Mount Carmel Health Plan Inc

Programs: Mount carmel health plan, inc. (mchp) was formed in 1996 for the purpose of providing comprehensive healthcare coverage to seniors in central ohio. Mount carmel health plan was originally formed as an ohio for-profit corporation and a wholly owned subsidiary of mount carmel health system (mchs), an internal revenue code section 501 (c)(3) integrated delivery system. In early 2007, mount carmel health plan received irs approval, retroactive to april 1, 2004, to convert to a not-for-profit 501 (c)(4) organization. Mchp benefits are offered through a medicare advantage plan approved by the centers of medicare and medicaid (cms) that replaces traditional medicare coverage. Mount carmel health plan's sole product is known as medigold and has been the only healthcare plan offered by mchp since its inception. In 1996, mount carmel health plan entered into a contract with the centers for medicare and medicaid services as part of a demonstration program to determine the effectiveness of healthcare providers in providing medicare coverage to seniors. Medigold members elect to have mchp (instead of the federal government) administer the benefits of medicare part a and part b. With the passage of mma in 2003 and effective january 1, 2006, medigold also began offering pharmaceutical coverage under medicare part d. Mount carmel health plan is required to provide coverage for everything that the federal medicare program covers. Mchp covers additional items, such as unlimited inpatient hospital days covered at 100% with no deductible, outpatient surgery for a small co-payment, diagnostic and testing services for a small co-payment, home healthcare and skilled nursing care covered, when necessary, prescription drug benefits, physician office visits with fixed co-payments and unlimited generic drug coverage. Mount carmel health plan has always focused on providing the highest level of service to its members. Medigold is the only medicare advantage plan in central ohio that was created by local hospitals and doctors. Prior to the passage of mma, medigold was the sole provider of medicare health benefits, other than traditional medicare, in many of the counties it serves. Mount carmel health plan has been recognized frequently as the plan that provides the "best value to seniors" in the central ohio market as measured by independent sources along with consistently receiving the highest marks for customer satisfaction and service in the state of ohio as measured by the cms cahps surveys. As an integral part of mchs, mount carmel health plan, a community-based managed healthcare organization, works in collaboration with employers, individual members, physicians, healthcare providers and community and governmental agencies to continually improve the health of its members by providing a medicare advantage plan with unsurpassed levels of customer service, quality and cost effectiveness. Mount carmel health plan is committed to the highest standards of quality, service, professional ethics and integrity and to the principle that members come first. Mchp is operated in a manner consistent with the philosophy, mission, tradition, ethics, rules and regulations of the congregation of the sisters of the holy cross, the basic principles of catholic identity and with the values and principles inherent in the medical-moral teachings of the roman catholic church as promulgated by the national conference of catholic bishops and the local ordinary.