1710 search results for Out
- Jackson
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/jackson.pdf?sfvrsn=a6f47452_12
- %
20%
30%
20%
17%-20%
20%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000, Deductible $500 Out-of-network $500 Out-of-network $500 Out-of-network Contact Plan
PCP Co-Pay
$35, %
50%
20%
50%
20%
50%
20%
Out of Pocket Maximum $6,700 $5,500 $3,000 $6,700
- La Salle
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/la-salle.pdf?sfvrsn=ccf57452_12
- Drugs
20%
17%-20%
20%
30%
20%
30%
20%
30%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700, $59 $169 $31.00
Health Plan Deductible $500 Out-of-network $500 Out-of-network $500 Out-of-network, in the Gap No No Yes No
Chemo Drugs
20%
50%
20%
20%
50%
20%
Out of Pocket Maximum $6,700 $5,500
- Franklin
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/franklin.pdf?sfvrsn=b5f47452_12
- Talk with Plan
Chemo Drugs
20%
30%
20%
30%
20%
17%-20%
20%
Out-of-Pocket Maximum $6,700, Consolidated
Premium
$0 $49
$169 $31.00
Health Plan Deductible
$500 Out-of-Network
deductible
$500 Out-of-Network
deductible
$500 Out-of-Network deductible Contact Plan
PCP Co-Pay
$15-$35, %
20%
50%
20%
Out-of-Pocket Maximum
$6,700 $5,500
$3,000 $6,700
- DeSoto
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/desoto.pdf?sfvrsn=c4f47452_12
- %/17%-20% 20%/30%
Out-of-Pocket Maximum $6700/$10,000 $6700/$10,000 $6700/$10,000 $6,700
2018, HMO Local HMO
Monthly Consolidated
Premium
$0 $49 $169 $30.90
Health Plan Deductible $500 Out-of-network $500 Out-of-network $500 Out-of-network Contact Plan
PCP Co-Pay $15- $35 0%- 20% $0- $20 0, Coverage in the Gap No No Yes No
Chemo Drugs 20%/50% 20%/50% 20%/50% 20%
Out of Pocket Maximum $6,700
- Calcasieu
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/calcasieu.pdf?sfvrsn=c7f77452_12
- % 20%/ 30% 20%/30% 20%/ 17%-20% 20%- 30%
Out-of-Pocket Maximum $6,700 $6,700 $6700/$10,000 $6700, $0 $500 Out of network $500 Out-of network $183 per year $500 Out-of network
PCP Co-Pay $10 $20 / 0,
Additional Coverage in the Gap Yes No Yes No No
Chemo Drugs 20% 20%/50% 20% - 50% 20% 20%- 50%
Out
- Bienville
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/bienville.pdf?sfvrsn=d1f77452_12
- with Plan Talk with Plan Talk with Plan
Chemo Drugs 20% 20% 20%/30% 20%/ 30%
Out-of-Pocket Maximum,
Premium
$0 $59 $169 $31.00
Health Plan Deductible $500 Out-of-network $500 Out-of-network $500 Out, Talk with Plan Talk with Plan Talk with Plan
Chemo Drugs 20%/50% 20%/50% 20%/50% 20%
Out of Pocket
- Beauregard
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/beauregard.pdf?sfvrsn=d7f77452_12
- Talk with Plan Talk with Plan
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket Maximum $6700/$10,000 $6700, $169 $31
Health Plan Deductible $500 Out- of network $500 Out- of network $500 Out- of network $183, Talk with Plan Talk with Plan
Chemo Drugs 20% 20% 20% 20%
Out of Pocket Maximum $6,700 $5,500 $3,000
- Avoyelles
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/avoyelles.pdf?sfvrsn=e0f77452_12
- %/30% 20%/30% 20%- 30% 20%/ 17%-20%
Out-of-Pocket Maximum $6,700 $6700/$10,000 $6700/$10,000 $6700, Deductible $500 Out-of network $500 Out-of network $183 per year $500 Out-of network
PCP Co-Pay $20, Talk with Plan Talk with Plan Talk with Plan
Chemo Drugs 20%/50% 20% - 50% 20% 20%- 50%
Out
- Assumption
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/assumption.pdf?sfvrsn=e6f77452_12
- with Plan
Chemo Drugs 20% 20% 20%/17%-20% 20%
Out-of-Pocket Maximum $6700/$10,000 $6700/$10,000 $6700, Deductible $500 Out-of-network $500 Out-of-network $500 Contact Plan
PCP Co-Pay $35 0%- 20% $20 0%- 20, with Plan Talk with Plan Talk with Plan Talk with Plan
Chemo Drugs 20% 20% 20%/50% 20%
Out of Pocket, in the Gap Talk with Plan Talk with Plan
Chemo Drugs 20% 20%
Out of Pocket Maximum $6,700 $6,700
2018
- Claiborne
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/claiborne.pdf?sfvrsn=c5f47452_12
- %/17%-20% 20%/30%
Out-of-Pocket Maximum $6700/$10,000 $6700/$10,000 $6700/$10,000 $6,700
2018, Local HMO Local HMO
Monthly Consolidated
Premium
$0 $59 $169 $30.90
Health Plan Deductible $500 Out-of network $500 Out-of network $500 Out-of network $183 per year
PCP Co-Pay $35 or 0-20%/50% $20, $405
Additional Coverage in the Gap No No Yes No
Chemo Drugs 20%/50% 20%/50% 20% 20%
Out of Pocket