1710 search results for Out
- Lincoln
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/lincoln.pdf?sfvrsn=cef57452_12
- %
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 or 0-20, %
50%
20%
50%
20%
Out of Pocket Maximum $6,700 $5,500 $3,000 $6,700
- Madison
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/madison.pdf?sfvrsn=b8f57452_12
- %
30%
20%
30%
20%
17%-20%
20%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000 $6,700,
Health Plan Deductible
$500 Out-of-Network
deductible
$500 Out-of-Network
deductible
$500 Out, in the Gap No No Yes No
Chemo Drugs
20%
50%
20%
50%
20%
50%
20%
Out of Pocket Maximum $6,700
- Richland
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/richland.pdf?sfvrsn=81f57452_12
- % (Part B) 20% / 30%
Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 $6,700 / $10,000, Deductible
$500 Out-of-Network
deductible
$500 Out-of-Network
deductible
Contact Plan
$500 Out, %/50%
Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700
- Sabine
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/sabine.pdf?sfvrsn=82f57452_12
-
Chemo Drugs
20%
30%
20%
30%
20%
30%
20%
17%-20%
Out-of-Pocket Maximum $6,700 / $10,000 $6,700,
Premium
$59 $169 $31.00 $0
Health Plan Deductible $500 Out-of-Network $500 Out-of-Network Contact Plan $500 Out-of-Network
PCP Co-Pay
$20 or 0%-20%
50%
$15 or 0%-20%
50%
$10 or 20%
$35 or 0, %
20%
50%
Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700
Sabine
- Tensas
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/tensas.pdf?sfvrsn=57f27452_12
-
Chemo Drugs 20% 20%/30% 20%- 30% 20%/ 17%-20%
Out-of-Pocket Maximum $6,700 $6,700/ $10,000 $6,700,
Health Plan Deductible $500 Out-of network $500 Out-of network Contact Plan $500 Out-of network
PCP, %/50% 20% / 50% 20% 20% / 50%
Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700
- Union
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/union.pdf?sfvrsn=5ff27452_12
- with Plan
Chemo Drugs 20% 20%/30% 20%- 30% 20%/ 17%-20%
Out-of-Pocket Maximum $6,700 / $10,000 $6,700, $169 $30.90 $0
Health Plan Deductible $500 Out of network $500 Out-of network $183 per year $500 Out, % 20% 20%- 50%
Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700
- Webster
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/webster.pdf?sfvrsn=4cf27452_12
- with Plan
Chemo Drugs 20% 20%/30% 20%- 30% 20%/ 17%-20%
Out-of-Pocket Maximum $6,700 $6,700/ $10,000, $30.90 $0
Health Plan Deductible $500 Out-of network $500 Out-of network Contact Plan $500 Out, %
Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700
- Allen
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/allen.pdf?sfvrsn=d6f77452_18
- with Plan Talk with Plan
Chemo Drugs 20% 20%/30% 20% 20%/30%
Out‐of‐Pocket Maximum $6700/$10,000 $6700,
Health Plan Deductible $500 Out‐of‐network $500 Out‐of‐network $500 Out‐of‐network $183 per year, Talk with Plan Talk with Plan
Chemo Drugs 20%/50% 20%/50% 20%/ 50% 20%
Out of Pocket Maximum
- Avoyelles
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/avoyelles9d22242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=8cbf4f52_6
- $0
Annual Drug
Deductible
$200 $0 Yes
Additional Coverage
in the Gap
Yes Yes Yes
Out,
Annual Drug
Deductible
$435 $400 $400
Additional Coverage
in the Gap
No No No
Out-of-Pocket,
No No No
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
$6,700 In-Network;
$10,000 Combined,
$275 $0 $415 $435
Additional Coverage
in the Gap
No Yes No No
Out-of-Pocket
Maximum
$5,500,
Annual Drug
Deductible
$435 $0
Additional Coverage
in the Gap
No No
Out-of-Pocket
Maximum
- 2022 LHCC Report to the Legislature
- https://ldi.la.gov/docs/default-source/documents/health/lhcc/reports/2022-lhcc-report-to-the-legislature.pdf?sfvrsn=2c04752_0
- specific
topic, to reach out to Ms. Crystal Stutes.
With no further business, Chairman Fraiche moved, .
Jeff Drozda spoke about the goal of MCOs to increase access to care by keeping individuals
out, HOSPITAL
COSTS
OUT-PATIENT
HOSPITAL COSTS
Source: AHIP
11.8
¢ DOCTOR VISITS
6.2
¢
4.2
¢
3.8
¢
3.6
¢
OTHER OUT-
PATIENT CARE
OTHER OUT-
PATIENT CARE
OTHER
ADMINISTRATIVE
EXPENSES,
: the timely use of personal
health services to achieve the
best health outcomes
ACCESS