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Peoples Health Secure Complete (HMO-POS D-SNP) | 2024

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A plan with Part D drug coverage for people with Medicare and full Medicaid benefits. This Medicare special needs plan offers additional benefits, such as an allowance for buying food and over-the-counter items and paying utility bills. Available in all Louisiana parishes.

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$0
Primary Care
Physician Visit

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$248/month
Allowance for Food, Utility Bills and OTC Items

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Unlimited
Nonemergency
Transportation

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Stethoscope icon

$0
Primary Care
Physician Visit

Icon of a bandage

$248/month
Allowance for Food, Utility Bills and OTC Items

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Unlimited
Nonemergency
Transportation

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Request a Free Medicare Information Kit

Get your FREE Medicare information kit, including these must-have guides: 2024 Peoples Health Plan Overview and Get Ready for Medicare. Together, these booklets can help you better understand your coverage options under Medicare.

Plan Highlights

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$0
Primary
Care Visits

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$0
Hearing 
Aids

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$248/Month
Allowance for Food, Utility Bills, OTC Items

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$0 Meals
After Inpatient
Hospital Stay

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$0
Dental Exams,
Cleanings & X-rays

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$0
Eyeglasses
or Contacts

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$0 Nonemergency Transportation
(Unlimited Trips)

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$0
Fitness
Benefit

Plan Benefits

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.

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All tier 1 and 2 generics are COVERED through the Part D coverage gap. Brand-name drugs have partial coverage through the gap. 100-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 $35 for each 1-month supply of Part D-covered insulin drugs through all drug payment stages, except the Catastrophic drug payment stage, where you pay $0.

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

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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 tier 1 and 2 generics are COVERED through the Part D coverage gap. Brand drugs have partial coverage through the gap. 100-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 $35 for each 1-month supply of Part D-covered insulin drugs through
all drug payment stages, except the Catastrophic drug payment stage, where you pay $0.

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

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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.

Important Documents

Plan Overview for Peoples Health Secure Complete – An overview of plan benefits

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

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

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

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

Medicare Star Ratings Summary

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How to Enroll

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Extra Help

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 Peoples Health Secure Complete (HMO-POS D-SNP)
Monthly Plan premium for people who get Extra Help from Medicare to help pay for 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.

If you get extra help, your monthly plan premium will be $0 for any of the plan(s) below. (This does not include any Medicare Part B premium you may have to pay.)

  • Peoples Health Secure Complete (HMO-POS D-SNP)

Peoples Health Secure Complete (HMO-POS D-SNP) premium includes coverage for both medical services and prescription drug coverage.

If you aren’t getting Extra Help, you can see if you qualify by calling:

  • 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a
    week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call
    1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call Customer Service at 1-855-269-0778, TTY 711, from 8 a.m.- 8 p.m. local time, 7 days a week.

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