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Erickson Advantage: Ten years of service

Created date

October 23rd, 2015
seniors discussing Medicare plans
seniors discussing Medicare plans

Medicare Advantage plans are becoming more popular with seniors. In June 2015, the Henry J. Kaiser Family Foundation reported that the number of beneficiaries enrolled in these plans has more than tripled since 2004. Today, 31% of people on Medicare are in a Medicare Advantage plan (Henry J. Kaiser Family Foundation, 2015, Medicare Advantage fact sheet.http://files.kff.org/attachment/fact-sheet-medicare-advantage).

These types of plans, also called Medicare Part C plans, are administered by private insurance companies, and coverage includes Part A (hospital stays), Part B (doctor visits), and sometimes Part D (prescription drug coverage). Some of these plans may offer additional benefits beyond Original Medicare such as vision care and hearing aid coverage.

Custom-designed for Erickson Living residents

In 2005, residents at Erickson Living’s Charlestown community had the opportunity to try out a new type of health care coverage. That year, a demonstration program called Erickson Advantage® became available. In 2010, Erickson Advantage moved beyond the demonstration phase and became a permanent Medicare Advantage plan that continues to be available at all Erickson Living communities.

Erickson Advantage celebrated their ten-year anniversary on October 1 of this year.

Erickson Advantage is designed exclusively for Erickson Living community residents. Not everyone requires the same kind of coverage, so there are several plans offered. Along with Original Medicare benefits, members in some plans have coverage for various health needs such as eyewear, dental coverage, podiatry visits, and hearing aid benefits. Some members qualify for transportation services to doctor’s visits. 

Keeping it personal with extra service

Most people consider doctors as part of their health care team. Some people might also have a physical therapist, social worker, or a nutritionist. Erickson Advantage members, however, have two extra health care team members: a nurse care coordinator and a member services representative.

Nurse care coordinators are specially trained registered nurses who help members navigate the increasingly complex health care system in many ways. “Nurse care coordinators are very helpful for Erickson Advantage members,” says Eugenio Machado, M.D., medical director at Riderwood, an Erickson Living community in Silver Spring, Md. “They follow patients closely, especially if they are hospitalized, and help them understand medical conditions and adhere to their treatment plans. The Erickson Advantage care coordinators can also follow up on tests and facilitate specialists’ appointments.”

These professionals communicate with everyone involved in a member’s care. They know about community resources and services that may be of assistance. Ultimately, the goal of the nurse care coordinator is to help members understand and maximize their benefits in order to help them reach their wellness goals.  

As everyone knows, there are many time-consuming administrative tasks that come along with any type of insurance. That’s where member services representatives (MSRs) come in. Erickson Advantage MSRs are not a nameless, faceless voice on the phone. They are found on-site at Erickson Living campuses and are there to assist with medical bills, paperwork, scheduling, and to answer any and all questions that might arise. If for some reason you can’t make it to the office, they can come see you in your apartment.

If you aren’t an Erickson Advantage member, the community licensed sales agent can help you review your current coverage and determine if Erickson Advantage would be a good fit for you. They can also tell you if they think a different insurance would be more cost-effective and beneficial for your health needs.

Excellent quality rating

When shopping around for health care, quality is an important consideration. In October 2014, U.S. News and World Report evaluated Medicare Advantage plans on a state-by-state basis, using data from the Centers for Medicare and Medicaid Services (CMS). In the nine states where Erickson Advantage is available, it received top honors and has earned a 4.5 out of 5 star rating from CMS. (Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.)

Note: This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums, and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. 

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.

 

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