Improvements In The Healthcare Industry

InnovaCare Health is giving new meaning to the healthcare industry. They are providing high quality Medicare Plans along with new methods about how the should be done. The company is devoted to furnishing quality healthcare, when it come to it’s members. The services which they provided are quite worthwhile to it’s members. There are also two Medicare Advantage plans in Puerto Rico. One is MMM Healthcare and the other is PMC Medicare Choice. Their 200,000 members can have their medical needs addressed by over 7,500 providers.

The company’s first concern are their patients. With all the changes that are going on with the healthcare industry, they have pledged to give each individual across North America quality care. MMM is the first Medicare Advantage plan in Puerto Rico. Now along with PMC they are among the fastest growing. InnovaCare Health makes sure that their members emotional and physical needs are addressed. The members are so satisfied they give them 90/100 for service.

MMM and PMC in 2011 received the Commendable Accreditation recognition nod from the National Committee of Quality Assurance(NCQA). InnovaCare has the distinct honor of being the first and only Healthcare Company to receive this accreditation in Puerto Rico. This award is only given to companies whose service and health plan exceed NCQA’s rigorous standards. The current President of InnovaCare is Dr. Rick Shinto. Penelope Kokkindides is the current Chief Administrative Officer at InnovaCare.

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Medicare Advantage is a Healthcare Insurance plan that is serviced by Commercial Insurance companies. It is replacement for traditional Medicare. These companies get their reimbursement from the Federal Government. Part A will pay for hospital services only, not any doctors. This is where Part B takes over, which will also take care of outpatient services such as ER visits, labs, X-rays along with any diagnostics tests and any equipment and supply.

Some people call Medicare Advantage Part C. It also incorporates Part D, which is the prescription Plan. This is known as Medicare Prescription Plan or MAPD. Reimbursement for Part D is done by the Federal Government separately. All individual who have a Medicare Advantage Plan will be offered coverage that is identical to Traditional Medicare, although coverage may not be the same. For instance, if there is a package where coverage exceeds Medicare’s then copay should be lowered. This way things are balance out.

Out of Pocket expenses for Part A & B should not go beyond $6,700 for the year. When that is reached, the plan will pay one hundred percent of the cost for the remainder of the calendar year. Just as long as the individual stays in-network. As of 2014 Medicare Advantage have grown to 15.7 million members. People can join when they first become eligible for Medicare or they have the option to switch after they have been on Medicare for a year.

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