Medicare Advantage Plan Highlights What's new ... Medicare Advantage Plans. Something you’ll really like. We’re introducing two new Medicare Advantage Plans for our Medicare-covered retirees and their Medicare-covered dependents that will save you some major money. Your two new choices: TexanPlus and Texas HealthSpring. Both are managed locally and are similar to the HMO-type benefits and prescription drug plan provided by the city – but with mighty attractive financial incentives. Such as:
What are my Medicare Advantage Plan options?
They’re very similar to the HMO. In some areas the city’s plan offers a more generous benefit but in other areas, especially in out-of-pocket savings, the new plans are more generous. The plans recall the NYLCare65 plan offered until 2000. Click here for a description of benefits and the comparison chart for more plan features. Both Medicare Advantage plans are based in Houston and offer quality health care, maintaining many of the doctor-patient relationships you already enjoy. TexanPlus (866) 556-4607 Texas HealthSpring (800) 846-2098
Who is Eligible for the Medicare Advantage Plans? Possibly you. Here are the FIVE things you need to qualify:
There are no waiting periods and you cannot be turned down for coverage for a pre-existing health condition.
Medicare Advantage Plan Highlights Here are some familiar features of these new plans.
Savings? Okay, show me the money. Lower monthly contributions: 85 to 92-percent savings on “retiree only” monthly contributions. Click here to see the contributions. Lower out-of-pocket costs on many services including:
How can such benefits be provided at a lower cost?
What’s the downside?
What exactly are Medicare Advantage Plans? Medicare offers you different ways to get your Medicare benefits when you reach age 65. One option is called Original Medicare, and is the traditional form that underlies your retiree health coverage from the city. Another option is called Medicare Advantage Plan where Medicare contracts with private companies to provide the benefits instead of Medicare. This kind of plan is similar to the NYLCare65 plan the city offered until 2000. Medicare Advantage plans that are offered now are similar to HMOs. You must choose a PCP and use network providers. When you enroll in this type of plan, Medicare pays a monthly amount to TexanPlus and Texas HealthSpring for them to cover your Medicare benefits, instead of Medicare. That means these Medicare Advantage plans cover everything Medicare covers, and more. Medicare writes most of the rules that the vendor and retiree must follow. These plans will replace your HMO or PPO plan and Medicare. Medicare Advantage Plan Comparison The following plan features are effective May 1, 2005.
Medicare's relationship to these two new plans This is a lot of new and exciting information you should consider to make this important decision. We have provided the following information for you to use in making your decision:
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