Johns Hopkins Advantage MD Plans

Which Plan Is Right for Me?

Compare Advantage MD and Advantage MD Plus side-by-side using the chart below, or use our Benefits Explorer interactive tool.

2017 Advantage MD PPO Plans*
MEDICAL BENEFITS
(Partial listing: In-network)
Johns Hopkins
ADVANTAGE MD (PPO)
Johns Hopkins
ADVANTAGE MD PLUS (PPO)
Medical Deductible $0 $0
Primary Care Provider Visit $10 copay $5 copay
Specialist Visit $50 copay $40 copay
Referrals Not required Not required
Urgent Care $50 copay $40 copay
Outpatient Surgery, ASC $275 copay $200 copay
Emergency Care $75 copay $75 copay
Inpatient Hospital Stay $275/day copay for days 1 – 7;
$0 copay for days 8-90
$250/day copay for days 1 – 7;
$0 copay for days 8 and beyond
Annual Routine Vision Exam $10 copay $0 copay; up to $150 every other year for eyewear
Diagnostic Dental Services $30-$55 copay,
depending on service
$20-$40 copay,
depending on service
Supplemental Dental Optional Optional
Chiropractic Care $20 copay $20 copay
Hearing Aid Services
(Learn More)
N/A Two options available; copay from $699 per aid
Silver&Fit® Program
(Learn More)
N/A Included
Monthly Plan Premium $44 $78
PRESCRIPTION DRUG BENEFITS (30-day supply; preferred network pharmacy)
Deductible $0 $0
Preferred Generic $7 copay $4 copay
Generic $15 copay $12 copay
Preferred Brand $45 copay $42 copay
Non-Preferred Drug $95 copay $92 copay
Specialty Tier 33% of the cost 33% of the cost
Mail Order Available When ordering 90-day supply When ordering 90-day supply
2017 Advantage MD PPO Plans*
MEDICAL BENEFITS
(Partial listing: In-network)
Johns Hopkins
ADVANTAGE MD (PPO)
Johns Hopkins
ADVANTAGE MD PLUS (PPO)
  Medical Deductible
$0 $0
Primary Care Provider Visit
$10 copay $5 copay
Specialist Visit
$50 copay $40 copay
Referrals
Not required Not required
Urgent Care
$50 copay $40 copay
Outpatient Surgery, ASC
$275 copay $200 copay
Emergency Care
$75 copay $75 copay
Inpatient Hospital Stay
$275/day copay for days 1 – 7;
$0 copay for days 8-90
$250/day copay for days 1 – 7;
$0 copay for days 8 and beyond
Annual Routine Vision Exam
$10 copay $0 copay; up to $150 every other year for eyewear
Diagnostic Dental Services
$30-$55 copay,
depending on service
$20-$40 copay,
depending on service
Supplemental Dental
Optional Optional
Chiropractic Care
$20 copay $20 copay
Hearing Aid Services (Learn More)
N/A Two options available; copay from $699 per aid
Silver&Fit® Program (Learn More)
N/A Included
Monthly Plan Premium
$44 $78
PRESCRIPTION DRUG BENEFITS (30-day supply; preferred network pharmacy)
Deductible
$0 $0
Preferred Generic
$7 copay $4 copay
Generic
$15 copay $12 copay
Preferred Brand
$45 copay $42 copay
Non-Preferred Drug
$95 copay $92 copay
Specialty Tier
33% of the cost 33% of the cost
Mail Order Available
When ordering 90-day supply When ordering 90-day supply
*Please note: this information does not apply to Advantage MD Group.

 

Johns Hopkins Advantage MD PPO has an in-network out-of-pocket maximum of $6,700 and a combined in- and out-of-network maximum of $7,400 for 2016. Johns Hopkins Advantage MD Plus PPO has an in-network out-of-pocket maximum of $6,000 and a combined in- and out-of-network maximum of $7,000 for 2016. For out-of-network benefits, you pay a percentage for most covered services.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.
You must continue to pay your Part B premium.

New for 2017: Optional dental benefits

We want to help you stay healthy and fit. Proper dental health is very important when trying to achieve your wellness goals. Learn more about our optional dental benefits.

Want more help? Call 1-888-403-7682.

One of our representatives will be happy to talk with you about the benefits of both plan options and help you choose which plan is right for YOU.

*Please note: this information does not apply to Advantage MD Group.

 

Johns Hopkins Advantage MD (PPO) has an in-network out-of-pocket maximum of $6,700 and a combined in- and out-of-network maximum of $10,000 for 2017. Johns Hopkins Advantage MD Plus (PPO) has an in-network out-of-pocket maximum of $6,700 and a combined in- and out-of-network maximum of $10,000 for 2017. For out-of-network benefits, you pay a percentage for most covered services.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.
You must continue to pay your Part B premium.

The Hopkins Difference

Your 5 Big Advantages

  1. Bigger Savings

    Advantage MD plans have a $0 medical deductible, a $0 prescription drug deductible, and $0 copays for preventive care, with an affordable monthly premium for less than other supplemental Medicare plans.

  2. All-in-one Plans Save You Time and Money

    Advantage MD plans cover your preventive, routine, and major care. PLUS, prescription drugs, dental, vision, hearing needs, and more. One plan, one check, one number to call.

  1. Care That’s Close to Your Home

    Enjoy quality care that’s convenient: more than 10,000 trusted providers located in your community and throughout Maryland accept Advantage MD. You’re also free to use any other provider you want, with NO referrals, NO gatekeepers, and NO restrictions. Out-of-network costs are slightly higher.

    Available for eligible residents in the following 11 counties:

    • Anne Arundel
    • Baltimore
    • Baltimore City
    • Calvert
    • Carroll
    • Howard
    • Montgomery
    • Somerset
    • Washington
    • Wicomico
    • Worcester
167456934

Ready to enroll?

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We have three simple ways to sign up for Advantage MD.

Enroll Now

  1. See Any Doctor You Want, Including Johns Hopkins Providers

    Rely on care from Johns Hopkins physicians–and thousands of other doctors both in and outside of our network–for your everyday care as well as serious illness or conditions. Advantage MD is the only Medicare Advantage plan of its kind accepted by Johns Hopkins doctors and hospitals located in your community and throughout Maryland. Out-of-network costs are slightly higher.

  2. Your Medicare Plan is From a Leading Health Care Organization

    Advantage MD comes from Johns Hopkins HealthCare, an organization focused on health care and on improving your health. With 20 years of experience in the health insurance industry, we go beyond your typical plan. We can help you set up initial appointments, find doctors and specialists, and even provide registered nurses to answer your health questions, day or night.

167456934

Ready to enroll?

167456934

We have 3 simple ways to sign up for Advantage MD.

Enroll Now

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Our Provider Network*

We want to make it easy for you to decide on the right doctor, or keep the doctor you have. Search our online directories to find doctors in your area.

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Our Pharmacy Benefits*

Advantage MD offers a Part D prescription benefit with both of our plan options. We know prescription drug coverage is very important to you.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
*Please note: this information does not apply to Advantage MD Group.

How Can I Learn More?*

We’re here to educate you on Medicare, Johns Hopkins Advantage MD, and your best coverage options. Below, we provide two convenient ways for you to get the information you need.

Discover even more.

Get in-depth details on Medicare and our Advantage MD plans.

Request an Information Kit

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Watch and learn.

ma_webinar1

We discuss Medicare Advantage and the benefits of our plans.

Go to the Webinar

*Please note: this information does not apply to Advantage MD Group.

Frequently Asked Questions (FAQs)