Choices Select (HMO-POS)

Plan Details

Choices Select (HMO-POS) is available to Medicare-eligible residents in the Choices Select (HMO-POS) service area: Tangipahoa and Washington parishes in Louisiana.
 
Choices Select (HMO-POS) is a triple-option health plan. As a member you can access your benefits in one of three ways:
 
Choice 1 (Within Physician Team) – You select a primary care physician (PCP) and physician team from the Choices Select (HMO-POS) network of physicians when you enroll. A physician team is composed of primary care physicians and specialist physicians, such as cardiologists and orthopedists. Office visits to your primary care physician (PCP) cost just $5, and visits to specialists within your physician team are only $15.
 
Choice 2 (Within Choices Select (HMO-POS) Network) – You can see any physician in the Choices Select (HMO-POS) network of physicians for only $25 per visit.
 
Choice 3 (Out-of-Network) - You can go to a non-participating or an out-of network physician and still receive Medicare-level benefits. A non-participating or out-of-network physician is a physician who has not contracted with Choices Select (HMO-POS) to provide services to plan members. Choice 3 has higher out-of-pocket costs than Choice 1 or Choice 2. You pay 20% of the total costs for visits to out-of-network physicians.
 
As a Choices Select (HMO-POS) member, you pay only $90.60 a month for your plan premium (in addition to your Medicare Part B premium) and receive MORE benefits than with Original Medicare, including 100% coverage for many services with NO Medicare deductibles. Some Choices Select (HMO-POS) plan benefits include...
 
·        Primary care physician visits for only $5
·        Specialist physician visits for only $15
·        Emergency care coverage worldwide
·        Unlimited prescription drug coverage in the coverage gap for generic drugs
·        Comprehensive and preventive dental coverage
 
Plus, you'll save even more with these additional benefits:
 
·        Vision coverage (routine eye exam and one pair of glasses or contacts per year)
·        Hearing services discounts
·        Health club membership and fitness classes at no cost to you
·        And much more ...

 

Peoples Health Network is the administrator for Peoples Health, Inc.
Peoples Health is a Medicare Advantage organization with a Medicare contract.

http://www.urac.org/directory/DirectorySearch.aspx?name=peoples+health


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Last Update: January 05, 2010