1432 search results for Ben
- MA Plan Concordia Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-concordia-parish-2017.pdf?sfvrsn=48527652_12
-
2017 Summary of Benefits Table ( Concordia Parish)
Medicare
Advantage Plans
HumanaChoice HumanaChoice HumanaChoice AAA0 Vantage Standard
AAA1 Vantage
Premium
Contract ID/Plan ID R5826-011 R5826-068 R5826-078 H5576-017
H5576-018
Organization Name Humana Insurance Company Humana Insurance Company Humana Insurace Company
Vantage Health Plan
Vantage Health Plan
Type of Medicare Plan, / $10,000 $6,700/ $10,000 $5,900 $3,600
Summary of Benefits Table ( Concordia Parish)
Medicare
- MA Plan Beauregard Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-beauregard-parish-2017.pdf?sfvrsn=6d527652_12
-
2017 Summary of Benefits Table ( Beauregard Parish)
Medicare Advantage
Plans
HumanaChoice HumanaChoice HumanaChoice
AAA0 Vantage
Standard
AAA1 Vantage
Premium
Contract ID/Plan ID R5826-011 R5826-068 R5826-078
H5576-017 H5576-018
Organization Name Humana Insurance Company Humana Insurance Company Humana Insurance Company
Vantage Health Plan Vantage Health Plan
Type of Medicare Plan, / $10,000 $6,700/ $10,000 $6,700/ $10,000 $5,900 $3,600
Summary of Benefits Table ( Beauregard Parish
- MA Plan Allen Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-allen-parish-2017.pdf?sfvrsn=7f527652_12
-
2017 Summary of Benefits Table (Allen Parish)
Medicare Advantage
Plans
HumanaChoice HumanaChoice HumanaChoice
AAA0 Vantage
Standard
Contract ID/Plan ID R5826-011 R5826-068 R5826-078
H5576-017
Organization Name Humana Insurance Company
Humana Insurance Company Humana Insurance Company
Vantage Health Plan
Type of Medicare Health
Plan
Regional PPO Regional PPO Regional PPO Local HMO, of Benefits Table (Allen Parish)
Medicare Advantage
Plans
AAA1 Vantage
Premium
AAA4 Vantage
- Non-Producer and Company Requirements
- https://ldi.la.gov/docs/default-source/documents/compliance-seminar/2017-Compliance-Seminar/mike-boutwell---company-licensing-presentation.pdf?sfvrsn=14637552_0
- Submission
Louisiana
Department of
Insurance LDI
Benefits of Electronic Submission Benefits
- 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