1710 search results for Out
- Rapides
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/rapides2a29242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=48b64f52_6
-
Deductible
$150 Out-of-Network $150 Out-of-Network
$0 In-Network;
$1,000 Out-of-Network
$0
PCP Co-Pay $5,
Yes Yes Yes
Out-of-Pocket
Maximum
$6,400 In-Network;
$10,000 Combined
$6,000 In-Network,
Deductible
$1000 Out-of Network $0 $1000 out of network $1000 Out-of-Network
PCP Co-Pay $0 $10,
Additional Coverage
in the Rx Gap
No No No
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000, , Local PPO
Total Monthly
Premium
$0 $82 $110 $23.90
Health Plan
Deductible
$1,000 Out-of-Network
- St.Charles
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/st-charles8e29242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=23b64f52_6
- $150 Out-of Network $150 Out-of Network $0 $1,000
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35, $195 $0 $0
Additional Coverage in the
Gap
Yes Yes Yes
Out-of-Pocket Maximum
$6,400 In-Network, $370
Additional Coverage in the
Gap
No No No No
Out-of-Pocket Maximum $3,700 $3,700 $3,700 $6,700, $78 $0.00
Health Plan Deductible $1000 out of network $1000 Out-of Network $1000 Out-of-Network $1000 out of network
PCP Co-Pay $5.00 $0 $15 $0 in network
Specialist Co-Pay $45.00 $35 $50 $35
- St.Martin
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/st-martine129242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=1cb64f52_6
- Louisiana, HMO
Total Monthly
Premium
$0 $0 $0 $0
Health Plan
Deductible
$150 Out-of Network $150 Out-of Network $0 $0
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $35 $40 $40
ER $90 $90 $90 $90, Coverage
in the Gap
Yes No Yes
Out-of-Pocket
Maximum
$5,900 In-Network;
$10,000 Combined
$5,900, $44.00
Health Plan
Deductible
$1,000 $1000 Out-of Network $1000 Out-of-Network $1000 out of network, Coverage
in the Gap
Yes No No
Out-of-Pocket
Maximum
$3,500 In-Network;
$7,000 Combined
$6,700
- St.Landry
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/st-landrye029242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=2ab64f52_6
- Louisiana, HMO
Total Monthly
Premium
$0 $0 $0 $0
Health Plan
Deductible
$150 Out-of Network $150 Out-of Network $0 $0
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $35 $40 $40
ER $90 $90 $90 $90, Coverage
in the Gap
Yes No Yes
Out-of-Pocket
Maximum
$6,400 In-Network;
$10,000 Combined
$6,400,
Premium
$75 $0 $44.00 $0
Health Plan
Deductible
$1,000 $0 $1000 out of network $1000 Out, Coverage
in the Gap
Yes No No
Out-of-Pocket
Maximum
$5,000 In-Network;
$7,000 Combined
$6,700
- Lafourche
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/lafourchea324242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=bbc4f52_6
- Out-of-Network $0 $150 Out-of-Network $0
PCP Co-Pay $5 $5 $5 $0
Specialist Co-Pay $35 $30 $35 $35, Tier 3 and higher $0
Additional Coverage
in the Gap
Yes Yes Yes
Out-of-Pocket
Maximum
$6,400,
$1000 Out-of-Network $0 $1000 Out-of-Network $1000 Out-of-Network
PCP Co-Pay $0 $5 $0/$35 $15,
in the Gap
Yes No No
Out-of-Pocket
Maximum
$3,500 In-Network;
$7,000 Combined
$6,700 In-Network, *
Total Monthly
Premium
$44 $82 $110 $0
Health Plan
Deductible
$1000 Out-of-Network $1000 Out
- West Feliciana
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/west-felicianadc2a242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=dbb64f52_6
- $0 $0
Health Plan Deductible $0
$0 In-Network;
$1,000 Out-of Network
$0 $0
PCP Co-Pay $0 $0 $5, 1-10
Annual Drug Deductible $0 $0 $0
Additional Coverage in the
Gap
Yes Yes No
Out-of-Pocket, $1,000 $1000 Out-of-Network $1000 Out-of-Network $1,000 Out-of-Network
PCP Co-Pay $0 $5 $15 $0, day: Days 1-6
Annual Drug Deductible $400 $400
Additional Coverage in the
Gap
No No
Out-of-Pocket, Deductible $1,000 Out-of-Network $1,000 Out-of-Network $9,400 $0
PCP Co-Pay $15 In-Network $15
- Webster
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/webstera02a242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=edb64f52_6
-
$150 Out-of-Network $150 Out-of-Network
$0 In-Network;
$1,000 Out-of-Network
$0
PCP Co-Pay $5,
Yes Yes Yes
Out-of-Pocket
Maximum
$6,400 In-Network;
$10,000 Combined
$6,000 In-Network,
Deductible
$1000 Out-of Network $0 $0 $1000 out of network
PCP Co-Pay $0 $5 20% $5.00
Specialist Co-Pay, Drug
Deductible
$0 $435 $400.00
Additional Coverage
in the Rx Gap
No No No
Out-of-Pocket
Maximum, , Regional PPO
Total Monthly
Premium
$78 $0 $82 $110
Health Plan
Deductible
$1000 Out
- East Feliciana
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/east-felicianac623242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=31bc4f52_6
- Shield
of Louisiana, PPO
Total Monthly
Premium
$0 $0 $0 $75
Health Plan
Deductible
$150 Out-of Network $150 Out-of Network $0
$0 In-Network;
$1,000 Out-of Network
PCP Co-Pay $5 $5 $0 $0,
Annual Drug
Deductible
$100 $0 $0
Additional Coverage
in the Rx Gap
Yes Yes Yes
Out-of-Pocket, Out-of-Network
PCP Co-Pay $5 $0 $0 $5
Specialist Co-Pay $50 $40 $35 $45
ER $90 $90 $90 $90,
in the Rx Gap
No No
Out-of-Pocket
Maximum
$6,700 $6,700 In-Network $6,700
$6,700 In-Network;
$10,000
- Caddo
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/caddofe22242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=60bc4f52_6
-
$0 $150 Out-of-Network $150 Out-of-Network $0
PCP Co-Pay $10 $5 $5 $15
Specialist Co-Pay $35 $35,
Additional Coverage
in the Gap
$6,700 Yes Yes
Out-of-Pocket
Maximum
$6,700
$6,400 In-Network, Monthly
Premium
$75 $0 $0 $0
Health Plan
Deductible
$1,000 Out of Network $1000 Out-of-Network $0 $1000 Out-of-Network
PCP Co-Pay $0/30% $0 In-Network $5 $0 In-Network
Specialist Co-Pay $40/30,
In-Network
Annual Drug
Deductible
$0 $0
Additional Coverage
in the Gap
Yes No
Out-of-Pocket
- October 2019- Volume 10, Issue 10
- https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/october-2019-volume-10-issue-10
-
Document
Volume 10, Issue 10
October 2019
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 or to request a speaker for your organization or group, call (225) 219-0619 or send an email, outside your home where family members should meet in the event of an emergency