Medicare Advantage HMO Plans
Offered in parts of Indiana, Oklahoma, and Texas.
Our Medicare Advantage HMO plans provide medical and hospital coverage, preventive care and the option to add prescription drug coverage.
Our plans are affordable and may save you money with:*
- Low or no monthly plan premium**
- Low Primary Care Physician office copays
- Low hospital copays
- Plan options with prescription drug coverage
- Annual out-of-pocket limits on medical expenses
- Preventive screenings, such as mammograms and prostate screenings
- Additional services not offered by Original Medicare, such as vision care, hearing care, and access to professional nurses 24/7.**
We offer:
How Do HMOs Work?
When you join our Medicare Advantage HMO plans, you will choose a doctor from our broad network to coordinate your care. There is no limit on covered office visits, so you can see your doctor as often as you choose. If you wish to change your doctor, also called your Primary Care Physician (PCP), you may do so at any time. Your PCP is your health advocate - he or she will send you to specialists or hospitals when you need additional care.
Please note that with an HMO plan, you must use providers in the network. You will be responsible for any fees
or services provided by doctors or hospitals out of the network. Providers in the network can change at any time.
Find a Medicare Advantage HMO in your area with our Plan Finder.
A health plan with a Medicare contract.
Today’s Options® HMO, TexanPlus® HMO, and Generations Healthcare HMO are offered by the following organizations that contract with the Federal government: SelectCare Health Plans, Inc. (d/b/a TexasFirst Health Plans® and d/b/a Today’s Options of Indiana, in Texas and Indiana, respectively); Today’s Options of Oklahoma, Inc.; and SelectCare of Texas, L.L.C., members of the Universal American family of companies.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. We have formed a network of pharmacies. To receive plan prescription drug benefits, you must use a network pharmacy, except in non-routine circumstances, and quantity limitations and restrictions may apply. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers neither Medicare nor the plan will be responsible for the costs. You may enroll in the plan only during specific times of the year. Contact the plan for more information. You must have Medicare Parts A and B to enroll in the plan. Low Income Subsidy (LIS): You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your State Medicaid Office.
*Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2013. Limitations, copayments and restrictions may apply
** You must continue to pay your Medicare Part B premium.
***The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the plan's grievance process.