4

4 out of 5 stars* for plan year 2024

Plan ID: H1961-017

What You Need to Know:

  • Peoples Health Choices Gold (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is .
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • Peoples Health Choices Gold (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $0.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 $0 $0 $0 $0 $0 0.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H1961-018
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: Yes, some additional gap coverage.
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Bossier, Louisiana: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
82 members 4.5 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,668 drugs
Number of Members Enrolled in this Plan in Bossier, Louisiana: 2,271 members
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$0.00 $0.00 $0.00 $0.00
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
303 $0.00 679 $10.00 870 $45.00 1015 $100.00 801 33%

Other Medicare Advantage Plans in Bossier, Louisiana

Plan Name Type Premium MOOP Rx Deduct. Rating
Vantage STANDARD (HMO-POS) (2023)Local HMO$4,900$275
4
Blue Advantage (PPO) (2023)Local PPO$3,700$0
5
Blue Advantage (HMO) (2023)Local HMO$6,700$0
5
HumanaChoice H5216-202 (PPO) (2023)Local PPO$6,700$400
4
Vantage PREMIUM (HMO-POS) (2023)Local HMO$3,500$0
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Aetna Medicare Advantra Plan (HMO) (2023)Local HMO$7,550$150
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$6,900$-
5
Aetna Medicare Freedom Plan (PPO) (2023)Local PPO$7,550$195
5
Vantage BASIC (HMO-POS) (2023)Local HMO$5,900$445
4
HumanaChoice R0110-003 (Regional PPO) (2023)Regional PPO$7,550$400
4
Humana Gold Plus H1951-013 (HMO) (2023)Local HMO$6,700$0
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
HumanaChoice R0110-001 (Regional PPO) (2023)Regional PPO *$7,550$-
4
Vantage TRADITIONAL PLUS (HMO-POS) (2023)Local HMO$7,550$445
4
Vantage 100 (HMO-POS) (2023)Local HMO$-$0
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Peoples Health Choices Value (HMO) (2023)Local HMO$6,700$300
4
Peoples Health Patriot (PPO) (2023)Local PPO *$6,700$-
New plan - not yet rated.
Peoples Health Choices (PPO) (2023)Local PPO$6,700$100
New plan - not yet rated.
Humana Value Plus H5216-161 (PPO) (2023)Local PPO$7,550$425
4
HumanaChoice H5216-064 (PPO) (2023)Local PPO$6,700$0
4
Medicare Advantage Plans by Peoples Health
Peoples Health Choices Value (HMO) (2023)Local HMO$6,700$300
4
Peoples Health Patriot (PPO) (2023)Local PPO *$6,700$-
New plan - not yet rated.
Peoples Health Choices (PPO) (2023)Local PPO$6,700$100
New plan - not yet rated.

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