at a glance
  • Amerigroup Medicare Advantage (Part C) plans are referred to as Amerivantage plans.
  • The only types of Amerivantage plans offered are Health Maintenance Organization (HMO) plans and HMO Special Needs Plans (SNPs).
  • Amerivantage plans are available in many counties within seven different states.

Amerigroup is a private insurance company that offers Medicare Advantage (Part C) plans in multiple counties throughout seven states. These are referred to as Amerivantage plans. Each plan is either an HMO or an HMO Special Needs Plan (SNP).

HMOs generally have their own network of doctors, hospitals, and healthcare providers. These providers have an agreement with Medicare to accept certain payment amounts for their services.

Like all Part C plans, Amerivantage plans cover at least as much as original Medicare (parts A and B). Amerivantage offers several different types of HMO plans, which we’ll discuss below in more detail.

Amerigroup has several HMO and HMO SNP options. Depending on your location, these may vary in plan name, costs, and benefits.

Next, we’ll go over the coverage you’ll see with each of the Amerivantage plans.

Amerigroup HMO plans

Like all HMOs, these plans require you to use in-network providers.

Some of the benefits that may be included in this plan are:

  • prescription drug coverage
  • over-the-counter medication coverage
  • SilverSneakers fitness program
  • coverage for vision, dental, and hearing services
  • nonemergency medical transportation services
  • personal emergency response system

Amerigroup SNPs

There are several types of SNPs available:

  • HMO Dual Eligible Special Needs Plans (D-SNPs): available to those who qualify for dual eligibility in Medicare and Medicaid
  • HMO Institutional Special Needs Plans (I-SNPs): open to those who’ve had or are expected to need long-term care of at least 90 days or longer in a skilled nursing facility
  • HMO Chronic Condition Special Needs Plans (C-SNPs): designed for people with chronic special needs
  • HMO Institutional-Equivalent Special Needs Plans (IE-SNPs): available to people who live at home or in an assisted living facility but need a level of care given in a skilled nursing facility

These plans cover everything that original Medicare covers, plus:

  • acupuncture
  • over-the-counter medications
  • prescription drugs
  • SilverSneakers fitness program
  • personal emergency response system

Some SNPs also come with an option known as Everyday Extras. Everyday Extras include coverage for services such as personal home helpers, transportation, food delivery, pest control, and service dog support.

Medicare Part D is prescription drug coverage that Medicare beneficiaries are entitled to buy. It’s included in many Part C plans but can also be purchased from private insurers as a standalone plan.

Amerigroup offers several Part D plans in the same seven states where you may be able to buy a Part C plan.

These plans cover prescription drugs at most major U.S. pharmacies. They have a preferred network of 24,000 pharmacies nationwide, where your copays may be less expensive.

Amerivantage plans are available for purchase through local insurers. States where you may be able to buy an Amerivantage plan are:

Not every plan is available in every state, ZIP code, or county.

Amerivantage plans cover everything that Part A covers, including:

They also include medically necessary outpatient services that Part B covers, including:

Amerivantage plans also cover extras, such as:

In the table below, we’ve provided a sample of the costs found with different Amerigroup plans in the some of the states where services are available.

Location/planMonthly PremiumHealth deductible, drug deductiblePrimary care physician visit copaySpecialist visit copayOut-of-pocket max
Tucson, AZ: Amerivantage Heart Care (HMO C-SNP)$0$0, $0$0$0–$35$7,550 in network
Ceder Rapids, IA: Amerivantage Dual Coordination (HMO D-SNP)$0$0, $445$0$0$7,550 in network
Newark, NJ: Amerivantage Classic (HMO)$0$0, $200$5$25$6,950 in network
Clarksville, TN: Amerivantage Balance (HMO)$25.50$0, $445$0$40$6,700 in network
Bothell, WA: Amerivantage Classic (HMO)$0$0, $0$0$45$5,900 in network

Medicare Advantage (Part C) plans are an additional insurance option sold by private insurers. They cover everything that original Medicare covers, plus some extras you may benefit from.

You must be enrolled in original Medicare (parts A and B) before you can buy a Part C plan.

You might like Part C because these plans typically cover services that Part A and Part B don’t. These services include prescription drugs, vision, dental, and hearing.

If you choose a Part C plan, though, you’ll often have to use providers that are within a specific network. And since they’re sold by local insurance companies, not every Part C plan is available in every location. The plans you’re eligible to buy will be determined by your state, county, and ZIP code.

Amerigroup offers HMO and HMO SNP Medicare Advantage plans in seven states. These plans have relatively low monthly premiums and copays.

Most plans provide some benefits that original Medicare doesn’t offer, such as prescription drug coverage; transportation services; and dental, vision, and hearing coverage.

Some plans also cover extra perks such as the SilverSneakers fitness program, acupuncture, and personal emergency response systems.

You can use Medicare’s plan finder tool to compare different options available in your location.