1710 search results for Out

St.Charles

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-charles.pdf?sfvrsn=6b7b4c52_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

Pointe Coupee

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/pointe-coupee.pdf?sfvrsn=707b4c52_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, Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Terrebonne

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/terrebonne.pdf?sfvrsn=297b4c52_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 $7,550, Out-of-Pocket Maximum 2022 Medicare Advantage Plans Terrebonne Parish Vantage 100 HMO-POS

Iberia

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/iberia.pdf?sfvrsn=be7a4c52_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 H5521-234 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes $6,900, -Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket

Cameron

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/cameron.pdf?sfvrsn=cc7a4c52_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 H6453-010-2 800-363-9152 $0 $0 $45 $175 days 1-10 Yes Yes $5,200 Blue Advantage PPO H1248-004 800-363-9152 $100 $0/50% $40/50% $140/50% days 1-7 Yes Yes $4,000/$8,000 Blue Advantage, Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket Maximum 2022 Medicare

St.Helena

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-helena.pdf?sfvrsn=6f7b4c52_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 H6453-007-2 800-363-9152 $0 $0 $45 $140 days 1-10 Yes Yes $6,700 Blue Advantage PPO H1248-001 800-363-9152 $100 $0/50% $30/50% $170/50% days 1-7 Yes Yes $4,000/$8,000 Blue, Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans

St.Mary

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-mary.pdf?sfvrsn=467b4c52_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, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out

Rapides

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/rapides.pdf?sfvrsn=717b4c52_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 Advantra Plan HMO H5521-232 855-275-6627 $0 $0/$25 $30/$50 $225 days 1-5 Yes Yes $6,400/$11,300 Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7, Out-of-Pocket Maximum 2022 Medicare Advantage Plans Rapides Parish Vantage 100 HMO-POS H5576-022

St.Tammany

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-tammany.pdf?sfvrsn=407b4c52_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 Advantra Plan HMO H3928-002 855-275-6627 $28 $5 $35 $145 days 1-10 Yes Yes $6,900 Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum

LaSalle

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/lasalle.pdf?sfvrsn=447b4c52_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, Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum 2022 Medicare