Plan Benefits

Johns Hopkins Advantage MD offers preferred provider organization (PPO) plans and health maintenance organization (HMO) plans with Medicare Part D prescription drug coverage for Medicare-eligible residents in Maryland and Virginia. Advantage MD serves Anne Arundel, Baltimore, Carroll, Frederick, Howard, Montgomery, Somerset, Washington, Wicomico, Worcester, Arlington, Falls Church City, and Fairfax City.

Advantage MD has programs and services to help members better manage their health. For detailed information on what each individual plan offers, visit hopkinsmedicare.com, or see the summary of benefits:

Summary of Benefits PPO and HMO
Summary of Benefits D-SNP (HMO)
Summary of Benefits Select Virginia (HMO)

As Advantage MD members, your patients can take advantage of the following: 

  • Care management services: Members have a variety of educational and support services available to them. These services are designed to support all members, regardless of where they are on the health continuum. Our service areas include:
    • Preventive Health: Members work with a licensed nurse or social worker to better manage a condition or get additional support to stay healthy.
    • Complex Care: Members with multiple complex comorbidities can work with care managers to coordinate their care, review medications, and better understand and manage their conditions.
    • Transition of Care: Members get support after a long or short term change in their health, such as a new diagnosis or returning home from the hospital or skilled nursing facility.
    • Maternal/Child Health: Members receive education and resources to support their pregnancy journey. We offer personal care management if their pregnancy needs extra support. We also have a special NICU program and can provide care management services to children through their childhood.
  • 24 hour nurse hotline: Members can speak to a real registered nurse 24 hours a day for general medical advice.
  • HealthLink@hopkins: 24/7 secure online access to personal health information. Members can login or register at medicareadvantage.healthtrioconnect.com.
  • Post Discharge Meal Delivery: Johns Hopkins Advantage MD (HMO) members are eligible to receive three meals per day for five days, after discharge from an inpatient hospital stay or a skilled nursing facility through Mom’s Meals.
  • The Silver&Fit® Exercise and Healthy Aging Program: Available to all Johns Hopkins Advantage MD PPO and HMO members at no additional cost.
  • Vaccine Coverage
  • Health Education Programs: Members can choose from a variety of health education programs and workshops to help achieve their best health.
  • Hearing Aid Services: Johns Hopkins Advantage MD covers up to two hearing aids per year when purchased through TruHearing.

Important Plan Documents 

2024 Summary of Benefits
2024 Summary of Benefits D-SNP (HMO)
2024 Summary of Benefits Select Virginia (HMO) 

Learn more about our PPO plans

PPO Comparison Benefits Chart
PPO Quick Reference Guide
PPO Frequently Asked Questions
View Provider Education presentations for our PPO plans.

Learn more about our HMO plans

HMO Comparison Benefits Chart
HMO Quick Reference Guide
HMO Frequently Asked Questions
View Provider Education presentations for our HMO plans.

Looking for information on MACRA/MIPS?

Visit the CMS website.