1432 search results for Ben
- Morehouse
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/morehouse.pdf?sfvrsn=867a4c52_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
Blue Advantage HMO H6453-010-2 800-363-9152 $0 $0 $45 $175 days 1-10 Yes Yes $5,200
Blue, Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out-of-Pocket
- Concordia
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/concordia.pdf?sfvrsn=d57a4c52_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% $17/50% 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 Advantage
- Natchitoches
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/natchitoches.pdf?sfvrsn=817a4c52_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
Blue Advantage HMO H6453-005 800-363-9152 $0 $0 $50 $215 day 1-10 Yes Yes $6,700
Blue Advantage, Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
Maximum
2022 Medicare Advantage
- Richland
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/richland.pdf?sfvrsn=6c7b4c52_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 days 1-10 Yes Yes $5,900
Blue Advantage PPO H1248-006 800-363-9152 $100 $0/50% $40/50% $1750%0/ days 1-7 Yes Yes $4,200/$8,400
Blue,
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
Maximum
2022
- Union
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/union.pdf?sfvrsn=307b4c52_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 Plan
PPO H5521-235 855-275-6627 $0 $0/30% $30/50% $225 days 1-7 No Yes $6,400/$11,300
Aetna Medicare Freedom Plan
PPO H5521-230 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes,
Premium
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
- Madison
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/madison.pdf?sfvrsn=957a4c52_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,
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out-of-Pocket
Maximum
2022 Medicare Advantage
- Public Comment - Paul Meche 1.13.24
- https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/public-comment---paul-meche-1-13-24.pdf?sfvrsn=25404652_0
- Directors may get enriched by the re-organization by higher pay, more generous
benefits and/or STOCK, and future
cost/benefits from the new company but will address those in a following comment. Best Regards
- Consultant Licensing Requirements
- https://ldi.la.gov/industry/producer-adjuster/license-application/lists/application-type/consultant-licensing-requirements
- Act 312 of the 2016 Legislative Session requires the licensure of insurance consultants effective August 1, 2016. A consultant is defined as any person or entity which offers for a fee or other valuable consideration any advice, counsel, opinion, or related services to risk evaluation or management, the benefits, coverages, exclusions, or provisions under an insurance policy, or involving, retention programs. The benefits, coverages, exclusions, or provisions under any policy of insurance
- Act 312 - (Effective 8/1/16) Licensure Requirement for Consultants
- Act 312 of the 2016 Legislative Session requires the licensure of insurance consultants effective August 1, 2016. A consultant is defined as any person or entity which offers for a fee or other valuable consideration any advice, counsel, opinion, or related services to risk evaluation or management, the benefits, coverages, exclusions, or provisions under an insurance policy, or involving, transfer, self-insurance, self-insured retention programs. The benefits, coverages, exclusions
- Minutes
- https://ldi.la.gov/docs/default-source/documents/health/lhcc/minutes/lhcc-minutes23mar2018.pdf?sfvrsn=98fb4b52_0
- .
•
SB 324 – Prohibits any contract entered into this state between an insurer, a
pharmacy benefit, 369 – Provides for mediation of the settlement of out-of-work network health
benefit claims, – Provides relative to the regulation of pharmacy benefit managers. This is
an issue of whether it’s contractual or based on reimbursement.
•
SB 130 – Provides for Medicaid pharmacy benefit management services.
•
SB 283 – Provides relative to pharmacy benefit managers.
•
HB 243 – Prohibits