Know the Types of Medicare

Know the Types of Medicare

There are different types of Medicare health plans available. The charts below provide details for each.

  • Provides all services covered by Medicare Parts A & B, as well as additional coverage and services
  • Excellent access to care through an extensive provider network
  • Worldwide emergency and urgent care are available
  • No referrals are required
  • Out-of-network benefits are retained through Original Medicare
  • May include preventive care and care management
  • Hearing aid coverage and access to health club facilities included on select plans
  • Includes Dual Special Needs Plans (D-SNP), like RMHP DualCare Plus, for individuals eligible for both Medicare and Medicaid,
  • Replaces Original Medicare coverage
  • Care offered through providers contracted with the Medicare Advantage plan
  • Possible access limitations, and referrals may be required
  • Some plans have $0 premiums
  • Out-of-network care typically not allowed unless in emergency situations
  • May offer services such as coordination of care or reducing out-of-pocket expenses
  • Designed to cover the deductibles and coinsurance of Original Medicare
  • Oldest type of coverage options, based on the Medicare Fee-for-Service payment system
  • Most plans cover the Part B 20% coinsurance and add an additional 365 days of Part A In-Patient Hospital benefits, per occurrence
  • Often have higher premiums that may increase as you age
  • No network of providers
  • Standard benefit design with no extras offered
  • Services limited to claim payment
  • Providers bill Medicare first

Medicare Disclaimer

This page was last updated: 10/01/2019.  Please call to confirm you have the most up to date information about our Medicare plans. 

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Important Disclaimers: RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program.  Enrollment in the plan depends on the plan's contract renewal with Medicare. Other pharmacies, physicians, providers are available in our network. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 888-282-1420 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.

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