InnovaCare Health: Leading Medicaid Advantage Plan Provider

Medicare Part C is the Medicare program that handles Medicare Advantage Plans, private insurance companies that contract with the federal government to provide services to Medicare beneficiaries. Medicare Advantage Plans may or may not charge a premium, and some Advantage Plans provide services that regular Medicare does not, such as vision, hearing, and dental benefits. Although these plans are offered by private insurance companies, Advantage Plans must cover all services that Medicare covers.

You are probably familiar with the two most common Medicare Advantage Plan types: HMOs and PPOs. Medicare HMOs are similar to other HMOs in that they often require you to get a referral before going to a specialist and you may be limited to doctors within the HMO network, or you may have to pay all costs out-of-pocket. PPOs, or Preferred Provider Organizations, are similar to HMOs, but usually do not require a referral to see a doctor. PPOs often require co-payments on services, and if you choose to see a doctor outside of the provider network, costs will be higher.

Most people will still need to pay their Part B premium, which is generally automatically deducted from Social Security benefits, although some Medicare Advantage Plans pay all or part of Part B premiums. Some plans will charge an additional premium for coverage. One of the main reasons that people opt for a Part C plan is prescription drug coverage. Although Medicare Part D coverage provides a prescription benefit, it also requires an additional premium.

Read more: InnovaCare Inc Company Profile

InnovaCare Health is a major Medicaid and Medicare Advantage Plan provider, providing Advantage Plan benefits to over 200,000 members in Puerto Rico and boasts a roster of over 7,500 providers, as well as managing Medicaid plans on behalf of the Puerto Rican government. InnovaCare has also as a physician services division called MSO, which provides medical practice services in Puerto Rico.

InnovaCare Health is led by President and CEO Rick Shinto, MD, who has over twenty years of experience in the managed care field. After graduating from medical school and becoming certified as an internist, Rick Shinto served as an executive at a number of health care companies.

Penelope Kokkinides is Chief Administrative Officer of InnovaCare. She rejoined the company after having served as COO of Aveta, Inc. A graduate of Binghamton University, she has over twenty years of experience in the managed care field.

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