1710 search results for Out
- West Carroll
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/west-carroll2e5d232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=22c54852_6
- $15.00 $0.00 $0.00
Health Plan Deductible
$0 in network;
$1000 out of network
$0.00 $0.00 $1000 out of network
PCP Co-Pay $0.00 $0.00 $10.00 $0 in network
Specialist Co-Pay $40.00 $50.00 $40.00, Drugs 20% 20% 20% 20%
Out-of-Pocket Maximum
$0 for in network;
$10,000 out of network
$6,700.00, $33.10 $0.00
Health Plan Deductible $1000 out of network $1000 out of network $185.00 $0.00
PCP, $310.00
Additional Coverage in the Gap No No No No
Chemo Drugs 20% 20% 20% 20%
Out of Pocket
- Iberia
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/iberia9359232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=9bc64852_6
- Monthly
Premium
$0 $68 $0 $0
Health Plan
Deductible
$0
$0 In-Network;
$1,000 Out-of-Network
$0 In-Network $1000 Out-of-Network
PCP Co-Pay $0 $0 $0 $0 In-Network
Specialist Co-Pay $40 $40 $35 $35, No
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network
$5,000 In-Network, HMO-POS Local HMO
Total Monthly
Premium
$53 $87 $0 $59
Health Plan
Deductible
$1000 Out-of-Network $1000 Out-of-Network $1,500 Out-of-Network $0
PCP Co-Pay $15 In-Network $15 In-Network $0 $15
- Claiborne
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/claiborne7158232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=e2c94852_6
- ;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $35 $50 $40
ER $90 $90 $90 $90, $415 $0
Additional Coverage
in the Rx Gap
Yes Yes Yes
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket, Plan
Deductible
$1000 Out-of-Network
$185 - some In &
Out-of-Network
$1000 Out-of-Network $1,000 $1000 Out-of-Network
PCP Co-Pay $0 In-Network 20% $5 In-Network $15 In-Network $15 In-Network,
No No No No
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
- Catahoula
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/catahoula5e58232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=e0c94852_6
- *
Total Monthly
Premium
$15 $68 $0 $0
Health Plan
Deductible
$0
$0 In-Network;
$1,000 Out-of-Network
$0 $1000 Out-of-Network
PCP Co-Pay $0 $0 $10 $0 In-Network
Specialist Co-Pay $50 $40 $40 $35, No
Chemo Drugs $0 $0 $0 20%
Out-of-Pocket
Maximum
$6,700 In-Network
$5,000 In-Network;
$10,000 Out-of-Network
$6,700 In-Network
$6,700 In-Network;
$10,000 Combined
*No Drugs Covered
2019,
$1000 Out-of-Network $1000 Out-of-Network $0 $0
PCP Co-Pay $15 In-Network $15 In-Network $15 $10
- Caldwell
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/caldwell3658232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=fcc94852_6
- Monthly
Premium
$15 $68 $0 $0
Health Plan
Deductible
$0 $1,000 Out-of-Network $0 $1000 Out, % 20%
Out-of-Pocket
Maximum
$6,700 In-Network
$5,000 In-Network;
$10,000 Combined
$6,700, Monthly
Premium
$45 $53 $87 $59
Health Plan
Deductible
$1,000 Out-of-Network $1000 Out-of-Network $1000 Out-of-Network $0
PCP Co-Pay $5 In-Network $15 In-Network $15 In-Network $15
Specialist Co-Pay,
No No No No
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
$6,700
- Cameron
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/cameron4958232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=f1c94852_6
-
Premium
$0 $68 $0 $0
Health Plan
Deductible
$0
$0 In-Network;
$1,000 Out-of-Network
$0 $1000 Out-of-Network
PCP Co-Pay $0 $0 $10 $0 In-Network
Specialist Co-Pay $40 $40 $35 $35 In-Network
ER, % 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network
$5,000 In-Network;
$10,000 Combined,
Premium
$45 $53 $87 $0
Health Plan
Deductible
$1,000 Out-of-Network $1,000 $1000 Out-of-Network $1,500 Out-of-Network
PCP Co-Pay $5 In-Network $15 In-Network $15 In-Network $0
Specialist Co-Pay $45
- Calcasieu
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/calcasieu2158232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=f6c94852_6
- In-Network;
$1,000 Out-of-Network
$0
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $30 $40 $40
ER $90,
Deductible
$95 $0 $0
Additional Coverage
in the Gap
Yes Yes Yes
Chemo Drugs 20% 20% 20% 20%
Out,
Premium
$0 $0 $45 $53
Health Plan
Deductible
$1,000 Out-of-Network $0 $1,000 Out-of-Network $1000 Out,
$0 $400 $415
Additional Coverage
in the Gap
No No No
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket,
Deductible
$1,500 Out-of-Network $0 $185 Part B $0
PCP Co-Pay $0 $15 $10 $15
Specialist Co-Pay $35 $45
- Beauregard
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/beauregardae57232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=1ac94852_6
- In-Network;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $30 $40 $40
ER $90,
$95 $0 $0
Additional Coverage
in the Gap
Yes Yes Yes
Chemo Drugs 20% 20% 20% 20%
Out, Plan
Deductible
$1000 Out-of-Network
$185 - some In &
Out-of-Network
$1000 Out-of-Network $1,000 $1000 Out-of-Network
PCP Co-Pay $0 In-Network 20% $5 In-Network $15 In-Network $15 In-Network,
in the Gap
No No No No
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network
- Avoyelles
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/avoyellesaf57232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=1bc94852_6
- ;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $35 $40 $40
ER $90 $90 $90 $90,
Additional Coverage
in the Gap
Yes Yes Yes
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum,
Deductible
$1000 Out-of-Network
$185 - some In &
Out-of-Network
$1000 Out-of-Network $1,000 $1000 Out,
No No No No
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined,
in the Gap
No Yes No No
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum
$5,500 $3,000 $6,700
- De Soto Parish
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/de-soto-parish.pdf?sfvrsn=9fc64852_6
- ;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0 In-Network
Specialist Co-Pay $35 $35 $50 $40, % 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
$6,700 In-Network;
$10,000, $45 $53 $87
Health Plan
Deductible
$1,000 Out-of-Network
$185 for some In-Network
& Out-of-Network services
$1,000 Out-of-Network $1,000 $1,000 Out-of-Network
PCP Co-Pay $0 In-Network 20% $5,
Additional Coverage
in the Rx Gap
No No No No
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket