Costs to See a Doctor | 2017

What are my costs in 2017 to see a doctor?

Select a plan below to see a quick reference of your costs for care from a doctor.

Peoples Health Choices 65 #14 (HMO)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$5
Specialist Office Visit (includes podiatry services)$45
Chiropractic Services$20
Emergency Care (within the U.S. and outside the U.S. and its territories)$75, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$35 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$45 for routine eye exam (one per year)
$45 for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Choices 65 #14 (HMO) for St. Tammany Parish
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$5
Specialist Office Visit (includes podiatry services)$40
Chiropractic Services$20
Emergency Care (within the U.S. and outside the U.S. and its territories)$75, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$35 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$40 for routine eye exam (one per year)
$40 for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Choices Gold (HMO)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$10
Specialist Office Visit (includes podiatry services)$40
Chiropractic Services$20
Emergency Care (within the U.S. and outside the U.S. and its territories)$75, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$25 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$0 for routine eye exam (one per year)
$40 for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Choices Platinum #009 (HMO)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$0
Specialist Office Visit (includes podiatry services)$30
Chiropractic Services$20
Emergency Care (within the U.S. and outside the U.S. and its territories)$75, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$35 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$30 for routine eye exam (one per year)
$30 for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Choices Premium (HMO)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$0
Specialist Office Visit (includes podiatry services)$0
Chiropractic Services$0
Emergency Care (within the U.S. and outside the U.S. and its territories)$0 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$0 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$35 for routine eye exam (one per year)
$35 for exams and services to diagnose and treat conditions of the eye
Peoples Health Choices Select (HMO)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$5
Specialist Office Visit (includes podiatry services)$40
Chiropractic Services$15
Emergency Care (within the U.S. and outside the U.S. and its territories)$75, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$25 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$40 for routine eye exam (one per year)
$40 for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Group Medicare (HMO-POS)
BENEFIT DESCRIPTIONCOSTS FOR PLAN-COVERED SERVICES FROM NETWORK PROVIDERSCOSTS FOR PLAN-COVERED SERVICES FROM OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit (includes chiropractic and podiatry services)$1020% coinsurance
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and its territories)$10$10
Vision Care$15 for routine eye exam (one per year)Routine eye exams for routine vision correction are not covered
$15 for exams and services to diagnose and treat diseases and conditions of the eye20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits
BENEFIT DESCRIPTIONCOSTS FOR PLAN-COVERED SERVICES FROM NETWORK PROVIDERSCOSTS FOR PLAN-COVERED SERVICES FROM OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit (includes chiropractic and podiatry services)$1020% coinsurance
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and its territories)$10$10
Vision Care$15 for routine eye exam (one per year)Routine eye exams for routine vision correction are not covered
$15 for exams and services to diagnose and treat diseases and conditions of the eye20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye
Peoples Health Secure Choice #011 (HMO SNP)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$0
Specialist Office Visit (includes podiatry services)$0 or $45*
Chiropractic Services$0 or 20%* coinsurance
Emergency Care (within the U.S. and its territories)$0 or 20%* coinsurance (up to $75, depending on the service); waived if admitted to inpatient hospital care within three days for the same condition
Urgently Needed Care (within the U.S. and its territories)$0 or 20%* coinsurance (up to $65, depending on the service); waived if admitted to inpatient hospital care within three days for the same condition
Vision Care$0 or $45* for exams and services to diagnose and treat diseases and conditions of the eye
Routine eye exams for vision correction are not covered

*Cost-sharing may vary based on your level of Louisiana Medicaid coverage.

Peoples Health Secure Health (HMO SNP)
BENEFIT DESCRIPTIONYOUR COST
Primary Care Physician Office Visit$0
Specialist Office Visit (includes chiropractic and podiatry services)$0
Emergency Care (within the U.S. and its territories)$0 or $50*, waived if admitted to inpatient hospital care within 24 hours for the same condition
Emergency Care (outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$0 ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$0 for routine eye exam (one per year)
$0 for exams and services to diagnose and treat disease and conditions of the eye

*Cost-sharing may vary based on your level of Louisiana Medicaid coverage.

Notes:

Authorization is required for certain services.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums, copayments and coinsurance may change on January 1 of each year. The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.