benefits.hopkinsmedicare.comUnderstand Your Advantage Plan Benefits | Johns Hopkins Advantage MD

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Submit Δ Get your FREE Medicare Guidebook when signing up! Personally Provided Information If you choose to provide us with personal information by sending an email, or by filling out a form with your personal information and submitting it through our Web site, we use that information to respond to your message and to help us provide you with information or material that you request. We do not give, share, sell, or transfer any personal information to a third party unless required by law. Understand Your Benefits With so many benefits, it’s important to understand your Advantage MD coverage to get the most out of your health care. Use the chart below to see your benefits at-a-glance. For specific information on your benefits, use our interactive tool to browse your covered benefits. You can also download a PDF of your plan’s summary of benefits. PPO and HMO Summary of Benefits – English | Spanish D-SNP (HMO) Summary of Benefits – English | Spanish Select (HMO) Summary of Benefits – English | Spanish Plan Select your Plan 2024 Tribute (HMO) 2024 Select (HMO) 2024 Primary (PPO) 2024 Premier (PPO) 2024 PPO 2024 Plus (PPO) 2024 HMO 2024 D-SNP (HMO) View plan Our Service Area Collapse Expand Advantage MD offers plans for Medicare-eligible residents across 10 counties in Maryland and 3 counties in Virginia. The Johns Hopkins Advantage MD (HMO), Johns Hopkins Advantage MD (PPO), and Johns Hopkins Advantage MD (D-SNP) service area includes the following counties in Maryland: Anne Arundel, Baltimore, Carroll, Frederick, Howard, Montgomery, Somerset, Washington, Wicomico, and Worcester. Johns Hopkins Advantage MD Plus (PPO) service area include the following counties in Maryland: Anne Arundel, Baltimore, Carroll, Frederick, Howard, Somerset, Washington, Wicomico, and Worcester. (Not available in Montgomery County.) The Johns Hopkins Advantage MD Premier (PPO) service area includes Montgomery County only. The Johns Hopkins Advantage MD Tribute (HMO) and Johns Hopkins Advantage MD Primary (PPO) service area include the following counties in Maryland: Anne Arundel, Baltimore, Frederick, Howard, and Montgomery. (Not available in Carroll, Somerset, Washington, Wicomico, and Worcester counties.) The Johns Hopkins Advantage MD Select (HMO) service area includes the following counties in Virginia: Arlington, Fairfax City, and Falls Church City. (Not available in Maryland.) Going Out-of-Network Collapse Expand As a member of our PPO, Plus PPO, Primary PPO, or Premier PPO plan, you can choose to receive care from out-of-network providers. These plans will cover services from either in-network or out-of-network providers, as long as the services are covered benefits and medically necessary. For more information about cost-sharing for out-of-network providers, please refer to the Medical Benefits chart in Chapter 4 of your plan’s EOC. As a member of our HMO, Tribute HMO, Select HMO, or D-SNP plans, you must use in-network providers to get your medical care and services. Care you receive from an out-of-network provider will not be covered. The only exceptions are emergencies, urgently needed services in which the network is not available (generally, when you are out of the area), out-of-area dialysis, and in cases in which Johns Hopkins Advantage MD (HMO) authorizes use of out of network providers. For more information about the network, please refer to Chapter 3 of your plan’s EOC. Johns Hopkins OnDemand Virtual Care Collapse Expand Get care anytime, anywhere with Johns Hopkins OnDemand Virtual Care. Connect through your mobile device or computer for a video visit with a health care provider 24/7, from anywhere in the United States. Johns Hopkins OnDemand Virtual Care has providers ready to care for you at any time, no appointment needed. A health care provider is available within minutes to review symptoms and prescribe medications, as necessary. Common uses for this service include minor care concerns, such as: Cold and flu symptoms Rashes Allergies Sinus problems Pinkeye This service is available to all Advantage MD plan members. Get connected with a provider now or learn more . Do not use Johns Hopkins OnDemand Virtual Care for emergency medical matters. Call 911 if you are experiencing a medical emergency. Explanation of Hearing Aid Coverage Collapse Expand Johns Hopkins Advantage MD covers up to two hearing aids per year when purchased through TruHearing. Features for 2024 Additional channels and programs for a more customized listening experience. State-of-the-art technology that helps you hear speech even in noisy environments. Own Voice Processing (OVP) for a more natural sound to your own voice. Smartphone-compatible directly to iPhone, iPad, and iPod Touch devices so you can stream audio and phone calls directly to your ears (connectivity is also available to many Android phones with use of a phone clip accessory.) Rechargeable battery upgrade option on the TruHearing Premium RIC Li, Slim RIC Li, Standard BTI Li, and CROS Li styles for an additional $50 per aid. Coverage includes* 2 hearing aids per year when purchased through TruHearing First year of follow-up provider visits 60-day trial 3-year manufacturer warranty for repairs and one-time loss and damage replacement 80 batteries per aid included with non-rechargeable models How to Get Hearing Aids Call us and ask for TruHearing. PPO members: call 877-293-5325 (TTY: 711); HMO members: call 877-293-4998 (TTY: 711). A TruHearing hearing consultant will verify your coverage and help you set up a hearing exam with an audiologist or hearing instrument specialist in your area. If hearing loss is discovered, your audiologist or hearing instrument specialist will help you choose the right hearing aids and order them through TruHearing. When the hearing aids arrive, you’ll return to have them fitted and programmed by your audiologist or hearing instrument specialist. *Three follow-up visits must be used within one year after the date of initial purchase. Forty-five-day trial and hearing aid returns, repairs, and replacements subject to provider and manufacturer fees. For questions regarding fees, contact TruHearing customer service at 800-334-1807 (TTY: 711). The Silver&Fit ® Exercise and Healthy Aging Program Collapse Expand With the Silver&Fit® Healthy Aging and Exercise program, you can choose either a fitness center membership at a participating fitness center or the Silver&Fit Home Fitness Program. You can join a participating Silver&Fit fitness center in our service area at no charge and take advantage of all of the services and amenities that are included as part of your basic fitness center membership.* Amenities offered by fitness centers vary by location. Any nonstandard fitness center service that typically requires an additional fee is not included in your basic fitness membership (for example, court fees or personal trainer services). You can switch to another participating Silver&Fit fitness center once a month and your change will be...