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

H1961-003

A plan with Part D drug coverage for people with Medicare and medical assistance from the state. This is a Medicare Special Needs Plan for people who also have Medicaid at levels ranging from the state paying your Part A or B premium to full Medicaid benefits. Available in all Louisiana parishes.

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Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$105/month
Debit Card for Food, Over-the-Counter Health & Wellness Items, and Utilities

Money-Stack_Blue

$0
Up to 48
One-Way Trips

plan_premium_blue
Doctor_Blue

$0
Primary Care
Physician visit

Pharmacist_Blue

$105/month
Debit card for food, utilities and over-the-counter (OTC)
health & wellness items

Money-Stack_Blue

$0
Up to 48
One-Way Trips

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Request a Free Medicare Information Kit

Get your FREE Medicare information kit, including these must-have guides: the 2023 Peoples Health Plan Overview and 8 Things You Need to Know About Medicare. Together, these booklets can help you better understand your coverage options under Medicare.

You asked for more. We listened!

Now it’s easier than ever to picture yourself with Peoples Health. Every year, we look for ways to take care of our members better. The enhancements we’ve made for 2023 are designed to do just that. Look for:

More doctors

We’ve added more doctors to our Louisiana network.

More dentists & more dental coverage

We’ve added 95% more network dental locations^, and all plans now feature out-of-network dental coverage, a $0 deductible, $0 restorative services and an expanded list of covered services.*

More eye doctors

We’ve more than doubled our network of vision providers.

More savings

For many of our plans, there are lower copays and bigger allowances for select services, as well as lower maximum out-of-pocket costs.

More flexibility

Use our retail card for over-the-counter health & wellness purchases and healthy food items, as well as for paying utility bills. Also enjoy a retail option to get diabetes testing supplies at local network pharmacies.

^ Compared to 2022 Peoples Health network.
*Point-of-service (POS) option allows out-of-network dental services. Those out-of-network services may have a higher cost to members. Dental coverage maximums vary by plan.

Plan Highlights

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$0 Primary
Care Visits

doctor_teal_circle

$105/month
Debit Card for Food, Over-the-Counter Health & Wellness Items, and Utilities

 

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$0
Hearing Aids

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$0
Up to 48 one-way trips

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$0
Dental Exams,
Cleanings & X-rays

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$0 Meals
After Inpatient
Hospital Stay

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$0
Eyeglasses
or Contacts

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One Pass™
Fitness†

†One Pass is a trademark of Optum, Inc. and/or its affiliates. © 2022 Optum, Inc.

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.

You won’t pay more than $0 for a one-month supply of each insulin product covered by your plan 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

You won’t pay more than $0 for a one-month supply of each insulin product covered by your plan through all coverage stages.

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

Additional Benefits

Notes:

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

Important Documents

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

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

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

Evidence of Coverage for Peoples Health Secure Health – 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 Health – A general summary of plan benefits

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

2023 Medicare Star Ratings Summary

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. You can also request an enrollment packet.

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By Appointment

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 sales representative will schedule an appointment with you.

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 Secure Health (HMO-POS D-SNP)’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.

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