4 Medicare Advantage Rules to Live By
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Washington Medicare Advantage Plans
With nearly 70 years of experience caring for people in Washington, Kaiser Permanente is here to help you live life to the fullest. We’re ready for whatever life might throw your way, but our goal is to keep you healthy in the first place. Our Medicare Advantage plans feature:
Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes
When SNPs were authorized, there were few requirements beyond those otherwise required of other Medicare Advantage plans. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 established additional requirements for SNPs, including requiring all SNPs to provide a care management plan to document how care would be provided for enrollees and requiring C-SNPs to limit enrollment to beneficiaries with specific diagnoses or conditions. As a result of the new MIPPA requirements, the number of SNPs declined in 2010. The ACA required D-SNPs to have a contract with the Medicaid agency for every state in which the plan operates, beginning in 2013. Additionally, in 2013, joint federal-state financial alignment demonstrations to improve the coordination of Medicare and Medicaid for dually eligible beneficiaries began to enroll beneficiaries. Today, financial alignment demonstrations are underway in 12 states: California, Colorado, Illinois, Massachusetts, Michigan, Minnesota, New York, Ohio, South Carolina, Texas, Virginia, and Washington. The financial alignment demonstrations could influence the availability of D-SNPs in these states, either increasing or decreasing the availability of SNPs, depending on the design of the demonstration.
Humana Medicare Supplement Plans
Humana Medicare Supplement plans are offered in most states, and the company is well regarded and well liked. However, Humana is better known for their Medicare Advantage plans and their excellent Prescription Drug Plans than their Medicare Supplement Plans. Their Medicare Advantage plans are very popular and they offer excellent HMO & PPO options in most metropolitan areas.