People who have subscribed for Medicare can receive their coverage through either a Medicare Advantage or Original Medicare program. The two options are different and these differences are as a result of the amendments that were done to the Original Medicare plans to form Medicare Advantage. Original Medicare was administered through the federal government, but the new system can be accessed through private insurance companies.
Medicare Advantage plans cover Part A and B benefits just like it has been with the Original Medicare plans. Some plans also cover additional benefits like dental care, hearing and vision. If you need a service that is categorized as not necessary under your plan, you may be forced to cover all costs incurred, but there is also room for an appeal against the decision to deny you the right to enjoy cover. You can request an advance coverage decision, which lets you know in advance whether a particular service will be covered by the plan.
Enrolling for Medicare Advantage does not exempt you from paying monthly Part B premiums. Each Medicare Advantage plan should provide both Part A and Part B services that are offered by the Original Medicare, but there should be different restrictions and rules affecting how the care is administered. Note that every Medicare Advantage plan should specify a limit on your out-of-pocket expenses for both Part A and B services.
Read more: InnovaCare Health | CrunchBase
InnocaCare: What we do
InnovaCare is an established managed healthcare services provider stationed in North America. They offer two avenues of care namely the Provider Networks and Medicare Advantage. The provider Network avenue takes care of revenue management and patient services that can help to maximize operations while maintaining cost-effectiveness. The Medicare Advantage avenue offers comprehensive benefits that contribute to emotional and mental health.
Rick Shinto, M.D. is the president and CEO of InnovaCare. Prior to joining InnovaCare, Richard Shinto worked as the president of Aveta Inc., until 2008, from where he gained useful experience. He is the CEO of InnovaCare Health plans within Puerto Rico and he has authored several articles on clinical medicine and healthcare.
Richard works with Penelope Kokkinides, the Chief Administrative Officer to ensure the plans offered by the company are in line with the expectations of their clients. Penelope Kokkinides joined InnovaCare in 2015, having served as the Chief Operating Officer at Aveta Inc. He boats of over 20 years experience in the healthcare industry and she has extensive expertise and knowledge in creating clinical programs.