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2013 Medicare Advantage Health Maintenance Organization (HMO) Plans

2013 Medicare Advantage Health Maintenance Organization (HMO) Plans

Medicare Advantage plans offered in parts of Indiana, Oklahoma, and Texas.

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.

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***

Texan Plus® HMO

TexanPlus – Houston/Beaumont Area is offered in Austin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, and Waller counties in Texas.

TexanPlus – Dallas Metroplex Area is offered in Collin, Dallas, Rockwall, and Tarrant counties in Texas.

Generations Healthcare® HMO

Generations Healthcare is offered in Canadian, Cleveland, Grady, Lincoln, Logan, McClain, Oklahoma, Pottawatomie, and Seminole counties in Oklahoma.

Today’s Options® HMO

Today's Options HMO is offered in Hamilton, Johnson, and Marion counties in Indiana.

Tribute® HMO

Tribute is offered in Carter, Cleveland, Garvin, Jefferson, Johnston, Love, McClain, Murray, Oklahoma, and Stephens counties in Oklahoma.

Copay/Copayment:

A dollar amount or percentage that you pay when your plan does not cover 100% of the cost of your medicines or your medical care. For example, if you pay a certain pre-determined amount for a medicine, or for a visit to the doctor, that amount is your copay.

Primary Care Physician (PCP):

A doctor that a member chooses who coordinates their healthcare with specialists and other providers. A PCP acts as the manager of your healthcare and can assist you in finding the right specialists when necessary. He or she is available to patients 24 hours a day, 7 days a week through regularly scheduled appointments or by other doctors providing "on-call" back up coverage. Most Health Maintenance Organization (HMO) plans require you to see your PCP before you see any other healthcare provider.

Disclaimer Information:

Generations Healthcare HMO, TexanPlus® HMO, Today's Options® HMO, and Tribute® HMO SNP are Health plans with a Medicare contract.

* The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or copayment/co-insurance may change on January 1 of each year.

** You must continue to pay your Medicare Part B premium.

*** Medicare has neither reviewed nor endorsed this information.

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Y0067_WEB_UAM6_1212 (CMS Approved 1/8/2013) Last Updated: 1/3/2013