Plan ID: H4544-001

What You Need to Know:

  • Peoples Health Choices (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $100 (Tier 1, 2 and 3 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • Peoples Health Choices (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $100 (Tier 1, 2 and 3 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $0.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 $0 $0 $0 $0 $100.0 1.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H4544-002
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: Yes, some additional gap coverage.
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: $100 (Tier 1, 2 and 3 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Acadia, Louisiana: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
24 members New plan - No summary rating as of yet. New plan - not yet rated. New plan - not yet rated.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,668 drugs
Number of Members Enrolled in this Plan in Acadia, Louisiana: 1,066 members
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$0.00 $0.00 $0.00 $0.00
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
303 $0.00 679 $10.00 870 $45.00 1015 $100.00 801 31%

Other Medicare Advantage Plans in Acadia, Louisiana

Plan Name Type Premium MOOP Rx Deduct. Rating
Blue Advantage (PPO) (2023)Local PPO$3,500$0
5
Vantage STANDARD (HMO-POS) (2023)Local HMO$4,900$275
4
HumanaChoice H5216-202 (PPO) (2023)Local PPO$6,700$400
4
Blue Advantage (HMO) (2023)Local HMO$4,900$0
5
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$6,900$-
5
Wellcare Absolute (PPO) (2023)Local PPO$7,550$195
New plan - not yet rated.
Vantage PREMIUM (HMO-POS) (2023)Local HMO$3,500$0
4
Allwell Medicare (HMO) (2023)Local HMO$7,550$0
New plan - not yet rated.
HumanaChoice R0110-003 (Regional PPO) (2023)Regional PPO$7,550$400
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Aetna Medicare Freedom Plan (PPO) (2023)Local PPO$6,900$200
5
Humana Gold Plus H1951-049 (HMO) (2023)Local HMO$6,700$0
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Vantage BASIC (HMO-POS) (2023)Local HMO$5,900$445
4
HumanaChoice R0110-001 (Regional PPO) (2023)Regional PPO *$7,550$-
4
WellCare Value (HMO) (2023)Local HMO$3,400$0
5
Peoples Health Choices Gold (HMO) (2023)Local HMO$6,700$0
4
Vantage TRADITIONAL PLUS (HMO-POS) (2023)Local HMO$7,550$445
4
Peoples Health Choices Value (HMO) (2023)Local HMO$6,700$300
4
Peoples Health Patriot (PPO) (2023)Local PPO *$6,700$-
New plan - not yet rated.
WellCare Compass (HMO) (2023)Local HMO$3,400$445
5
Allwell Medicare Simple (HMO) (2023)Local HMO *$5,500$-
New plan - not yet rated.
HumanaChoice H5216-064 (PPO) (2023)Local PPO$6,700$0
4
WellCare Endurance (HMO) (2023)Local HMO$3,400$0
5
WellCare Premier (PPO) (2023)Local PPO$5,000$75
New plan - not yet rated.
Medicare Advantage Plans by Peoples Health
Peoples Health Choices Gold (HMO) (2023)Local HMO$6,700$0
4
Peoples Health Choices Value (HMO) (2023)Local HMO$6,700$300
4
Peoples Health Patriot (PPO) (2023)Local PPO *$6,700$-
New plan - not yet rated.

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