2023 Medicare Advantage Plans

By aligning care delivery, physicians and health insurance, Memorial Hermann has created an integrated health system unique to Houston.

For a quote or to obtain additional quoting information please contact us at getaquote@memorialhermann.org.

Questions? Contact Customer Service at (877) 364-2789

Member Benefit Videos

Quick Reference

The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans.

Medicare Stars Rating 2023 - HMO (English) / (Spanish)

Benefits Materials

Additional Benefit Information

Dental benefits under the Memorial Hermann Medicare Advantage plans are provided by Liberty Dental Plan®. Please review your plan’s Evidence of Coverage (EOC) to ensure you fully understand the dental benefits offered with your specific plan. Contact Liberty Dental Plan® directly at (888) 700-1246 for questions regarding your benefits or help finding an in-network provider. You may also register for online services or review your dental benefits at Liberty Dental Plan®.
(Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)

Available for all Memorial Hermann Advantage Plans, Modivcare manages routine non-emergency medical transportation (NEMT) for Memorial Hermann Health Plan members. Access to Modivcare is a benefit of your health plan and is designed to help you get to your:

  • Medical and dental appointments,
  • Pharmacy to pick up medication, and
  • Ongoing care such as dialysis.

Trip Allowance:

  • Medicare Advantage HMO - Ten (10) one-way transports to a Health-related location per year.
  • Medicare Advantage Plus HMO - Fifteen (15) one-way transports to a Health-related location per year.
  • Golden Triangle HMO (formally Jefferson HMO) - Ten (10) one-way transports to a Health-related location per year.
  • Dual Advantage HMO (D-SNP) – Fifty-eight (58) one-way transports to a Health-related location per year.
  • Memorial Hermann Advantage Prime Value MA-Only HMO - Ten (10) one-way transports to a Health-related location per year.

To book your ride, visit MyModivcare.com or call (855) 330-9138.
(Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)

Please be sure to have the following information available when booking your ride:

  • Your Memorial Hermann Health Plan Member ID #
  • Date and time of your scheduled appointment
  • Name and address of your medical provider
  • Pick up address or location

Please call at least 3 business days in advance, but not more than 2 weeks before your scheduled appointment.
Ride Assist Help Line: (855) 330-9138
Call the Ride Assist Help Line if your transportation is late or if you need to schedule a pick up from a facility.

Available for all Memorial Hermann Advantage Plans, members are provided an annual allowance of up to $400 for hearing aids and $200 for eyewear. To be reimbursed for hearing and vision equipment, please fill out the Member Reimbursement Medical Claim Form and follow the instructions to complete your submission.

Available for all Memorial Hermann Advantage Plans, Mom’s Meals® provides members with (10) meals post-discharge of an in-patient hospitalization stay. For more information about using this benefit, please call our customer service team at (855) 645-8448 (TTY 711)

Available for all Memorial Hermann Advantage Plans, the Over-The-Counter (OTC) benefit provides members with a quarterly allowance for OTC products. For more information on the OTC benefit, click here.

Pharmacy Information

For plans (Memorial Hermann Advantage HMO, Memorial Hermann Advantage Plus HMO and Memorial Hermann Advantage Golden Triangle HMO, please see the formularies below:

HMO (English) HMO (Spanish)

For Memorial Hermann Dual Advantage (HMO D-SNP), please see the formularies below:

HMO D-SNP (English) HMO D-SNP (Spanish)

Pharmacy Directory:

Online Pharmacy Search Medicare.gov Pharmacy Lookup

Provider Search

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