2023 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | Peoples Health Choices 65 (HMO-POS) | ||||
Location: | Jefferson, Louisiana Click to see other locations | ||||
Plan ID: | H1961 - 014 - 0 Click to see other plans | ||||
Member Services: | |||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Peoples Health Choices 65 (HMO-POS) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $0.00 | ||||
Medicare Part B Premium Reduction: | This plan has a $30 Part B monthly premium rebate (or giveback). However, you must continue to pay your Medicare Part B premium. | ||||
Annual Deductible: | $0 | ||||
Annual Initial Coverage Limit (ICL): | $4,660 | ||||
Health Plan Type: | Local HMO | ||||
Maximum Out-of-Pocket Limit for Parts A & B (MOOP): | $3,600 | ||||
Additional Gap Coverage? | Yes, some additional gap coverage. | ||||
Total Number of Formulary Drugs: | 3,750 drugs | Browse the Peoples Health Choices 65 (HMO-POS) Formulary | |||
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $0.00 | $10.00 | $45.00 | $100.00 | 33% |
• Number of Drugs per Tier: | 419 | 574 | 872 | 1028 | 857 |
Plan Offers Mail Order? | Yes | ||||
Medicare Plan Pharmacy Numbers: | BIN: 610097 PCN: 9999 See BIN/PCNs for all plans | ||||
Number of Members enrolled in this plan in Jefferson, Louisiana: | 13,433 members | ||||
Number of Members enrolled in this plan in Louisiana: | 55,538 members | ||||
Number of Members enrolled in this plan in (H1961 - 014): | 55,611 members | ||||
Plan’s Summary Star Rating: | 5 out of 5 Stars. This plan qualifies for the 5-star rating Special Enrollment period. Read more. | ||||
• Customer Service Rating: | 5 out of 5 Stars. | ||||
• Member Experience Rating: | 5 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 5 out of 5 Stars. |
— Plan Health Benefits — |