1710 search results for Out

Beauregard

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/beauregard.pdf?sfvrsn=fa7a4c52_6

 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 Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $35/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-233 855-275-6627 $0 $5/$25 7/10 $245 days 1-7 Yes Yes $7,000, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Bienville

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/bienville.pdf?sfvrsn=f97a4c52_6

 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 Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-178 855-275-6627 $0 $5/$25 $40/$50 $245 days 1-7 Yes Yes, Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans

Calcasieu

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/calcasieu.pdf?sfvrsn=c37a4c52_6

 Plan Name Medicare Plan Type Contract ID Phone Number Total Monthly Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-233 855-275-6627 $0 $5/$25 $35/$50 $245 days 1-7 Yes Yes, Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket

Caldwell

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/caldwell.pdf?sfvrsn=807a4c52_6

 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 Blue Advantage HMO H6453-006 800-363-9152 $0 $0 $50 $215 day 1-10 Yes Yes $5,900 Blue Advantage PPO H1248-006 800-363-9152 $100 $0/50% $40/50% $17/50% days 1-7 Yes Yes $4,200/$8,400 Blue Advantage PPO, Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum 2022 Medicare Advantage

Red River

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/red-river.pdf?sfvrsn=7c7b4c52_6

 Plan Name Medicare Plan Type Contract ID Phone Number Total Monthly Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-178 855-275-6627 $0 $5/$25 $40/$50 $245 days 1-7 Yes Yes, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum

Winn

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/winn.pdf?sfvrsn=1e7b4c52_6

 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 Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-232 855-275-6627 $0 $0/$25 $30/$50 $225 days 1-5 Yes Yes $6,400, Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum 2022

East Carroll

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/east-carroll.pdf?sfvrsn=d77a4c52_6

 Plan Name Medicare Plan Type Contract ID Phone Number Total Monthly Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum Blue Advantage HMO H6453-006 800-363-9152 $0 $0 $50 $215 day 1-10 Yes Yes $5,900 Blue Advantage PPO H1248-006 800-363-9152 $100 $0/50% $40/50% $170/50% days 1-7 Yes Yes $4,200/$8,400 Blue Advantage, Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum 2022

Tensas

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/tensas.pdf?sfvrsn=2f7b4c52_6

 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 Blue Advantage HMO H6453-006 800-363-9152 $0 $0 $50 $215 days 1-10 Yes Yes $5,900 Blue Advantage PPO H1248-006 800-363-9152 $100 $0/50% $40/50% $170/50% days 1-7 Yes Yes $4,200/$8,400 Blue Advantage, -Pay Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum 2022 Medicare

Claiborne

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/claiborne.pdf?sfvrsn=e47a4c52_6

 Plan Name Medicare Plan Type Contract ID Phone Number Total Monthly Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-230 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes $6,900, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum

Lincoln

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/lincoln.pdf?sfvrsn=947a4c52_6

 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 Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225/50% days 1-7 No Yes $6,400/$11,300 Aetna Medicare Freedom PPO H5521-230 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket