Frequently Asked Questions
Am I giving up my Medicare coverage when I join Peoples Health?
Who is my Primary Care Physician (PCP)?
What is a Physician Team?
Why is a Physician Team effective at managing my care?
What are my options for accessing care?
Are there any special requirements to enroll in Peoples Health?
Do I need to take a physical? What about pre-existing conditions?
How would I benefit from enrolling in Peoples Health?
What does Peoples Health do to monitor my health and optimize my well-being?
Is it true that there is virtually no paperwork?
Still have questions?
Call us toll-free at 1-800-978-9765, Monday through Friday, from 8 a.m. to 6 p.m.
Q: Am I giving up my Medicare coverage when I join Peoples Health?
A: Absolutely not. Peoples Health covers all of your Medicare benefits and additional benefits not covered by Medicare. You will still have to pay your Medicare Part B premium, but in return you'll receive more benefits than Medicare.
Q: Who is my Primary Care Physician (PCP)?
A: When you join Peoples Health, you'll select a Primary Care Physician (PCP) from our extensive physician list. Your current physician may already be affiliated with our network -- but if not, there are many highly qualified physicians to choose from. You should have no trouble finding a new physician in your neighborhood that you feel comfortable with.
Q: What is a Physician Team?
A: A Physician Team is a group of primary care and specialty care physicians who work together to coordinate your healthcare.
Q: Why is a Physician Team effective at managing my care?
A: Peoples Health has created Physician Teams for you to facilitate your healthcare as well as coordinate your hospital inpatient and outpatient visits. Because the physicians have established relationships with one another and open lines of communication, they are able to work closely together to coordinate your care.
Q: What are my options for accessing care?
A: Unlike other Medicare health plans, Peoples Health is a triple-option health plan. Each time you need to see a physician, you choose how you receive your care:
- Within Physician Team - You select a Primary Care Physician (PCP) from the Peoples Health provider network when you enroll. Office visits to your PCP cost just $5, and visits to specialists within your Physician Team are only $10.
- Within Peoples Health network - You can see any specialist in the Peoples Health network without a referral from your PCP with only a $25 copayment for each visit.
- Out-of-Network - You can go to a non-participating or an out-of network provider without a referral from your PCP and still receive
Medicare-level benefits.
Q: Are there any special requirements to enroll in Peoples Health?
A: All we require in addition to being an OGB plan member is that you live in our service area of Ascension, East Baton Rouge, Jefferson, Livingston, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa, Washington and West Baton Rouge parishes in Louisiana. In addition, you must be enrolled in Medicare Part B and be entitled to Medicare Part A and not have End-Stage Renal Disease.
Q: Do I need to take a physical? What about pre-existing conditions?
A: No physical is required. You only have to answer a few brief questions that Medicare requires on your enrollment form to verify that you do not have End-Stage Renal Disease.
Q: How would I benefit from enrolling in Peoples Health?
A: Unlike an HMO, we are a triple-option health plan. This means that as a member of Peoples Health, you have the flexibility to choose your own Primary Care Physician (PCP) and specialists from our extensive network of providers. You also have the ability see specialists without a referral from your PCP. Peoples Health also gives you all the benefits of a Medicare and Medicare Supplement plus much more including:
- 100% coverage for Medicare-approved hospital stays
- Physician office visits for only $5 (PCP and specialists)
- Unlimited brand-name and generic prescription drug coverage through the gap
- Vision coverage (eye exam plus one pair of glasses or contacts per year)
- Preventive and Comprehensive dental care
Q: What does Peoples Health do to monitor my health and optimize my well-being?
A: Peoples Health takes a proactive approach to maintaining and even improving your overall well-being. We offer many wellness features and programs to members including:
- New member wellness evaluation
- Complimentary fitness center membership and classes
- Disease management programs
- Massage therapy discounts
Q: Is it true that there is virtually no paperwork?
A: Yes! Claims are forwarded to Peoples Health directly and we take care of the paperwork.
Still have questions?
Call us toll-free at 1-800-978-9765, Monday through Friday, from 8 a.m. to 6 p.m.
 Page content last updated: 07-01-08
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