PEOPLES HEALTH MEDICARE ADVANTAGE HMO-POS

The Peoples Health Medicare Advantage HMO-POS plan offers more coverage than with Medicare alone, including extra benefits like vision and dental coverage, free health club membership and prescription drug coverage.

As a Peoples Health Group Medicare member, you pay a premium in addition to paying your Medicare Part B premium; when seeing a provider in the plan’s provider network, you receive 100 percent coverage for many services with NO Medicare deductibles.

Peoples Health was founded and is based in southeast Louisiana and serves more than 54,000 members. Their plans feature a member-centered model of care that offers coordinated, personalized service.

Covered Benefit

Member Share

Plan Year Deductible

$0

Out-of-Pocket-Maximum (In-Network)

$2,500

Out-of-Pocket Maximum (Out-of-Network)

There is no out-of-pocket maximum.

Co-pay – Primary Care/Specialist

$5/$10

Emergency Room

$50 co-pay per visit

Inpatient Hospital

$50/day (days 1-10)

Prescription Drugs (Part D)

 
  •  Tier 1
  •  Tier 2
  •  Tier 3
  •  Tier 4
  •  Tier 5
  •  $0
  •  $0
  •  $20 (30 day supply)
  •  $40 (30 day supply)
  •  20%

Additional Benefits

Preventative Dental

100% for select services (including one set of x-rays per year and one exam and cleaning every six months

Comprehensive Dental

Up to $2,000 per year for comprehensive services. A $50 deductible applies for comprehensive dental services not normally covered by Medicare. Copayments vary.

Routine Hearing Exam

100% coverage after $10 copayment for each Medicare covered diagnostic hearing exam.

Eyewear

100% coverage for one pair of eyeglasses or contact lenses each year.

 

CONTACT INFORMATION

Peoples Health

www.peopleshealth.com

1-866-912-8304

8:00 AM – 8:00 PM

Seven days a week

Provider Directory

Plan Information

Benefit Comparison

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