Costs to See a Doctor | 2019

What are my costs in 2019 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$0
Specialist Office Visit $20
Chiropractic Services$10
Foot Care Visits (podiatry)$20
Hearing Services$0 for diagnostic hearing exams
$40 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
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
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$20
Vision Care$20 for routine eye exam (one per year)
$20 for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Choices 65 #14 (HMO) for Northshore

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $40
Chiropractic Services$15
Foot Care Visits (podiatry)$40
Hearing Exam Visits $0 for diagnostic hearing exams
$45 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
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
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$45
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-POS)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$0Not covered
Specialist Office Visit $3530% coinsurance
Chiropractic Services$1530% coinsurance
Foot Care Visits (podiatry)$3530% coinsurance
Hearing Exam Visits $0 for diagnostic hearing exams
$40 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Not covered
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 $80, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$40 $40
Vision Care$35 for routine eye exam (one per year)
Not covered
$35 for exams and services to diagnose and treat diseases and conditions of the eyeNot covered

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

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
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 $50, waived if admitted to inpatient hospital care within 24 hours for the same condition
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. $10 within the U.S. and $50 outside the U.S.
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

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
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$50, waived if admitted to inpatient hospital care within 24 hours for the same condition
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.$10 within the U.S. and $50 outside the U.S.
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
Chiropractic Services$0
Foot Care Visits (podiatry)$0
Hearing Exam Visits $0 or $45* for diagnostic exams

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered

Emergency Care (within the U.S. and its territories)$0 or 20% coinsurance* (up to $75); 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); 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 for diagnostic hearing exams
$0 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
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
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$0
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
*Cost-sharing may vary based on your level of Louisiana Medicaid coverage

Notes:

Authorization is required for certain services.