Facebook pixel
SALES: 1-800-978-9765 (TTY:711)
Member services: 1-800-222-8600 (TTY:711)
Select Page

Peoples Health Choices 65 (HMO) Rural Southeast

H1961-014-004

A Medicare Advantage plan with Part D prescription drug coverage. Available in the following parishes:
Plaquemines, Pointe Coupee, St. Bernard, St. James, St. John the Baptist, West Feliciana

plan_premium_blue
Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$60/quarter
Over-the-Counter
Health Related Items

Money-Stack_Blue

$30/month
Part B Premium
Give Back

plan_premium_blue
Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$60/quarter
Over-the-Counter
Health Related Items

Money-Stack_Blue

$30/month
Part B Premium
GiveBack

Plan Highlights

doctor_teal_circle

$0 Primary
Care Visits

doctor_teal_circle

$60 Over-the-Counter
Allowance per Quarter

tooth_teal_circle

$0
Hearing Aids

doctor_teal_circle

$0 Tier 1 & 2 
Drug Coverage*

tooth_teal_circle

$0
Dental Exams,
Cleanings & X-rays

doctor_teal_circle

$0 Meals
after Inpatient
Hospital Stay

tooth_teal_circle

$0
Eyeglasses
or Contacts

tooth_teal_circle

$0
Fitness Center
Membership

*$0 Tier 2 drugs available by preferred mail-order on 90-day supplies.

Plan Benefits

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.

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

Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

Doctor and Hospital Coverage

Part D Prescription Drug Coverage

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

Additional Benefits

Notes:

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

Important Documents

Shot of a african senior couple reading document with laptop at home

Plan Overview for Peoples Health Choices 65 – An overview of plan benefits

For members with permanent residence in Plaquemines, Pointe Coupee, St. Bernard, St. James, St. John the Baptist or West Feliciana parish:
Annual Notice of Changes for Peoples Health Choices 65 Rural Southeast – A summary of plan benefit changes compared to the previous year and other important plan details

For members with permanent residence in Ascension, East Feliciana, Iberville, Livingston, St. Charles, St. Helena or West Baton Rouge parish:
Annual Notice of Changes for Peoples Health Choice 65 Rural Southeast to Greater New Orleans and Baton Rouge Area – A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Peoples Health Choices 65 – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details

Summary of Benefits for Peoples Health Choices 65 – A general summary of plan benefits

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

2022 Medicare Star Ratings Summary (Coming Soon)

How to Enroll

language-school-illustration-30

Online

Enrolling online only takes about 20 minutes. You’ll need your red, white and blue Medicare card to complete the online application. 

language-school-illustration-27

By 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.

language-school-illustration-27

By Appointment

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.

language-school-illustration-27

By Mail

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

Peoples Health Choices 65

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

Extra Help

2022 Quick Guide C651-Choices-Patriot_male
2022 Quick Guide C651-Choices-Patriot_bfemale
2022 Quick Guide C651-Choices-Patriot_hmale
2022 Quick Guide C651-Choices-Patriot_afemale

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 Choices 65 ‘s premium includes coverage for both medical services and prescription drug coverage.

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, (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.

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

×

You are about to leave peopleshealth.com.

Click OK to continue.