North American Medical Management California, Inc. (NAMM) and Humana Inc. (NYSE: HUM) announced today a long-term agreement enabling Humana’s Medicare Advantage health maintenance organization (HMO) members to receive medical care through PrimeCare Medical Network, Inc. (PrimeCare), an affiliate of NAMM and operating in Riverside and San Bernardino counties.
Under terms of the agreement, people eligible for Medicare in San Bernardino and Riverside counties and enrolled as members of the Humana Gold Plus HMO plan will have in-network benefit access to the inpatient, outpatient and urgent care services provided by PrimeCare affiliated physicians and hospitals. The annual enrollment period to sign up for the Humana Gold Plus HMO plan is November 15 through December 31 for an effective date of benefit beginning January 1, 2010. Individuals already participating in the Medicare Part D program may enroll through March 31, 2010 as well.
PrimeCare’s network in San Bernardino and Riverside counties is comprised of more than 350 primary care physicians, 1,000 specialist physicians and 15 hospitals.
“We are proud to be able to respond to the health care needs of Humana’s Medicare Advantage membership in southern California,” said Leigh Hutchins, MBA, president and chief operating officer, NAMM/PrimeCare. “The contracted hospitals and physicians of the PrimeCare network are known for their patient care quality, innovative programs and comprehensive, well-coordinated care.”