Member Resources

Important Message About What You Pay for Part B Drugs – Johns Hopkins Advantage MD (HMO/PPO) members will pay less for many Part B drugs. The decrease in price will affect Part B rebatable drugs that have increased at a rate faster than the rate of inflation. Changes to co-insurance amounts are subject to change each quarter. Advantage MD will not charge more than $35 for one-month’s supply of insulin furnished through an item of durable medical equipment (example: insulin pump).

• HealthLINK Login (Member Portal)
• HealthLINK FAQ
• How to Use Our Provider Search Tool
• Virtual Care Services
• Prescription Drug Coverage
• Online Medicare Coverage Determination form
• Appointment of Representative form
• CMS Star Ratings
• Coverage Determination Transparency

• Bank Account Withdrawal Pre-Authorization form
• Dental Claim form
• Member Standing Authorization form
• Part B Medical Reimbursement
• Part D/Prescription Drug Claim form
• Pharmacy Mail Service Order Form
• Yearly Wellness Checklist

Plan Specific Resources

Advantage MD PPO

• Annual Notice of Changes (PPO)
• Annual Notice of Changes (Plus PPO)
• Annual Notice of Changes (PPO Primary)
• Annual Notice of Changes (PPO Premier) – English | Spanish
• Evidence of Coverage (PPO)
• Evidence of Coverage (PPO Plus)
• Evidence of Coverage (PPO Primary)
• Evidence of Coverage (PPO Premier) – English | Spanish
• Summary of Benefits – English | Spanish
• Optional Supplemental Enrollment/Disenrollment form
• Part D/Prescription Drug Coverage Determination form – English | Spanish
• Part D/Prescription Drug Coverage Redetermination form – English | Spanish

Advantage MD HMO

• Annual Notice of Changes
• Evidence of Coverage (HMO)
• Evidence of Coverage (HMO Tribute)
• Summary of Benefits – English | Spanish
• Optional Supplemental Enrollment/Disenrollment form
• Part D/Prescription Drug Coverage Determination form
• Part D/Prescription Drug Coverage Redetermination form
• Transportation Assistance

Advantage MD D-SNP (HMO)

• Annual Notice of Changes – English | Spanish
• Evidence of Coverage – English | Spanish
• Summary of Benefits – English | Spanish
• Part D/Prescription Drug Coverage Determination form – English | Spanish
• Part D/Prescription Drug Coverage Redetermination form – English | Spanish
• Transportation Assistance

Advantage MD Select (HMO)

• Evidence of Coverage
• Summary of Benefits – English | Spanish
• Transportation Assistance

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1-888-403-7682

PPO: 1-877-293-5325
HMO: 1-877-293-4998

Service Area

Johns Hopkins Advantage MD is available to residents of these counties:

Maryland:

• Anne Arundel
• Baltimore
• Carroll
• Frederick
• Howard
• Montgomery
• Somerset
• Washington
• Wicomico
• Worcester

Virginia:

• Arlington County
• Falls Church City
• Fairfax City

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Please note: the information in this section does not apply to Advantage MD Group.

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† 8 a.m.-8 p.m., 7 days a week. From April 1–September 30, you will need to leave a message on weekends and holidays.

Johns Hopkins Advantage MD is a Medicare Advantage Plan with a Medicare contract offering HMO and PPO products. Johns Hopkins Advantage MD D-SNP is an HMO D-SNP plan with a Medicare contract and a State of Maryland Medicaid contract. Enrollment in Johns Hopkins Advantage MD, HMO, PPO or D-SNP (HMO) depends on contract renewal.

Out-of-network/non-contracted providers are under no obligation to treat Johns Hopkins Advantage MD members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Notice of Nondiscrimination: Johns Hopkins Advantage MD (PPO) and Johns Hopkins Advantage MD (HMO) comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Foreign Language Assistance: Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 877-293-5325 (TTY: 711) Chinese: 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 877-293-5325 (TTY: 711)

Advantage MD products are offered by Hopkins Health Advantage, Inc., a Maryland health insurer.

This page was last updated: August 12, 2024 at 7:37 pm EST