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Looking for 2025 Peoples Health Choices 65 (HMO-POS) Greater New Orleans and Baton Rouge Area? Click here.

Peoples Health Choices 65 (HMO-POS) Greater New Orleans and Baton Rouge Area | 2024

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A Medicare Advantage plan with Part D prescription drug coverage. Available in the following parishes: Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Livingston, Orleans, St. Charles, St. Helena, West Baton Rouge

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$35/month
Part B Premium
Give Back

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$90/quarter
Over-the-Counter
Items Allowance

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$0
Primary Care
Physician Visit

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Stethoscope icon

$0
Primary Care
Physician Visit

Piggy bank icon with dollar sign over the top

$35/month
Part B Premium
GiveBack

Icon of a bandage

$90/quarter
Over-the-Counter
Items Allowance

Plan Highlights | 2024

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$0 Primary
Care Visits

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$0
Dental Exams,
Cleanings & X-rays

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$90 Over-the-Counter
Allowance per Quarter

Icon of a bed

$0
Respite Care
Services

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$35/Month Part B Premium Give Back

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$0
Eyeglasses
or Contacts

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$0 Tier 1 & 2 
Drug Coverage*

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$0
Fitness
Benefit

*$0 Tier 2 drugs available by preferred mail-order as a 100-day supply.

Plan Benefits | 2024

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 | 2024

Plan Overview for Peoples Health Choices 65 Greater New Orleans and Baton Rouge – An overview of plan benefits

Annual Notice of Changes for Peoples Health Choices 65 Greater New Orleans and Baton Rouge – A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Peoples Health Choices 65 Greater New Orleans and Baton Rouge – 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 Greater New Orleans and Baton Rouge – A general summary of plan benefits

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

Medicare Star Ratings Summary

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