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 60,000 members. Their plans offer coordinated, personalized service.
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Covered Benefit
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Member Share
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Plan Year Deductible
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$0
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Out-of-Pocket-Maximum (In-Network)
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$2,500
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Out-of-Pocket Maximum (Out-of-Network)
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20% per service out-of-network
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Co-pay – Primary Care/Specialist
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$5/$10 (In network)
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Emergency Room
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$50 co-pay per visit
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Inpatient Hospital
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$50/day (days 1-10 in network)
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Prescription Drugs (Part D)
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 Tier 1- Tier 2
- Tier 3
- Tier 4
- Tier 5
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- $0
- $0
- $20 (30 day supply)
- $40 (30 day supply)
- 20%
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Additional Benefits
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Preventative Dental
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100% for select services (including one set of x-rays per year and one exam and cleaning every six months (In network)
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Comprehensive Dental
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Up to $2,000 per year for comprehensive services. A $50 deductible applies for comprehensive dental services not normally covered by Medicare. Copayments vary. (In network)
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Hearing Exam
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100% coverage after $10 copayment for each Medicare covered diagnostic hearing exam. (In network)
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Eyewear
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100% coverage for one pair of eyeglasses or contact lenses each year. (In network)
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Peoples Health
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www.peopleshealth.com
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Current Members- 1-866-877-5403
Prospective Members- 1-866-877-5403, option 1.
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8:00 AM – 8:00 PM
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Seven days a week
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