Select Page

Peoples Health Group Medicare (HMO-POS) and Peoples Health Group Medicare (HMO-POS) OGB | 2023

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 Peoples Health Group Medicare Office of Group Benefits (OGB)

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

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.

You will pay a maximum of $20 for each 1-month supply of Part D select insulin drugs through all coverage stages

You will pay a $0 copay for all Part D covered vaccines, including Shingrix.

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 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.

Additional Benefits

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 Peoples Health Group Medicare

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

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.

You will pay a maximum of $25 for each 1-month supply of Part D select insulin drugs through all coverage stages

You will pay a $0 copay for all Part D covered vaccines, including Shingrix.

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 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.

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

Group Medicare OGB Documents

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

Annual Notice of Changes for Peoples Health Group Medicare (HMO-POS) 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 (HMO-POS) 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

Group Medicare Documents

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

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

Evidence of Coverage for Peoples Health 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

How to Enroll

diverse_sales

By Appointment

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

asian_woman_mailbox

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

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
×

You are about to leave peopleshealth.com.

Click OK to continue.