ovenant Health is always on the lookout for ways to give more Tennesseeans access to health care at our facilities, including our five acute care hospitals in Knox, Anderson, Loudon and Sevier counties.
One of the latest means is through contracts to provide care for Medicare patients through three regional health maintenance organizations (HMO's) -- John Deere Health Care Secure Plus, Blue Cross' Security Blue, and Cariten Healthcare's Medicare HMO. These plans are available to individuals who are age 65 or older and Medicare eligible or Medicare disabled.
In July, John Deere Health Care became the first managed-care company in East Tennessee to offer a Medicare HMO option.
"It is much less expensive for those who are Medicare-eligible," says Harold McNeese, spokesman for the John Deere HMO. "We have a large number of physicians and hospitals in our network. We are pleased to be affiliated with Covenant -- the quality hospitals that it has."
Benefits of Secure Plus, which costs $39 per month, include 100 percent of hospital costs, no deductibles, routine physicals, $10 doctor's office co-payments, vision and eyewear coverage and limited prescriptions. In addition, Secure Plus allows for special services including mental health care, skilled nursing and home health visits.
Blue Cross/Blue Shield of Tennessee expects to have their Medicare HMO, Security Blue, available to the public very soon. Security Blue will serve residents of Knox and Loudon counties.
Amy Sprinz, with Blue Cross/Blue Shield of Tennessee, says "We are committed to serving the senior population of Tennessee. Our partnership with Covenant Health to offer a Medicare HMO product is another indication of that continuing commitment."
Covenant Health hospitals are participating providers in these two plans, as well as in the new Medicare HMO plan in development by Cariten Healthcare. As partners in Covenant Health, Cariten and the Covenant hospitals have a long history of successful cooperation.
"Cariten has applied to provide Medicare HMO coverage for the fifteen-county region around Knoxville," says Cariten spokesperson Jill Thorton. "We are excited about the opportunity to help more East Tennesseans get access to the health care services they need."
Cariten Healthcare's Medicare HMO product should be available by mid-fall.
"It's just another way we can serve seniors, to participate in plans such as this that give seniors options," says Tony Spezia, Covenant's senior vice president for managed care. "This will be an increasingly important development in health care in our community," he adds, noting that several HMO's will soon be available in Knox County.