Health Plans
Take a moment and view the broad selection of HMO Commercial and Medicare Advantage Health plans contracted with AllCare.
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Commercial
We encourage you to contact your employer to determine if one of our health plans is available to you.
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Medicare Advantage
You can choose the Medicare Advantage plan that best suits your health care needs.
AllCare offers an expansive list of Primary Care Physicians (PCP). AllCare would encourage you to build a close relationship with your PCP.
Together you can make informed decisions managing your health and well-being. Your Primary Care Physician will direct your care to in-network providers through referrals.
Physicians
Medicare Advantage Plans are offered by private health insurance companies, approved by the government, and cover the same Medicare benefits as Original Part A & Part B.
Medicare Advantage plans may come with added benefits such as Silver Sneakers, fitness program, dental, hearing, and transportation.
Open enrollment for Medicare Advantage plans is yearly beginning October 15th through December 7th.
Medicare Advantage
AllCare IPA follows the CMS requirements that only allows coverage and payment for services that are reasonable and necessary for the diagnosis and treatment of illness or injury or to improve the functioning of a malformed body member except as specifically allowed by Medicare.
When a CMS guideline is not available for the national or local coverage area, AllCare may consider the criteria contained in this link to determine medical necessity consistently. The use of the criteria available on this site provides clinical benefits highly likely to outweigh any clinical harms.
Services that do not meet the criteria are not medically necessary and thus do not provide a clinical benefit. Medically unnecessary services carry risks of adverse outcomes and may interfere with the pursuit of other treatments which have demonstrated efficacy.