Medica HealthCare Plans MedicareMax Plus – A Special Needs Plan for Medicare Beneficiaries with Medicaid
Medica HealthCare Plans MedicareMax Plus is a dual-eligible Special Needs Plan (SNP) designed to provide intensive case management services to the entire membership according to our Model of Care. Training on the Medica HealthCare Plans model of care can be found here.
Per our contract with the Agency for Health Care Administration (AHCA), Medica HealthCare Plans MedicareMax Plus coordinates both Medicare and Medicaid services for the SNP members. No SNP member shall be billed or held responsible for charges or deductibles that are the responsibility of the Medicaid State Plan.
Detailed information about referral and authorization requirements can be found here: 2012 Benefit Grid
For more information about the services provided to the SNP members or if you have a SNP patient you feel would benefit from our Case Management or Disease Management services, please contact us 1-800-407-9069. You can also ask your Provider Relations Representative.
Last Update: July 30, 2012 at 3:24 pm