1710 search results for Out

Grant

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/grant.pdf?sfvrsn=bd7a4c52_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, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Jefferson Davis

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/jefferson-davis.pdf?sfvrsn=b97a4c52_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 H5521-233 855-275-6627 $0 $5/$25 $35/$50 $245 days 1-7 Yes Yes $7,000, Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Iberville

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/iberville.pdf?sfvrsn=bf7a4c52_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 HMO H3928-001 855-275-6627 $0 $5 $35 $145 days 1-10 Yes Yes $5,900 Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300, Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum 2022

Vernon

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/vernon.pdf?sfvrsn=3d7b4c52_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

Lafayette

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/lafayette.pdf?sfvrsn=aa7a4c52_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, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum

St.John the Baptist

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-john-the-baptist.pdf?sfvrsn=5b7b4c52_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, Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans St. John the Baptist Parish Peoples

Tangipahoa

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/tangipahoa.pdf?sfvrsn=357b4c52_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 $7,550, PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out-of-Pocket

St.James

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-james.pdf?sfvrsn=557b4c52_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, Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans St. James Parish Vantage 100 HMO-POS

Vermilion

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/vermilion.pdf?sfvrsn=327b4c52_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, Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket

Plaquemines

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/plaquemines.pdf?sfvrsn=787b4c52_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 H5521-233 855-275-6627 $0 $5/$25 $35/$50 $245 days 1-7 Yes Yes, Out-of-Pocket Maximum 2022 Medicare Advantage Plans Plaquemines Parish Vantage 100 HMO-POS