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Costs to See a Doctor

Get informed about what it costs to see a doctor.

The costs to see a doctor can vary by year and by plan. Explore the plan listings below to learn the costs associated with visiting a primary care physician, a specialist, a podiatrist, a vision care provider and more.

2019 Costs to See a Doctor

Select a plan below to see a quick reference of your costs in 2019 for care from a doctor.

Peoples Health Choices 65 #14 (HMO)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $20
Chiropractic Services$10
Foot Care Visits (podiatry)$20
Hearing Services$0 for diagnostic hearing exams
$40 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$20
Vision Care$20 for routine eye exam (one per year)
$20 for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Choices 65 #14 (HMO) for Northshore

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $40
Chiropractic Services$15
Foot Care Visits (podiatry)$40
Hearing Exam Visits $0 for diagnostic hearing exams
$45 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$45
Vision Care$40 for routine eye exam (one per year)
$40 for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Choices Gold (HMO-POS)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$0Not covered
Specialist Office Visit $3530% coinsurance
Chiropractic Services$1530% coinsurance
Foot Care Visits (podiatry)$3530% coinsurance
Hearing Exam Visits $0 for diagnostic hearing exams
$40 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Not covered
Emergency Care (within the U.S. and outside the U.S. and its territories)$80, waived if admitted to inpatient hospital care within 24 hours for the same condition $80, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$40 $40
Vision Care$35 for routine eye exam (one per year)
Not covered
$35 for exams and services to diagnose and treat diseases and conditions of the eyeNot covered

Peoples Health Group Medicare (HMO-POS)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visits (podiatry)$1020% coinsurance
Hearing Exam Visits

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition $50, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. $10 within the U.S. and $50 outside the U.S.
Vision Care$15 for routine eye exam (one per year)
Routine eye exams for vision correction are not covered
$15 for exams and services to diagnose and treat diseases and conditions of the eye
20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visits (podiatry)$1020% coinsurance
Hearing Exam Visits

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition$50, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S.$10 within the U.S. and $50 outside the U.S.
Vision Care$15 for routine eye exam (one per year)
Routine eye exams for vision correction are not covered
$15 for exams and services to diagnose and treat diseases and conditions of the eye20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Secure Choice #011 (HMO SNP)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0
Chiropractic Services$0
Foot Care Visits (podiatry)$0
Hearing Exam Visits $0 or $45* for diagnostic exams

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered

Emergency Care (within the U.S. and its territories)$0 or 20% coinsurance* (up to $75); waived if admitted to inpatient hospital care within three days for the same condition
Urgently Needed Care (within the U.S. and its territories)$0 or 20% coinsurance* (up to $65); waived if admitted to inpatient hospital care within three days for the same condition
Vision Care$0 or $45* for exams and services to diagnose and treat diseases and conditions of the eye
Routine eye exams for vision correction are not covered
*Cost-sharing may vary based on your level of Louisiana Medicaid coverage

Peoples Health Secure Health (HMO SNP)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0
Chiropractic Services$0
Foot Care Visits (podiatry)$0
Hearing Exam Visits $0 for diagnostic hearing exams
$0 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Emergency Care (within the U.S. and outside the U.S. and its territories)$0 or $50* within the U.S. and $50 outside the U.S; waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$0
Vision Care$0 for routine eye exam (one per year)
$0 for exams and services to diagnose and treat diseases and conditions of the eye
*Cost-sharing may vary based on your level of Louisiana Medicaid coverage

2020 Costs to See a Doctor

Select a plan below to see a quick reference of your costs in 2020 for care from a doctor.

Peoples Health Choices 65 #14 (HMO)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $30
Chiropractic Services$10
Foot Care Visit (podiatry)$30
Hearing Visit$20 for diagnostic hearing exams
$20 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Virtual Visit$0 from the network telehealth provider
Emergency Care (within the U.S. and outside the U.S. and its territories)$90, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$20
Vision Care Visit$20 for routine eye exam (one per year)
$20 for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Choices 65 #14 (HMO) for Northshore

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $50
Chiropractic Services$20
Foot Care Visit (podiatry)$50
Hearing Visit$20 for diagnostic hearing exams
$20 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Virtual Visit$0 from the network telehealth provider
Emergency Care (within the U.S. and outside the U.S. and its territories)$90, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$50
Vision Care Visit$40 for routine eye exam (one per year)
$40 for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Choices Gold (HMO-POS)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$0Not covered
Specialist Office Visit $4030% coinsurance
Chiropractic Services$2030% coinsurance
Foot Care Visit (podiatry)$4030% coinsurance
Hearing Visit$20 for diagnostic hearing exams
$20 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Not covered
Virtual Visit$0 from the network telehealth providerNot covered
Emergency Care (within the U.S. and outside the U.S. and its territories)$90, waived if admitted to inpatient hospital care within 24 hours for the same condition $90, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$40 $40
Vision Care Visit$35 for routine eye exam (one per year)
$35 for exams and services to diagnose and treat diseases and conditions of the eye
Not covered

Peoples Health Group Medicare (HMO-POS)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Virtual Visit$0 from the network telehealth providerNot covered
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visit (podiatry)$1020% coinsurance
Hearing Visit

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition $50, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S. $10 within the U.S. and $50 outside the U.S.
Vision Care Visit$15 for routine eye exam (one per year)

$15 for exams and services to diagnose and treat diseases and conditions of the eye

Routine eye exams for vision correction are not covered

20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERSYOUR COST WITH OUT-OF-NETWORK PROVIDERS
Primary Care Physician Office Visit$520% coinsurance
Virtual Visit$0 from the network telehealth providerNot covered
Specialist Office Visit $1020% coinsurance
Chiropractic Services$1020% coinsurance
Foot Care Visit (podiatry)$1020% coinsurance
Hearing Visit

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered
$10 for diagnostic exams20% coinsurance for diagnostic exams
Emergency Care (within the U.S. and outside the U.S. and its territories)$50, waived if admitted to inpatient hospital care within 24 hours for the same condition$50, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$10 within the U.S. and $50 outside the U.S.$10 within the U.S. and $50 outside the U.S.
Vision Care Visit$15 for routine eye exam (one per year)

$15 for exams and services to diagnose and treat diseases and conditions of the eye
Routine eye exams for vision correction are not covered

20% coinsurance for exams and services to diagnose and treat diseases and conditions of the eye

Peoples Health Secure Choice #011 (HMO D-SNP)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0
Chiropractic Services$0
Foot Care Visit$0
Hearing Visit$0 or $20* for diagnostic exams

Routine exams are not covered
Exams for evaluation and fitting of hearing aids are not covered

Virtual Visit $0 from the network telehealth provider
Emergency Care (within the U.S. and its territories)$0 or 20% coinsurance* (up to $75); waived if admitted to inpatient hospital care within three days for the same condition
Urgently Needed Care (within the U.S. and its territories)$0 or 20% coinsurance* (up to $65)
Vision Care Visit$0 or $45* for exams and services to diagnose and treat diseases and conditions of the eye

Routine eye exams for vision correction are not covered

*Cost-sharing may vary based on your level of Louisiana Medicaid coverage

Peoples Health Secure Health (HMO D-SNP)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$0
Specialist Office Visit $0 or $20*
Chiropractic Services$0
Foot Care Visits (podiatry)$0
Hearing Visit$0 for diagnostic hearing exams
$0 for routine hearing exam (one per year)
$0 for hearing exam for evaluation and fitting of hearings aids (one per year; use network of audiologists and hearing instrument specialists)
Virtual Visit $0 from the network telehealth provider
Emergency Care (within the U.S. and outside the U.S. and its territories)$0 or $50* within the U.S. and $50 outside the U.S; waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$0
Vision Care Visit$0 for routine eye exam (one per year)

$0 for exams and services to diagnose and treat diseases and conditions of the eye

*Cost-sharing may vary based on your level of Louisiana Medicaid coverage

Peoples Health Choices Value (HMO)

BENEFIT DESCRIPTIONYOUR COST WITH NETWORK PROVIDERS
Primary Care Physician Office Visit$20
Specialist Office Visit $50
Chiropractic Services$20
Foot Care Visit (podiatry)$50
Virtual Visit$0 from the network telehealth provider
Emergency Care (within the U.S. and outside the U.S. and its territories)$90, waived if admitted to inpatient hospital care within 24 hours for the same condition
Urgently Needed Care (within the U.S. and outside the U.S. and its territories)$50
Vision Care Visit$0 for routine eye exam (one per year)
$0 for exams and services to diagnose and treat diseases and conditions of the eye

Notes:

Authorization is required for certain services.

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