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May 2023- Volume 14, Issue 5

https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/may-2023-volume-14-issue-5

Document Volume 14, Issue 5 May 2023 Our monthly newsletter addresses consumer insurance topics as well as timely information on issues affecting senior citizens in Louisiana. To find out if Consumer Advocacy will be in your area, endorsements that will encourage homeowners to take advantage of the grant funding. Keep an eye out for more, homeowners insurance crisis and much more. Check out the full video here. Upcoming Events

November 2013

https://ldi.la.gov/docs/default-source/documents/publicaffairs/commissionerscolumn/november-2013.pdf?sfvrsn=67157c52_8

highest in September 2008. Nearly 14 percent of Citizens’ policies were authorized for take out, , typically less than two percent of Citizens policyholders opted out and chose to remain with Citizens, who assisted in moving those policies out of Citizens and to the Citizens staff who worked

053014 Hurricane Season

https://ldi.la.gov/docs/default-source/documents/publicaffairs/pressreleases/053014-hurricane-season.pdf?sfvrsn=bde07c52_14

a Category 1 storm, but the losses in southeast Louisiana amounted to insurers paying out about $750, should be prepared for the expenses they will have to pay out of pocket in the event, percent of all flood insurance claims in Louisiana come from low risk flood zones. Find out your flood

MA Plan St Bernard Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-st-bernard-parish-2017.pdf?sfvrsn=ab4f7652_12

No Gap coverage Chemo Drugs 20% (Part B) 20% / 30% (Part B) 20% / 30% Out-of-Pocket Maximum $6,700, Nursing Inpatient Hospital Annual Drug Deductible Additional Coverage in Gap Chemo Drugs Out, deductible $350 Out-of-Network deductible $0 $10 $25 or 0-20% | POS 50% $5 20% after $166

MA Plan Ascension Parish Plan 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-ascension-parish-plan-2017.pdf?sfvrsn=7c527652_18

Yes $7- $100 and/ or 25%- 51% Chemo Drugs 20% 20% 20% 20% Out-of-Pocket Maximum $5,900, Drugs 15%- 20% 20% 19%- 25% 20%/ 30% Out-of-Pocket Maximum $6,700 $6,700/ $10,000 $6,700/ $10,000, and/ or 33% 40%- 51% Chemo Drugs 20%/ 30% 15% 20% Out-of-Pocket Maximum $6,700/ $10,000 $6,700

LAHC FAQ

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/Louisiana-Health-Cooperative/lahc-faq.pdf?sfvrsn=ea7e7552_6

explanation to the address below or contact LAHC customer service. If you are balance billed by an out, by an out of network provider AND you did not have prior approval from LAHC you are responsible for ALL, as determined and conveyed by LAHC. If you are an out-of-network provider and LAHC gave prior authorization

Ascension

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ascension.pdf?sfvrsn=e1f77452_12

with Plan Talk with Plan Chemo Drugs 20%/40% 20% 20% 20% Out-of-Pocket Maximum $5,900 $6,700 $6,700 $6,700, %/30% 20%/30% 20%/17%-20% Out of Pocket Maximum $6,700 $6700/$10,000 $6700/$10,000 $6700/$10,000, Talk with Plan Chemo Drugs 20% 20% Out of Pocket Maximum $6,700 $6,700 Ascension

2019 Part D Standard Plan Cost-Sharing web

https://ldi.la.gov/docs/default-source/documents/shiip/2019-part-d-standard-plan-cost-sharing-web.pdf?sfvrsn=32294952_6

manufacturer provides 70% discount on brand-name drugs. Note about True Out-of-Pocket (TrOOP) costs, calculatng TrOOP (True Out-of-Pocket) costs during the inital deductble and ICP varies by plan. Contact, Care Act: You paid 100% out-of-pocket while in the donut hole. Donut Hole/ Coverage Gap

Jefferson

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/jefferson.pdf?sfvrsn=a97a4c52_12

 Plan Name Medicare Plan Type Contract ID Phone Number Total Monthly Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum Aetna Medicare Advantra HMO H3928-001 855-275-6627 $0 $5 $35 $145 days 1-10 Yes Yes $5,900 Aetna, Coverage Additional Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans Jefferson Parish, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Z258 - Notice of Hearing on Motions - 9 29 21 - 9 7 21

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/z258---notice-of-hearing-on-motions---9-29-21---9-7-21.pdf?sfvrsn=4f714352_6

:2043.1 (A) AS APPLIED. (WORKED OUT) MILLIMAN INC'S EX PARTE MOTION TO JOIN AND ADOPT DEFENDANT, JUDGMENT (WORKED OUT) MOTION FOR PARTIAL SUMMARY JUDGMENT REGARDING THE APPLICATION OF LOUISIANA, (WORKED OUT) THIS HEARING WILL BE BY ZOO}J{ VIDEO CONFERENCING - GO TO I9THJDC.ORG TO FIND