Oct 9 2009
North American Medical Management California, Inc. (NAMM) and Humana Inc. (NYSE: HUM) announced today a long-term agreement enabling Humana’s Medicare Advantage health maintenance organization (HMO) members to receive medical care through PrimeCare Medical Network, Inc. (PrimeCare), an affiliate of NAMM and operating in Riverside and San Bernardino counties.
Under terms of the agreement, people eligible for Medicare in San Bernardino and Riverside counties and enrolled as members of the Humana Gold Plus HMO plan will have in-network benefit access to the inpatient, outpatient and urgent care services provided by PrimeCare affiliated physicians and hospitals. The annual enrollment period to sign up for the Humana Gold Plus HMO plan is November 15 through December 31 for an effective date of benefit beginning January 1, 2010. Individuals already participating in the Medicare Part D program may enroll through March 31, 2010 as well.
PrimeCare’s network in San Bernardino and Riverside counties is comprised of more than 350 primary care physicians, 1,000 specialist physicians and 15 hospitals.
“We are proud to be able to respond to the health care needs of Humana’s Medicare Advantage membership in southern California,” said Leigh Hutchins, MBA, president and chief operating officer, NAMM/PrimeCare. “The contracted hospitals and physicians of the PrimeCare network are known for their patient care quality, innovative programs and comprehensive, well-coordinated care.”
“This agreement signifies a commitment by both organizations to provide Humana members with convenient access to quality care and the complete range of services for which NAMM and PrimeCare are known,” said Debra A. Smith, regional president of Senior Products for Humana’s West Coast and Intermountain Regions. “People who sign up for the Humana Gold Plus HMO plan will not only have access to a highly respected network of physicians and hospitals but will also have no or low monthly plan premiums, low co-payments for doctor visits, annual routine physicals and will receive money-saving features, like discounts on vision and hearing care, prescriptions and alternative medical treatments.”
In addition to the Medicare Advantage HMO health plan, Humana will offer an HMO-Point of Service option that will include both an in-network and out-of-network benefit structure.
Humana Medicare Advantage plans are an alternative to original Medicare, not Medicare supplement plans. For more information about enrolling in any Humana plan, visit www.humana-medicare.com or call toll-free 1-866-355-6152.