Providence Medicare Advantage Plans 2024
Navigating the world of Medicare Advantage plans can be overwhelming, but Providence Medicare Advantage Plans 2024 aims to simplify the process by offering comprehensive coverage and a variety of plan options to meet your unique healthcare needs.
With expanded dental coverage, enhanced telehealth services, and new premium plans, Providence is committed to providing high-quality healthcare solutions tailored to your lifestyle.
Are you ready to discover the benefits that await you? Let’s dive in!
Key Takeaways
- Providence Medicare Advantage Plans 2024 offers comprehensive coverage tailored to individuals’ healthcare needs in California, Oregon, and Washington.
- Enhanced benefits include expanded telehealth services, $0 premium plans in select counties, enhanced prescription drug coverage with no deductibles or cost shares for vaccines, vision and naturopathic care options, gym programs & wellness benefits. Additional resources & support.
- Enrollment requires proof of eligibility plus certain documentation which can be done online or over the phone.
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Overview of Providence Medicare Advantage Plans 2024
Providence Medicare Advantage Plans 2024 offers three main plan options for eligible individuals in California, Oregon, and Washington, providing comprehensive coverage and value-added programs: Health Maintenance Organization (HMO) Plans, HMO Point-of-Service (HMO-POS) Plans, and Special Needs Plans (SNP).
Each plan type is specifically designed to match your healthcare needs, providing you with suitable coverage and benefits, including Oregon Health Plan contracts for residents in Oregon.
Whether you’re looking for a plan with a wide network of providers, flexibility in out-of-network care, or tailored benefits for specific health conditions, Providence Medicare Advantage Plans 2024 has you covered. We’ll delve into the particulars of these plan types next.
HMO Plans
Providence HMO Plans offer a vast network of doctors and hospitals, with affordable premiums and comprehensive coverage for eligible individuals in California, Oregon, and Washington.
These plans are designed to provide low out-of-pocket costs and access to thousands of doctors, making healthcare more affordable and accessible.
However, please be aware that some covered services have a yearly coverage limit, and there’s also a yearly limit to your out-of-pocket expenses.
HMO Plans include:
- Coverage for vision, hearing, dental, and wellness programs
- Additional supplemental benefits
- Reduced cost sharing
- Enhanced rewards and incentives
- Access to urgent care services
With an average estimated premium of $128 per month for the Pacific Northwest region, HMO Plans provide an affordable solution to your healthcare needs.
HMO-POS Plans
HMO-POS Plans combine the advantages of HMO and POS plan types, offering network flexibility and allowing out-of-network care options with higher copays. These plans provide members the ability to opt for out-of-network care options at higher copayments, granting you greater decision-making power in your healthcare.
The HMO-POS Plan’s dental coverage includes dental cleanings, x-rays, and a $350 dental flex card at no cost, adding value to your healthcare experience. Additionally, the HMO-POS bridge plan provides a benefit of $70 per quarter, which accumulates, and is available for a cost of $29 annually.
Furthermore, the plan may be without charge if the beneficiary meets the criteria for extra assistance through medicare.gov.
SNP Plans
SNP PlansSpecial Needs Plans (SNPs) are designed for individuals with chronic or disabling conditions, providing targeted care and limiting coverage to those with specific health needs.
Providence Medicare Advantage offers HMO SNP plans, which include tailored benefits and support, such as:
- Over-the-counter cards
- Dental coverage
- Hearing and vision benefits
- Prescription coverage
- Fitness benefits
- Additional discounts and programs
Furthermore, these medicare supplement plans provide automatic access to a Medicare Part D prescription drug plan, while also covering the medicare part b premium.
Eligibility for SNP Plans under Providence Medicare Advantage is extended to eligible Medicare beneficiaries, including those who are dual-eligible for Medicare and Medicaid. Providence offers tailored plans for those with specific health conditions, making sure everyone can obtain the necessary healthcare services.
Changes to Providence Dental Coverage in 2024
In 2024, Providence has partnered with Delta Dental to provide enhanced dental coverage for its Medicare Advantage Plan members. This partnership brings about improved dental benefits, including:
- Cleanings
- X-rays
- Periodontal cleanings
- A $350 dental flex card
Delta Dental Plan of Oregon is the dental partner for Providence Medicare Advantage Plans, offering $0 preventive dental and providing access to thousands of providers and locations.
The enhanced dental coverage allows for more expensive dental work, such as crowns and bridges, with two available options for coverage: basic and enhanced. The enhanced option provides up to $500 per year in coverage, ensuring that your dental health needs are well taken care of.
The $350 dental flex card can be used for dental expenses, including nitrous for extractions and other dental treatments, functioning similarly to a credit card specifically designated for dental services.
Expanded Telehealth Services
Expanded Telehealth ServicesProvidence recognizes the importance of accessible healthcare, and in 2024, they are expanding their telehealth services to provide 24/7 access to healthcare professionals through the Providence nurse line.
This expansion offers a wide range of advantages, including:
- Access to comprehensive health care
- Telehealth visits
- Behavioral resources whenever we need them
- Personalized care for every patient
Providence’s 24/7 access to healthcare professionals guarantees that you can get medical care and advice at any time, wherever you are. This increased flexibility and convenience in receiving medical care is especially beneficial for individuals with mobility limitations or those living in remote areas.
Telehealth services can help reduce healthcare costs and improve health outcomes by enabling early intervention and preventive care.
New $0 Premium Plan in Select Counties
In an effort to uphold affordability for Medicare-eligible individuals in Southern California, Providence Medicare Advantage Plans 2024 offers a new $0 premium HMO plan in select counties.
This plan features:
- $0 monthly premium for those who qualify for both Medicare and Medicaid
- $0 annual deductible
- Access to Delta Dental for preventive dental care
- Supplemental benefits
- Reduced cost sharing
- Enhanced rewards and incentives for enrollees
The network of providers for the $0 premium HMO plan includes:
- Primary care physicians
- Specialists
- Hospitals
- Urgent care centers
- Diagnostic facilities
This plan ensures that you have access to the same high-quality healthcare services as other plans offered by Providence. With this new Providence Health Assurance plan option, Providence continues to prioritize affordability and accessibility, providing comprehensive coverage for those in need.
Enhanced Prescription Drug Coverage
Providence Medicare Advantage Plans 2024 also offers enhanced prescription drug coverage, ensuring that your medication needs are met without breaking the bank. The enhanced coverage includes no deductibles, meaning you don’t have to spend a predetermined amount of money out of pocket before your insurance coverage begins to pay for your prescription drugs.
Other benefits of the enhanced prescription drug coverage include lower tier drug costs, with a $0 copay for Tier 1 preferred generic drugs, allowing you to obtain a 100-day supply of these medications at no cost.
Furthermore, the Insulin Savings Program ensures that a one-month supply of select insulin will have a copay of no more than $35 in the Deductible, Initial Coverage, and Coverage Gap phases.
Lastly, all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) for Part D are offered for free with no cost-share.
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Vision and Naturopathic Care Benefits
Providence Medicare Advantage Plans 2024 goes beyond traditional coverage by offering vision and naturopathic care benefits. Vision coverage includes up to $250 for glasses with no network restrictions, ensuring that you can access the eyewear you need without limitations.
However, be aware that some covered services have an annual coverage limit, and there are daily or visit-based restrictions.
Additionally, Providence provides coverage for naturopathic care, offering 18 visits at a copayment of $20 per visit. This coverage allows you to explore alternative healthcare options and receive the care that best suits your needs and preferences.
Gym Program and Wellness Benefits
To promote wellness and healthy living, Providence Medicare Advantage Plans 2024 includes a comprehensive gym program, allowing members to access multiple gyms within the selected network. The Providence Gym Program includes more than 10,000 participating fitness centers and YMCAs nationwide through the Active&Fit Direct program.
Medicare members also have access to a no-cost fitness center membership through the Silver&Fit Fitness Program.
In addition to gym access, Providence offers the following fitness center group exercise classes specifically tailored to the needs of older adults:
- Yoga
- Pilates
- Zumba
- Water aerobics
Alternatively, you can choose to exercise from the comfort of your home with one Home Fitness Kit per individual.
With these enhanced benefits, Providence encourages a healthy lifestyle for its members.
Enrollment Process and Options
Joining Providence Medicare Advantage Plans is a breeze, as you can choose to enroll either online or via phone. The enrollment period for Providence Medicare Advantage Plans takes place from October 15 to December 7, 2023.
To enroll, you can request an appointment with one of their insurance agents via phone or on their online calendar.
To be eligible for enrollment, you must be 65 years of age or older, or, if under 65, be eligible for Medicare due to certain disabilities. Required documents for enrollment include enrollment forms for Oregon and Washington residents, evidence of coverage or annual notice of change for your Providence Medicare Advantage Plan, and a completed enrollment application form.
Additional Resources and Support
Providence Medicare Advantage Plans 2024 provides an array of extra resources and support to enhance your healthcare experience. Expert tips for optimal aging are available, providing valuable insights and advice on how to maintain your health and well-being as you grow older.
Fall prevention seminars are another valuable resource provided by Providence. These seminars address:
- Fall risks
- Home safety
- Prevention techniques
- Fear of falling
- Responding to a fall
- Evaluating fall hazards
Attending these seminars can help you stay safe and maintain your independence as you age.
In addition to these resources, Providence offers guidance on end-of-life conversations, ensuring that you and your loved ones are prepared for this important aspect of life.
With these additional resources and support, Providence demonstrates its commitment to providing comprehensive healthcare solutions for its members.
Summary
Providence Medicare Advantage Plans 2024 offers a wide range of comprehensive and affordable healthcare solutions, including HMO, HMO-POS, and SNP plans, to cater to your individual needs.
With enhanced dental coverage, expanded telehealth services, new $0 premium plans, and additional resources and support, Providence is dedicated to providing high-quality healthcare for all.
Don’t miss the opportunity to secure the coverage and benefits you deserve – explore Providence Medicare Advantage Plans 2024 today.
Frequently Asked Questions
→ What states have 5 star Medicare Advantage plans?
Five star Medicare Advantage plans are available in Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.
→ Is Providence an HMO or PPO?
Providence Health & Services is a not-for-profit Catholic health care system which offers Assurance, an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Therefore, Providence is an HMO.
→ What is the largest Medicare Advantage plan?
UnitedHealthcare (UHC) is the largest provider of Medicare Advantage plans, with nearly half of all enrollees and co-branded AARP plans that earn high ratings for quality and member experience. This makes UHC the largest Medicare Advantage plan.
→ What is the maximum out of pocket for Medicare Advantage 2023 out of network?
The maximum out of pocket for Medicare Advantage in 2023 for out-of-network services is $8,300. This is the limit set by Medicare Advantage plans for both in-network and out-of-network services combined.
→ What are the main types of Providence Medicare Advantage Plans 2024?
Providence Medicare Advantage Plans 2024 comprise Health Maintenance Organization (HMO) Plans, HMO Point-of-Service (HMO-POS) Plans, and Special Needs Plans (SNP).
ZRN Health & Financial Services, LLC, a Texas limited liability company
Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.