Medicare Advantage

At ProMed Health Primary Care, we understand the importance of personalized healthcare, especially for our Medicare Advantage patients. Our team is committed to offering comprehensive and coordinated care that meets the unique needs of seniors and other Medicare Advantage beneficiaries.

Does ProMed Health Primary Care accept my Medicare Advantage plan?*
We accept most Medicare Advantage plans. Please contact our office to confirm that we accept your specific plan, as coverage can vary by provider

What services are covered under my Medicare Advantage plan?
Medicare Advantage plans typically cover a wide range of services, including routine doctor visits, preventive care, diagnostic tests, and some specialty care. However, coverage can vary by plan, so we recommend checking with your plan provider or our office for specific details.

How do Medicare Advantage plans differ from Original Medicare?
Medicare Advantage plans are offered by private insurance companies and often include additional benefits not covered by Original Medicare, such as vision, dental, and prescription drug coverage. They also may have different rules regarding referrals and network providers.

Will I need a referral to see a specialist?
This depends on your specific Medicare Advantage plan. Some plans require a referral from your primary care provider to see a specialist, while others do not. We can help guide you through this process.

What should I bring to my Medicare Advantage visit?
Please bring your Medicare Advantage card, a valid ID, a list of your current medications, and any relevant medical records. If you have specific health concerns, a list of questions can also be helpful.

Can I receive preventive care services under my Medicare Advantage plan?
Yes, Medicare Advantage plans typically cover a range of preventive care services, such as annual wellness visits, screenings, and immunizations. These services are often fully covered with no additional cost to you

How are my prescriptions handled?
If your Medicare Advantage plan includes prescription drug coverage, our providers can write or renew prescriptions during your visit and send them directly to your preferred pharmacy.

How do I schedule follow-up appointments?
Follow-up appointments can be scheduled before you leave our office, or you can call us anytime to book a future visit. Online booking is also available for your convenience.

Are there any out-of-pocket costs for my visit?
Out-of-pocket costs can vary depending on your Medicare Advantage plan, the services provided, and whether your plan includes a copay or deductible. Our billing team can help you understand any potential costs before your visit

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