Health Maintenance Organizations (HMOs) have become a popular choice for many people seeking health insurance coverage. Among the myriad of plan options available, one that has caught the attention of many is the H3959 036 01 HMO plan. But what exactly is this plan, and why is it gaining popularity? Let's delve into the details and unravel the mystery.
Understanding HMOs
Before we dive into the specifics of the H3959 036 01 HMO plan, it's crucial to understand what an HMO is. An HMO is a type of health insurance plan that provides care through a network of doctors and hospitals. This network approach means that you'll need to choose a primary care physician (PCP) who will coordinate all your healthcare services.
H3959 036 01 - A Closer Look
Now, let's focus on the H3959 036 01 HMO plan. This plan is a type of Medicare Advantage plan provided by Humana. It's designed to offer comprehensive coverage for a wide range of healthcare services, including hospital care, outpatient care, and prescription drugs. The plan also includes additional benefits like fitness programs and preventive services.
The H3959 036 01 HMO plan has several features that make it stand out from other insurance options. Here are the key features:
1. Comprehensive Coverage
This plan offers extensive coverage for various healthcare services. It covers hospital care, outpatient care, prescription drugs, and even additional services like fitness programs and preventive services.
Like other HMOs, the H3959 036 01 HMO plan operates through a network of providers. This means you'll need to choose a primary care physician within the network who will coordinate your healthcare services.
3. Cost-Effective
One of the appealing aspects of this plan is its cost-effectiveness. With this plan, you'll pay a set copayment for services, making your healthcare costs more predictable and manageable.
4. Additional Benefits
In addition to the standard coverage, this plan also offers additional benefits like fitness programs and preventive services. These add-ons can help improve your overall health and well-being.
Choosing the Right HMO Plan
Choosing the right health insurance plan can be daunting. However, understanding the features and benefits of each plan can make the process easier. The H3959 036 01 HMO plan offers comprehensive coverage, a network of providers, and additional benefits, making it a viable option for many.
Conclusion
In conclusion, the H3959 036 01 HMO plan offers a comprehensive and cost-effective solution for healthcare coverage. By understanding how this plan works, you can make an informed decision about whether it's the right choice for you.
The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 31,718 members. There are 3,568 members enrolled in this plan in Allegheny, Pennsylvania, and 16,868 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.
Dual Special Needs Plans are for people who have both Medicare and Medicaid (called "dual eligible"). A Dual Special Needs Plan (D-SNP) is a unique Medicare Advantage plan that combines your Medicare Part A and Part B benefits, and your Medicare Part D prescription drug coverage.
This benefit is provided via a prepaid Mastercard that has a monthly allowance for healthy foods, OTC items, transportation, utilities, personal care items, pet supplies, rent or mortgage assistance.
People who qualify for Medicare and Medicaid (also called “Medical Assistance”) are known as dual eligibles. As a dual eligible, you are eligible for benefits under both the Federal Medicare program and the Pennsylvania Medicaid program.
Expanded D-SNP products: For those who qualify for both Medicare and Medicaid benefits, we'll expand our D-SNP offerings to 433 new counties across 31 states, including a new market in Maryland and new preferred provider organization (PPO) plan options in Alabama, Arkansas, Louisiana, Mississippi, Pennsylvania and Utah ...
A Medicare Advantage plan combines your Original Medicare (Part A and Part B)benefits into a single plan. Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn't cover.
Expanded D-SNP products: For those who qualify for both Medicare and Medicaid benefits, we'll expand our D-SNP offerings to 433 new counties across 31 states, including a new market in Maryland and new preferred provider organization (PPO) plan options in Alabama, Arkansas, Louisiana, Mississippi, Pennsylvania and Utah ...
Aetna Medicare DSNP expanded into Maryland in 2024. Aetna Medicare DSNP, also known as Dual-Eligible Special Needs Plans, is a type of Medicare Advantage plan that provides coverage for individuals who qualify for both Medicare and Medicaid.
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Introduction: My name is Maia Crooks Jr, I am a homely, joyous, shiny, successful, hilarious, thoughtful, joyous person who loves writing and wants to share my knowledge and understanding with you.
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