Costs to See a Doctor | 2018

What are my costs in 2018 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 WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$5
Specialist Office Visit $35
Chiropractic Services$20
Foot Care Visits (podiatry)$40
Hearing Exam Visits $40
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, 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)$40 ($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 65 #14 (HMO) for St. Tammany Parish
BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$10
Specialist Office Visit $40
Chiropractic Services$20
Foot Care Visits (podiatry)$45
Hearing Exam Visits $45
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, 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)$45 ($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 Gold (HMO)
BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$10
Specialist Office Visit $35
Chiropractic Services$20
Foot Care Visits (podiatry)$40
Hearing Exam Visits $40
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, 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)$40 ($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 Select (HMO)
BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$5
Specialist Office Visit $40
Chiropractic Services$15
Foot Care Visits (podiatry)$40
Hearing Exam Visits $40
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, 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)$40 ($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 DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visits (podiatry)$1020% coinsurance
Hearing Exam Visits $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 outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$15 for routine eye exam (one per year)
Routine eye exams for vision correction are not covered
$15 for exams and services to diagnose and treat diseases and conditions of the eye
20% 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 DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visits (podiatry)$1020% coinsurance
Hearing Exam Visits $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 outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. ($5,000 combined annual maximum for emergency and urgently needed care outside the U.S. and its territories)
Vision Care$15 for routine eye exam (one per year)
Routine eye exams for 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 WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0 or $45*
Chiropractic Services$0 or 20% coinsurance*
Foot Care Visits (podiatry)$0 or $45*
Hearing Exam Visits $0 or $45*
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 WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0
Chiropractic Services$0
Foot Care Visits (podiatry)$0
Hearing Exam Visits $0
Emergency Care (within the U.S. and outside the U.S. and its territories)$0 or $50* within the U.S. and $50 outside the U.S; 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)

*Cost-sharing may vary based on your level of Louisiana Medicaid coverage
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 diseases and conditions of the eye

Notes:

Authorization is required for certain services.