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crossed bandages iconOver-the-Counter Health & Wellness Items

$125 every quarter on health-related items and nonprescription medications

Peoples Health covers certain over-the-counter medications and health and wellness products

money1

Over-the-Counter Health & Wellness Items

$125 every quarter on health-related items and nonprescription medications

Peoples Health covers certain over-the-counter medications and health and wellness products

Peoples Health Secure Health (HMO D-SNP) | 2020

A Medicare Advantage special needs plan designed for people with both Medicare and Medicaid or medical assistance from the state.

Get these benefits +MORE!

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PRIMARY CARE
PHYSICIAN VISITS

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health & wellness items

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DENTAL EXAMS
& CLEANINGS

$0 round icon

FITNESS CLUB
MEMBERSHIP

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hearing aids

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EYEGLASSES OR
CONTACTS

Peoples Health Secure Health (HMO D-SNP) | 2020

A Medicare Advantage plan available to Medicare beneficiaries in the following parishes:

Acadia • Ascension • Assumption • Bossier • Caddo • Calcasieu • Cameron • East Baton Rouge • East Feliciana • Evangeline • Iberia • Iberville • Jefferson • Lafayette • Lafourche • Livingston • Orleans • Ouachita • Plaquemines • Pointe Coupee • St. Bernard • St. Charles • St. Helena • St. James • St. John the Baptist • St. Landry • St. Martin • St. Mary • St. Tammany • Tangipahoa • Terrebonne • Vermilion • Washington • West Baton Rouge • West Feliciana

Peoples Health Secure Health 2020 plan parish map

Looking for 2019 plan information? Click here.

+MORE Plan Benefits

Over-the-Counter
Health and Wellness Items

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Health-related items and nonprescription medications: $0 

Peoples Health covers certain over-the-counter medications and health and wellness products – up to $125 every quarter from our network mail-order provider.

Nonemergency
Transportation

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Trips to and from your doctor’s office: $0 

Routine transportation (per one-way trip within 40 miles of your home, up to 48 trips per year)

Meals After
Hospital Stays

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Three meals a day for seven days after an inpatient hospital stay: $0

Good nutrition is important for your recovery and we want you to get well.

Respite
Care Services

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4-hour session: $0

Short-term relief for caregivers of plan members with dementia, including Alzheimer’s disease. Coverage for up to 12 four-hour respite care sessions per year.

Hearing Aid
Coverage

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Hearing Aid Exam for Evaluation and Fitting: $0 | Hearing Aids: $0

Up to two hearing aids (one per ear) each year, up to a maximum of $1,000 for both aids combined.

Virtual
Visits

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The Doctor Will “See” You Now
Virtual Visits: $0

When you need care — anytime, day or night — virtual visits can be a great option. From treating colds and fevers to caring for migraines and allergies, you can connect with a doctor using your computer or mobile device.

Explore Plan Benefits

Doctor and Hospital Coverage

PEOPLES HEALTH SECURE HEALTH
YOUR COST    
Monthly Plan Premium$0
Doctor Visits
Primary Care Physician Visit$0
Virtual Visit$0
Specialist Visit$0 or $20*
Preventive Care*
Pap Smears, Pelvic Exams and Mammograms$0
Prostate and Colorectal Cancer Screenings$0
Bone Mass Measurement$0
Vaccinations (flu, pneumonia, hepatitis B)$0
Labs and Tests*+
Lab Services$0
Diagnostic Tests and X-rays$0
Advanced Imaging (MRI, MRA, CT, CTA, PET scans, etc.)$0 or $75*
Outpatient Surgery
Outpatient Hospital Facility or Ambulatory Surgical Center$0
Inpatient Hospital Care
Inpatient Deductible$0
Hospital Stay$0 or $75* per day for days 1-10
$0 per day for days 11 and beyond
Worldwide Emergency and Urgent Care♦
Emergency Care - Copay waived if admitted$0 or $50* in the U.S. and its territories; $50 outside the U.S. and its territories
Urgently Needed Care$0
Emergency Transportation (per one-way trip)
Emergency Ambulance Services$0 or $75*
Home Health
Home Health Care$0
Skilled Nursing Facility Care
Semiprivate Room and Board per day
for days 1-20
$0
Semiprivate Room and Board
per day for days 21-100
$0 or $100*
Outpatient Services and Supplies
Occupational, Physical or Speech Therapy Visit
(Medicare limits apply)
$0
Durable Medical Equipment (DME)
(wheelchairs, oxygen, etc.)
$0
Diabetes Monitoring Supplies
(test strips, monitor, etc.,
from a DME provider)
$0
Mental Health and Substance Abuse Treatment
Inpatient Mental Health Care$0 or $75* per day for days 1-10
$0 per day for days 11-90
Outpatient Mental Health or Substance Abuse Treatment Visit$0 or $10*

 

Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

*See the Provider Directory for network lab and diagnostic providers. 

+Office visit copay may apply.

♦Emergency care copay waived if admitted to inpatient hospital care within 24 hours for the same condition. Up to $5,000 of coverage for emergency and urgently needed care (combined) outside the U.S. and its territories.

Part D Prescription Drug Coverage

 FOR A 30-DAY SUPPLY or 90-DAY SUPPLY AT A NETWORK PHARMACY
Your plan has a $435 deductible for prescription drug coverage; however, because you receive Extra Help, Medicare pays this deductible on your behalf. Copays vary based on the level of Extra Help you receive. Please contact the plan for further details.
Generic Drugs$0, $1.30, $3.60 or 15% coinsurance
Brand Drugs $0, $3.90, $8.95 or 15% coinsurance

Additional Benefits –  Not Covered by Original Medicare

PEOPLES HEALTH SECURE HEALTHYOUR COST
Over-the-Counter Health-Related Items
$125 Allowance (every quarter by mail order)$0
Meals
Meals After Hospital Stays (three meals per day for seven days after an inpatient hospital stay)$0
Routine Vision Services
Routine Eye Exam$0
Eyeglasses or Contact Lenses
(one pair per year)
$0
Hearing Aid Services
Hearing Exam for Evaluation and Fitting of Hearing Aids
Click here for more information
$0
Hearing Aids (one per ear, max of $1,000 for both ears)
Click here for more information
$0
Dental - up to $2,000 in coverage
Oral Exams and Cleanings (one every six months)
Fluoride Treatment (one per year)
$0
X-rays (one set per year)$0
Comprehensive Dental Services
(such as fillings and dentures)
$0
Nonemergency Transportation (such as trips to and from your doctor's office)
Routine Transportation
(per one-way trip within 40 miles of your home)
$0 for up to 48 trips per year
Respite Care
Respite Care Services (for members with Alzheimer's or dementia; up to 12 sessions per year)$0
Fitness
Health Club Membership$0

Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

Explore Plan Benefits

Doctor and Hospital Coverage

PEOPLES HEALTH SECURE HEALTH
YOUR COST    
Monthly Plan Premium$0
Doctor Visits
Primary Care Physician Visit$0
Virtual Visit$0
Specialist Visit$0 or $20*
Preventive Care*
Pap Smears, Pelvic Exams and Mammograms$0
Prostate and Colorectal Cancer Screenings$0
Bone Mass Measurement$0
Vaccinations (flu, pneumonia, hepatitis B)$0
Labs and Tests*+
Lab Services$0
Diagnostic Tests and X-rays$0
Advanced Imaging (MRI, MRA, CT, CTA, PET scans, etc.)$0 or $75*
Outpatient Surgery
Outpatient Hospital Facility or Ambulatory Surgical Center$0
Inpatient Hospital Care
Inpatient Deductible$0
Hospital Stay$0 or $75* per day for days 1-10
$0 per day for days 11 and beyond
Worldwide Emergency and Urgent Care♦
Emergency Care - Copay waived if admitted$0 or $50* in the U.S. and its territories; $50 outside the U.S. and its territories
Urgently Needed Care$0
Emergency Transportation (per one-way trip)
Emergency Ambulance Services$0 or $75*
Home Health
Home Health Care$0
Skilled Nursing Facility Care
Semiprivate Room and Board per day
for days 1-20
$0
Semiprivate Room and Board
per day for days 21-100
$0 or $100*
Outpatient Services and Supplies
Occupational, Physical or Speech Therapy Visit
(Medicare limits apply)
$0
Durable Medical Equipment (DME)
(wheelchairs, oxygen, etc.)
$0
Diabetes Monitoring Supplies
(test strips, monitor, etc.,
from a DME provider)
$0
Mental Health and Substance Abuse Treatment
Inpatient Mental Health Care$0 or $75* per day for days 1-10
$0 per day for days 11-90
Outpatient Mental Health or Substance Abuse Treatment Visit$0 or $10*

Notes:
Costs listed are based on use of network providers.

Authorization is required for certain services.

*See the Provider Directory for network lab and diagnostic providers. 

+Office visit copay may apply.

♦Emergency care copay waived if admitted to inpatient hospital care within 24 hours for the same condition. Up to $5,000 of coverage for emergency and urgently needed care (combined) outside the U.S. and its territories.

Part D Prescription Drug Coverage

 FOR A 30-DAY SUPPLY or 90-DAY SUPPLY AT A NETWORK PHARMACY
Your plan has a $435 deductible for prescription drug coverage; however, because you receive Extra Help, Medicare pays this deductible on your behalf. Copays vary based on the level of Extra Help you receive. Please contact the plan for further details.
Generic Drugs$0, $1.30, $3.60 or 15% coinsurance
Brand Drugs $0, $3.90, $8.95 or 15% coinsurance

Additional Benefits

PEOPLES HEALTH SECURE HEALTHYOUR COST
Over-the-Counter Health-Related Items
$125 Allowance (every quarter by mail order)$0
Meals
Meals After Hospital Stays (three meals per day for seven days after an inpatient hospital stay)$0
Routine Vision Services
Routine Eye Exam$0
Eyeglasses or Contact Lenses
(one pair per year)
$0
Hearing Aid Services
Hearing Exam for Evaluation and Fitting of Hearing Aids
Click here for more information
$0
Hearing Aids (one per ear, max of $1,000 for both ears)
Click here for more information
$0
Dental - up to $2,000 in coverage
Oral Exams and Cleanings (one every six months)
Fluoride Treatment (one per year)
$0
X-rays (one set per year)$0
Comprehensive Dental Services
(such as fillings and dentures)
$0
Nonemergency Transportation (such as trips to and from your doctor's office)
Routine Transportation
(per one-way trip within 40 miles of your home)
$0 for up to 48 trips per year
Respite Care
Respite Care Services (for members with Alzheimer's or dementia; up to 12 sessions per year)$0
Fitness
Health Club Membership$0
Notes:

Costs listed are based on use of network providers. Authorization is required for certain services.

Find Doctors, Search Medications and More

Use our search tools to find out if your doctors and favorite pharmacy are in our network or if we cover your prescription drug. If you need help, call us at 1-800-978-9765 (TTY: 711).

Find Doctors, Search
Medications and More

Use our search tools to find out if your doctors and favorite pharmacy are in our network or if we cover your prescription drug. If you need help, call us at 1-800-978-9765 (TTY: 711).

Eligibility Guidelines

Peoples Health Secure Health 2020 plan louisiana parish map

Determining if you’re eligible to enroll in Peoples Health Secure Health is easy. If you meet the following Medicare enrollment requirements, you’re eligible to become a member of this plan:

state assistance or medicaid

N

Have medical assistance from the state or Louisiana Medicaid

Medicare PARTS A & B

N

Be enrolled in Medicare Part A and Medicare Part B

END-STAGE RENAL DISEASE

N

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

PART B PREMIUM

N

Continue to pay your Medicare Part B premium, unless otherwise paid for you by the state or another third party

PLAN’S SERVICE AREA

N

Live in the plan’s service area, which includes the following Louisiana parishes: Acadia, Ascension, Assumption, Bossier, Caddo, Calcasieu, Cameron, East Baton Rouge, East Feliciana, Evangeline, Iberia, Iberville, Jefferson, Lafayette, Lafourche, Livingston, Orleans, Ouachita, Plaquemines, Pointe Coupee, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Terrebonne, Vermilion, Washington, West Baton Rouge and West Feliciana

Medicaid Benefits

Peoples Health Secure Health members have coverage from both Medicare and Medicaid. These members receive their Medicare health care and prescription drug coverage through Peoples Health Secure Health.

They are also eligible to receive additional health care services and coverage through Louisiana Medicaid Click here for more information on providers who participate in Louisiana Medicaid. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website and select the Learn about Medicaid Services link.

How to Enroll

ENROLL ONLINE

hands on laptop keyboard

Enrolling only takes about 20 minutes.

ENROLL BY PHONE

senior woman on phone

Call toll-free at 1-800-978-9765, Seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711. A plan representative will help you.

ENROLL BY APPOINTMENT

patient consulting with physician

Call us toll-free at 1-800-978-9765, Seven days a week, from 8 a.m. to 8 p.m.
TTY users may call 711.

A sales representative will schedule an appointment with you at your home or meet you at one of our offices.

Peoples Health – Baton Rouge
7434 Perkins Road, Suite 200
Baton Rouge, LA 70808
View Map: Peoples Health – Baton Rouge

Peoples Health – Metairie
Three Lakeway Center
3838 N. Causeway Blvd., Suite 2200
Metairie, LA 70002
View Map: Peoples Health – Metairie

ENROLL BY MAIL

hand putting mail in mailbox

Write to us and request an enrollment packet. The address is:

Peoples Health Secure Health
Enrollment Packet Request

Three Lakeway Center
3838 N. Causeway Blvd.
Suite 2200
Metairie, LA 70002

Extra Help

Peoples Health Secure Health Monthly Plan Premium for People Who Get Extra Help From Medicare to Help Pay Their Prescription Drug Costs

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our plan.

Peoples Health Secure Health′s premium includes coverage for both medical services and prescription drugs.

See if You Qualify for Extra Help

If you aren’t getting extra help, you can see if you qualify by calling:

  • Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week (TTY users call 1-877-486-2048)
  • Louisiana Medicaid at 1-888-342-6207, Monday through Friday, from 7 a.m. to 6 p.m. (TTY users call 1-800-220-5404), or
  • Social Security Administration at 1-800-772-1213, Monday through Friday, from 7 a.m. to 7 p.m. (TTY users call 1-800-325-0778)

Extra Help Monthly Plan Premium Table

This table shows you what your monthly plan premium will be if you get extra help

YOUR LEVEL OF EXTRA HELPMONTHLY PREMIUM FOR PEOPLES HEALTH SECURE HEALTH*
100%$0
75%$8
50%$16.10
25%$24.10

*This does not include any Medicare Part B premium you may have to pay.

What to Expect Next

l

ENROLL

We will send you written confirmation of your enrollment in the mail.

NEW MEMBER PACKET

We will mail a packet to you with important information about your coverage through your Peoples Health plan. Be sure to read everything in the packet and call us with any questions.  We will also send you a member ID card.

TRANSITION CALL

As a new member, you will receive a call from a Peoples Health representative to coordinate continuation of any special services you may need. This helps us make sure there are no interruptions in your health care.

COMPREHENSIVE WELLNESS ASSESSMENT

We schedule a health evaluation at no cost through the Peoples Health Comprehensive Wellness Assessment Program. This assessment helps us understand your health needs and allows us to better work together to coordinate your care.

Why Medicare Advantage?

Peoples Health Secure Health is a Medicare Advantage HMO D-SNP plan with a $0 monthly plan premium*.

As good as Medicare is, it doesn’t cover everything. To protect yourself from high health care costs, consider a Medicare Advantage plan, like the ones offered by Peoples Health. Also known as Medicare Part C, Medicare Advantage combines your Part A (hospital insurance) and Part B (medical coverage), such as doctor’s visits and outpatient services, into one plan. Medicare Advantage plans usually include prescription drug coverage (Part D). Additionally, Medicare Advantage plans may include extra benefits, like worldwide urgent and emergency care, routine dental and vision coverage, and gym memberships.

A Medicare Advantage plan from Peoples Health is an all-inclusive package, making your health insurance easy and convenient. Our rich health care benefits make Peoples Health one of the most popular Medicare Advantage plans in the New Orleans and Baton Rouge areas. It’s no wonder Peoples Health has been covering people with Medicare in Louisiana for over 20 years.

During select parts of the year, like Medicare’s Annual Enrollment Period, you have the option to compare Medicare health insurance plans and decide what fit is best for you. Let us help make that decision easy. The Peoples Health’s Secure Health plan offers more benefits than ever before, like up to $125 per quarter for over-the-counter items, $0 meals after an inpatient stay, $0 respite care sessions, nonemergency transportation to and from doctors’ appointments, and much, much more.

Unlike supplemental insurance, which typically costs more for fewer services, a Medicare Advantage plan from Peoples Health offers you more benefits and saves you money. Peoples Health Secure Health includes Part D drug coverage at no additional cost per month! Lower your out-of-pocket-costs and get more health coverage with this affordable Medicare plan. Enroll in a Medicare Advantage plan with Peoples Health to enjoy these health care benefits.

If you live in one of the following Louisiana parishes, you may be eligible to enroll in Secure Health: Acadia, Ascension, Assumption, Bossier, Caddo, Calcasieu, Cameron, East Baton Rouge, East Feliciana, Evangeline, Iberia, Iberville, Jefferson, Lafayette, Lafourche, Livingston, Orleans, Ouachita, Plaquemines, Pointe Coupee, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Terrebonne, Vermilion, Washington, West Baton Rouge and West Feliciana. Do you live in a different Louisiana parish? Shop our other Medicare Advantage plans.

*The plan’s monthly premium of $32.20 is paid by Medicare’s Extra Help program. The Medicare Part B premium is paid by the state of Louisiana. You must continue to pay your Medicare Part B premium if not paid by the state or another third party.

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