InnovaCare Health and Medicare Advantage Plan Basics

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Is Medicare Enough?

Medicare Advantage is a health insurance program here in the United States. It’s centered around both HMOs (health maintenance organizations) and PPOs (preferred provider organizations). People who have Medicare typically receive medical coverage courtesy of “Original Medicare.” There are other people, however, who receive benefits from what’s known as a Medicare Advantage Plan. These plans are often referred to as Medicare private health plans as well.

Medicare Advantage Plans are required to accommodate any and all of the services that are managed by Original Medicare. There is a single exception, however, and that’s hospice care. Original Medicare takes care of hospice care even for individuals who are part of Medicare Advantage Plans. People with Medicare Advantage Plans are never not eligible for emergency assistance.

There are some Medicare Advantage Plans that provide people with some additional coverage, too. Examples of additional coverage could be hearing, eyesight and dental. Additional coverage could include wellness and health incentives as well. Medicare Advantage Plans all feature individual guidelines and requirements. They’re not all the same. People have to pay careful attention to their plans to figure out all of their coverage options. Some people feel troubled when they require medical services that are not deemed necessary medically. They often have to cover these service fees on their own. They are, however, permitted to make appeals.

InnovaCare Health is a prominent United States managed healthcare services provider. The company focuses on both Medicare Advantage and Provider Networks. Its goal is to change the approach of healthcare management in order to accommodate dilemmas that are part of the modern and difficult healthcare setting.

Richard Shinto, M.D., MBA serves as InnovaCare Health’s Chief Executive Officer and president. Penelope Kokkinides serves as the company’s Chief Operating Officer. Other big names that are part of InnovaCare Health’s staff are Chief Accounting Officer Michael J. Sortino, Chief Financial Officer Douglas Malton, Chief Actuary Officer Jonathan A. Meyers and General Counsel Christopher Joyce. InnovaCare Health’s Board of Directors includes individuals such as Stuart Altman, David Nathan Roberts, Daniel E. Straus, Jonathan Kolatch, Stephen Baker, Raphael Benaroya and Joseph Mark

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Medicare Advantage Plan Covers All Medical Services

Medicare Advantage Plans cover all services under Original Medicare with the exception of hospice care. The original Medicare takes care of hospice care for patients who are even in the Medicare Advantage Plan. Note that all Medicare Advantage Plans categories take care of emergency care and urgent care.

The plan sometimes chooses not to take care of costs of services that are not medically relevant under Medicare. To be sure of the services covered by your plan, it is important that you contact your service provider before getting the services. In case you require services that the plan terms as medically not necessary, you may have to pay for the costs. However, a patient has the right to appeal the decision.

Medicare Advantage Plans also offer extra coverage like wellness programs, hearing, dental and vision. The above programs entail Medicare prescription drug coverage (part D). Note that you require paying monthly premiums for your Medicare Advantage Plan on top of your Part B premium. Medicare Advantage Plan automatically enrolls employees who have health coverage through their union or employers when they become eligible for Medicare. In that case, an employer can choose to enroll in a different Medicare Advantage Plan, remain with the plan or shift to Original Medicare. It is important that you first to talk to your union or employer before making that decision.

InnovaCare Health is one of the leading providers of managed health care services in U.S. It also offers physical practice services, and it focuses on the provision of quality healthcare through sustainable models that are cost effective. It manages care for over 275,000 Medicare beneficiaries and over 270,000 commercial members via innovative models. The Chief Operating Officer of InnovaCare Health explains that they focus on developing innovative provider models as well as the provision of Medicare Advantage Plans. The health provider operates two Medicare Advantage plans which include the MMM Healthcare Inc. and PMC Medicare Choice Inc. Its headquarters are in Fort Lee, New Jersey.

In everything they do, they prioritize their patients. Due to the diverse nature of the healthcare sector, they ensure that they coordinate quality and innovative care to patients all over North America.

It attributes its success to its leaders who ensure everything runs well and that they achieve their goals. Richard Shinto is the Chief Executive Officer. He has been in the field of clinical and operational healthcare for over 20 years. He has been at InnovaCare Health since 2008. Penelope Kokkinides is the Chief Administrative Officer. She has been with InnovaCare Health since June 2015. She has more than 20 years’ experience in health care




When seniors or disabled individuals have the option to carry Medicare as their insurance plan, they also have the option to enter into a Medicare Advantage Plan. A Medicare Advantage Plan means that you still have Medicare but instead of only having original Medicare, you now have coverage through a different type of insurance plan. They are normally called Health Maintenance Organization (HMOs), Preferred Provider Organizations (PPOs) or Private Fee-For-Service (PFFS). Medicare Advantage Plans contract with the federal government and are only paid a fixed amount per person to provide Medicare benefits. Some people may choose the Medicare Advantage Plan because they tend to cover other costs and procedures that Medicare doesn’t cover. It’s important to evaluate the benefits and costs of each plan, and make sure that a Medicare Advantage Plan is something that will work for each individual.

InnovaCare Health is a provider of Medicare Advantage Plans and physician practice services. They offer two primary avenues of care that include Provider Networks and Medicare Advantage. They help individuals and are committed to quality healthcare by offering and creating models that are reputable, cost-effective and fully valued with technologies that are always increasing in advancements. InnovaCare Health puts their patients first and always ensure that each individual is getting the best plan they can imagine, and take pride in making sure that each document is understood. They take pride in offering the best, high quality Medicare Advantage plan and strive to continue to develop innovating provider network models.

Learn more about what InnovaCare Health can provide for you:

My Stroke Could Have Killed Me, But Nobilis Health Saved My Life

After one lonely night of heavy drinking, I found myself in the hospital looking up from my bed at the bright lights above me. I also saw my family around me, but I realized that I couldn’t move my right arm or my right leg. I wasn’t sure about what was going on, but a doctor quickly came in and informed me that I had a stroke. All the years of drinking had finally taken a toll on my body, and I had a stroke when I passed out from being drunk, and it was a family member who found me and saved my life.

I was taken to a Nobilis Health facility that was near my home, and they saved my life. Not only did they save my life, but they gave me a plan to execute on how I was going to get back to normal. I mentioned to the doctor that I couldn’t feel anything on my right side, and he told me it was because of the stroke. Although I was very depressed, I was told that with some surgery as well as physical rehabilitation, I might be able to get back to normal. I was also informed that drinking was no longer a possibility.

I was determined to be myself again, but I wasn’t certain how to move forward. I spent days alone in the hospital crying over my predicament, but I would have a nurse come in once in a while, and they would comfort me in my pain. Even if I had family members come in, I still felt depressed. One of the Nobilis Health nurses saw me crying one day, and she came in and talked to me about my condition. She told me that her father had had the same type of stroke, and he had one side of his body stop working as well.

When I asked her what happened to her father, she actually pulled out her smartphone and showed me a video that was from days before of her father running in a marathon and enjoying his life. I couldn’t believe what I was seeing, but the date on the phone proved the video was recent. The nurse gave me all the hope that I needed to look forward to the future, and hopefully I’ll be able to have a success story like her father. No matter what happens in the future, Nobilis Health has saved my life, and I’m grateful and shared it on insiderreport.