Peoples Health Choices Gold (HMO-POS) | 2019
A Medicare Advantage plan available to Medicare beneficiaries in the following parishes:
Acadia • Bossier • Caddo • Calcasieu • Cameron • Evangeline • Iberia • Lafayette • Ouachita • St. Bernard • St. Landry • St. Martin • Vermilion
Part B Premium Give Back
Peoples Health will reduce your monthly Part B premium by $10 per month. It’s like getting a raise on your Social Security check. You can spend that money any way you want.
Peoples Health covers certain over-the-counter health-related items and nonprescription medications – up to $100 every three months from our network mail-order provider.
Plan Highlights for 2019
$0 Meals after Inpatient Stay
$0 Respite Care (Sitter Sessions)
$0 Hearing Aids
Dentures included in dental coverage
Additional Benefits for 2019
PRIMARY CARE PHYSICIAN VISIT
Be entitled to Medicare Part A and enrolled in Medicare Part B
Not have end-stage renal disease (ESRD), with limited exceptions, such as if you develop ESRD when you are already a member of a plan that we offer, or you were a member of a different plan that is no longer available
Continue to pay your Medicare Part B premium
Live in the plan’s service area, which includes the following Louisiana parishes: Acadia, Bossier, Caddo, Calcasieu, Cameron, Evangeline, Iberia, Lafayette, Ouachita, St. Bernard, St. Landry, St. Martin, Vermilion
View important 2019 plan documents here.
Plan Overview for Peoples Health Choices Gold – An overview of plan benefits
Annual Notice of Changes for Peoples Health Choices Gold – A summary of plan benefit changes compared to the previous year and other important plan details
Evidence of Coverage for Peoples Health Choices Gold – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details
Prior Authorization Criteria – Detailed criteria for select covered drugs
Step Therapy Criteria – Detailed criteria for select covered drugs
Summary of Benefits for Peoples Health Choices Gold – A general summary of plan benefits