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Looking for 2023 Group Medicare (HMO-POS) and Group Medicare (HMO-POS) for Office of Group Benefits (OGB)? Click here.

Peoples Health Group Medicare (HMO-POS) and Group Medicare OGB (HMO-POS) | 2022

Peoples Health Group Medicare (HMO-POS) Office of Group Benefits (OGB)

H1961-801-000

*90-Day Supply (from pharmacies with preferred cost-sharing); with coverage through the gap

A Medicare Advantage plan with prescription drug coverage exclusively for Louisiana Office of Group Benefits retirees. This plan features the coordinated, in-network care for which Peoples Health is known. It also offers a point-of-service (POS) option, which lets you see providers who are not in the plan’s provider network for certain services. Not all services received from out-of-network providers are covered.

*90-Day Supply (from pharmacies with preferred cost-sharing); with coverage through the gap

Plan Benefits for Group Medicare Office of Group Benefits (OGB)

The benefits below are available with this Medicare Advantage plan.  To see a full list of benefits, please see the Evidence of Coverage for this plan.
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All drugs are COVERED through the Part D coverage gap. 90-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

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Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

Doctor and Hospital Coverage

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Part D Prescription Drug Coverage

All drugs are COVERED through the Part D coverage gap. 90-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

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Additional Benefits

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Notes:

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

Peoples Health Group Medicare (HMO-POS)

H1961-801-000

*90-Day Supply (from pharmacies with preferred cost-sharing); with coverage through the gap

A Medicare Advantage plan with prescription drug coverage and a point-of-service (POS) option, which lets you see providers who are not in the plan’s provider network for certain services. This plan features the coordinated, in-network care for which Peoples Health is known. Not all services received from out-of-network providers are covered.

*90-Day Supply (from pharmacies with preferred cost-sharing); with coverage through the gap

Plan Benefits for Group Medicare

The benefits below are available with this Medicare Advantage plan.  To see a full list of benefits, please see the Evidence of Coverage for this plan.
WordPress Tables Plugin

All drugs are COVERED through the Part D coverage gap. 90-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

WordPress Tables Plugin

WordPress Tables Plugin

Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

Doctor and Hospital Coverage

WordPress Tables Plugin

Part D Prescription Drug Coverage

All drugs are COVERED through the Part D coverage gap. 90-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

WordPress Tables Plugin

Additional Benefits

WordPress Tables Plugin
Notes:

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

Important Documents

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Group Medicare OGB Documents

Plan Overview for Peoples Health Group Medicare Office of Group Benefits (OGB) – An overview of plan benefits

Annual Notice of Changes for Peoples Health Group Medicare Office of Group Benefits (OGB) – A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Peoples Health Group Medicare Office of Group Benefits (OGB) – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details

Vendor Information – A listing of providers offering benefit-related services for your plan

Group Medicare Documents

Plan Overview for Peoples Health Group Medicare – An overview of plan benefits

Annual Notice of Changes for Group Medicare – A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Group Medicare – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details

Vendor Information – A listing of providers offering benefit-related services for your plan 

How to Enroll

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By Appointment

A  representative can schedule an appointment for you with a licensed sales representative. 

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By Mail

Write to us and request an enrollment packet.

Indicate your group plan – either:

Peoples Health Group Medicare OR Peoples Health Group Medicare for Office of Group Benefits Enrollment Packet Request

Three Lakeway Center
3838 N. Causeway Blvd.
Suite 2500
Metairie, LA 70002

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