage (HMO) plans called BayCarePlus, in October 2018.

Medicare Beneficiaries Can Explore Coverage Options During Free October 23 "Medicare Shop & Compare"

Retrieved on: 
Monday, October 15, 2018

Central Ohio Primary Care (COPC) is hosting the event and will have representatives available to answer questions about the new COPC Senior Care Advantage program .

Key Points: 
  • Central Ohio Primary Care (COPC) is hosting the event and will have representatives available to answer questions about the new COPC Senior Care Advantage program .
  • COPC Senior Care Advantage provides access to wellness and health education services and care coordination resources when needed.
  • Between October 15 and December 7, Medicare beneficiaries have the opportunity to explore and choose 2019 Medicare coverage.
  • The Medicare Advantage plans, which generally provide additional benefits such as prescription drug coverage, are offered by health insurance companies that contract with Medicare.

HealthMetrix Research Selects 2019 Medicare Advantage Plans for Exceptional Benefit Value & Overall Performance

Retrieved on: 
Monday, October 15, 2018

The 2019 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 47 states and Puerto Rico based on cost-sharing analysis conducted by HealthMetrix Research Inc. and MedicareNewsWatch.com.

Key Points: 
  • The 2019 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 47 states and Puerto Rico based on cost-sharing analysis conducted by HealthMetrix Research Inc. and MedicareNewsWatch.com.
  • The 2019 Senior Choice Gold Award selections include special recognition for plans achieving at least 3.5-star overall ratings for quality and performance as reported by the Centers for Medicare & Medicaid Services (CMS).
  • Nearly 80% of the award recipients also achieved at least 4-star CMS overall ratings for exceptional performance that raises the bar for all Medicare Advantage competitors.
  • The award criteria were based on 2019 benefits and cost-sharing features approved by Medicare for the selected plans as published on Medicare Plan Finder ( www.Medicare.gov ).

QBE North America Launches Integrated Advantage for Healthcare

Retrieved on: 
Monday, October 15, 2018

NEW YORK, Oct. 15, 2018 /PRNewswire/ -- QBE North America, an integrated specialist insurer, is pleased to announce the launch of QBE Integrated Advantage for Healthcare, a dedicated unit comprised of healthcare professionals in Underwriting, Claims, Risk Solutions and Product.

Key Points: 
  • NEW YORK, Oct. 15, 2018 /PRNewswire/ -- QBE North America, an integrated specialist insurer, is pleased to announce the launch of QBE Integrated Advantage for Healthcare, a dedicated unit comprised of healthcare professionals in Underwriting, Claims, Risk Solutions and Product.
  • The QBE Integrated Advantage for Healthcare team, led by Cindy Oard, Senior Vice President, Underwriting Leader Healthcare, applies its unique expertise and leverages the team's over 20 years of experience in the industry to deliver specialized solutions for hospitals, physician groups, medical facilities and managed care organizations.
  • QBE has integrated one team to provide a multi-line solution, including management liability, medical malpractice as well as property, auto and workers' comp coverage.
  • "At QBE, we're enhancing the way we do business with our Healthcare customers and delivering on our strategy as an integrated specialist insurer."

Vibra Health Plan Announces 2019 Medicare Advantage PPO Plans, Providing Personalized, Affordable Coverage in 31 Pennsylvania Counties

Retrieved on: 
Saturday, October 13, 2018

HARRISBURG, Pa., Oct. 13, 2018 /PRNewswire/ -- Vibra Health Plan today announced Medicare Advantage plan options for 2019 featuring a Member Advocacy Program.

Key Points: 
  • HARRISBURG, Pa., Oct. 13, 2018 /PRNewswire/ -- Vibra Health Plan today announced Medicare Advantage plan options for 2019 featuring a Member Advocacy Program.
  • Vibra Health Plan PPO plans are available to Medicare-eligible individuals within its 31-county Pennsylvania service area.
  • Vibra Health Plan is focused on eliminating the confusion by making the process as smooth as possible," said Debbie Rittenour, senior vice president, Vibra Health Plan.
  • Throughout the annual enrollment period, Vibra Health Plan offers free informational seminars to help Medicare beneficiaries understand their Medicare options.

Martin's Point Health Care Earns 5 Stars Among Nation's Highest-Quality Medicare Advantage Plans for 2019

Retrieved on: 
Friday, October 12, 2018

Portland-based Martin's Point Generations Advantage Prime, Value, Value Plus, and Focus DC plans have earned the highest-possible Overall Plan Rating for quality and service awarded nationally to Medicare Advantage plans.

Key Points: 
  • Portland-based Martin's Point Generations Advantage Prime, Value, Value Plus, and Focus DC plans have earned the highest-possible Overall Plan Rating for quality and service awarded nationally to Medicare Advantage plans.
  • They are the only Medicare Advantage plans in Maine and New Hampshire to achieve Medicare's 5-Star rating for 2019.
  • CMS publishes their Star Ratings during the Medicare Annual Enrollment period each year to help seniors compare the level of health care quality and service offered by Medicare Advantage plans.
  • Martin's Point also provides primary care and specialty care services at seven health care centers from Brunswick, Maine to Portsmouth, New Hampshire.

Northeast Ohio Seniors Defying The Odds Featured On 2019 "Akron 60 Strong" Calendar

Retrieved on: 
Friday, October 12, 2018

60 Strong Ambassadors will appear at a free Medicare Shop and Compare event on Thursday, October 25 at the Akron Hilton/ Akron Fairlawn from 5-9 p.m.

Key Points: 
  • 60 Strong Ambassadors will appear at a free Medicare Shop and Compare event on Thursday, October 25 at the Akron Hilton/ Akron Fairlawn from 5-9 p.m.
  • The event is an opportunity for the community to learn about the Medicare Advantage Plans and the benefits they offer.
  • Akron 60 Strong is a celebration of grit and resilience sponsored by Pioneer Physicians Network as they launch Paradigm Senior Care Advantage, a new program for their Medicare Advantage patients.
  • This program is designed to keep Northeast Ohio seniors active and help them navigate the complexities of Medicare coverage and other healthcare decisions, which is why the calendar will include important timeline information regarding Medicare signup deadlines.

Triple-S Management Corporation's Medicare Advantage HMO Offering Upgraded to 4.5 Star Rating

Retrieved on: 
Friday, October 12, 2018

The new rating is an upgrade from its previous 4-star rating and will apply in payment year 2020.

Key Points: 
  • The new rating is an upgrade from its previous 4-star rating and will apply in payment year 2020.
  • Approximately 88% of Triple-S's Medicare Advantage membership participates inits HMO offering.
  • CMS' stars rating reflects the quality of care a member receives and the member's satisfaction withhis or herhealth carrier.
  • The rating measuressuch factors as preventive care, hospital readmissions, adherence to medications and the management of chronic conditions.