Special Needs Plans | 2019

Additional benefits for people with both Medicare and Medicaid

If you have Medicare and get additional medical assistance from the state of Louisiana or Louisiana Medicaid, you could be getting even richer benefits than you’re getting now.

Medicare uses the term “dual-eligible” for people who qualify for Medicare and Medicaid. Peoples Health offers to dual-eligibles what Medicare calls “special needs plans.”

Our special needs plans are available to anyone who has both Medicare and medical assistance from the state or Louisiana Medicaid. Some companies that offer these special needs plans require dual-eligibles to have full coverage from Medicaid to join the plan. Peoples Health special needs plans, however, are available to those with full Medicaid coverage as well as those who have partial Medicaid coverage (for example, Medicaid pays their Part B premium).

Many people with Medicaid have faced tremendous hurdles to achieve good health throughout their lives. We’ve designed our special needs plans to help lower or remove those hurdles through enhanced benefits and coordinated care.

If you have Medicare and Medicaid, ask us about:

  • Free comprehensive physical exams
  • Free tests and screenings
  • Free rides to doctors’ appointments*
  • Free fitness center membership*
  • Free meals after inpatient hospital stay
  • Free over-the-counter health-related items up to $200 every three months*
  • Free respite care sessions for members with Alzheimer’s disease or dementia*
  • Free hearing services including hearing aids*
  • Routine vision coverage*
  • Routine dental coverage including dentures*
  • Prescription drug coverage, including coverage for brand drugs
  • A Peoples Health plan ID card that’s widely accepted and easy to use

If you qualify for one of our special needs plans, you can enroll during the annual enrollment period from October 15 to December 7. There are also other times during the year when you can enroll in one of our plans. Click here for more information on enrollment period exceptions.

*May not be available with all special needs plans

Questions about special needs plans?

For more information about our special needs plans, please call toll-free to speak with one of our plan representatives at 1-800-978-9765, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711.