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SALES: 1-800-978-9765 (TTY:711)
Member services: 1-800-222-8600 (TTY:711)
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Peoples Health Patriot (PPO)

H4544-02

A Preferred Provider Organization plan with out-of-network coverage and with no Part D prescription drug coverage. Available in all Louisiana parishes.

plan_premium_blue
Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$75/quarter
Over-the-Counter
Health Related Items

Money-Stack_Blue

$60/month
Part B Premium
Give Back

plan_premium_blue
Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$75/quarter
Over-the-Counter
Health Related Items

Money-Stack_Blue

$60/month
Part B Premium
GiveBack

Plan Highlights

The costs for the health care services listed below are from network providers.

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$0 Primary
Care Visits

doctor_teal_circle

$75 Over-the-Counter
Allowance per Quarter

tooth_teal_circle

$0
Hearing Aids

doctor_teal_circle

$30
Specialist visit

tooth_teal_circle

$0
Dental Exams,
Cleanings & X-rays

doctor_teal_circle

$0 Meals
after Inpatient
Hospital Stay

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$0
Eyeglasses
or Contacts

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$0
Fitness Center
Membership

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.

Notes:

Authorization is required for certain services.

Doctor and Hospital Coverage

Additional Benefits


Notes:

Authorization is required for certain services.

Important Documents

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Plan Overview for Peoples Health Patriot – An overview of plan benefits

Annual Notice of Changes for Peoples Health Patriot  A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Peoples Health Patriot – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details (Coming Soon)

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

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

2022 Star Ratings Summary (Coming Soon)

How to Enroll

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Online

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

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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.

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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.

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By Mail

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

Peoples Health Patriot

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.

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.

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