Genevive, Medica and 10 Senior Care Organizations Partner to Offer Innovative Medicare Advantage Plans
On October 8, 2019 by Jodi Boyne
Seniors living in 78 Twin Cities-area long-term care and assisted living communities will have a new Medicare Advantage health coverage option to select for 2020 coverage if they qualify for its coverage requirements.
Medica Advantage Solution® PartnerCare (HMO I-SNP) is the new Institutional Special Needs plan offered through a unique collaboration between Genevive, Medica and 10 of the largest senior care organizations in the region. The plan is designed expressly to meet the often-complex health needs of adults living in long-term care, assisted living and memory care settings.
The plans, which will be available for the Jan. 1, 2020 effective coverage date, will be offered exclusively to eligible individuals residing with the 10 senior care providers: Benedictine Health System, Cassia an Augustana/ELIM affiliation, Catholic Eldercare, Episcopal Homes of Minnesota, Goodman Group, North Cities Health Care Inc., Presbyterian Homes & Services, Saint Therese, Volunteers of America and Walker Methodist.
Genevive, co-owned by Allina Health and Presbyterian Homes & Services, will provide primary care and care management services and act as the contracting agent on behalf of Medica with the participating senior care organizations representing approximately 5,500 eligible individuals. Medica has designed and offers the health insurance plan, which includes coverage for prescription drugs, transportation, dental, vision and hearing care. Medica-participating providers will provide hospital services subject to appropriate placement based on clinical considerations and patient choice.
Chief among the unique features is a holistic model of care delivered by Genevive through a multidisciplinary team with expertise in providing care to people with complex conditions. The team includes physicians, nurse practitioners, care coordinators, specialist providers, a pharmacy consultant, anticoagulation team and ancillary service providers, all connected to the individual’s local care team at his or her long-term care or assisted living community.