1425 search results for Ben

MA Plan Jefferson Davis Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-jefferson-davis-parish-2017.pdf?sfvrsn=1c527652_12

 2017 Summary of Benefits Table ( Jefferson Davis 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 Plan Regional PPO Regional PPO Regional PPO Local HMO, / $10,000 $6,700/ $10,000 $6,700/ $10,000 $5,900 Summary of Benefits Table ( Jefferson Davis Parish

MA Plan Evangeline Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-evangeline-parish-2017.pdf?sfvrsn=38527652_12

 2017 Summary of Benefits Table ( Evangeline Parish) Medicare Advantage Plans HumanaChoice HumanaChoice HumanaChoice Peoples Health Choices Gold Contract ID/Plan ID R5826-011 R5826-068 R5826-078 H1961-017 Organization Name Humana Insurance Company Humana Insurance Company Humana Insurance Company Peoples Health Type of Medicare Plan Regional PPO Regional PPO Regional PPO Local HMO, / $10,000 $6,700/ $10,000 $6,700 Summary of Benefits Table ( Evangeline Parish) Medicare Advantage

MA Plan LaSalle Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-lasalle-parish-2017.pdf?sfvrsn=1a527652_12

 2017 Summary of Benefits Table ( La Salle Parish) Medicare Advantage Plans HumanaChoice HumanaChoice HumanaChoice HumanaChoice Contract ID/Plan ID H6609-104 R5826-011 R5826-068 R5826-078 Organization Name Humana Insurance Company Humana Insurance Company Humana Insurance Company Humana Insurance Company Type of Medicare Plan Local PPO Regional PPO Regional PPO Regional PPO Monthly, Summary of Benefits Table ( La Salle Parish) Medicare Advantage Plans AAA Vantage Standard AAA1

MA Plan Avoyelles Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-avoyelles-parish-2017.pdf?sfvrsn=6c527652_12

 2017 Summary of Benefits Table ( Avoyelles Parish) Medicare Advantage Plans HumanaChoice HumanaChoice HumanaChoice UnitedHealthcare MedicareDirect Essential Contract ID/Plan ID R5826-011 R5826-068 R5826-078 H5435-001 Organization Name Humana Insurance Company Humana Insurance Company Humana Insurance Company UnitedHealthcare Type of Medicare Plan Regional PPO Regional PPO Regional, Summary of Benefits Table ( Avoyelles Parish) Medicare Advantage Plans UnitedHealthcare

MA Plan St Bernard Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-st-bernard-parish-2017.pdf?sfvrsn=ab4f7652_12

 2017 Summary of Benefits Table (St. Bernard Parish) Medicare Advantage Plans HumanaChoice (PPO) HumanaChoice * (PPO without Drug Coverage) HumanaChoice (PPO) Contract ID/Plan ID R5826-011 R5826-068 * R5826-078 Organization/Company Name Humana Insurance Co Humana Insurance Co Humana Ins Co Type of Medicare Plan Regional PPO Regional PPO * Regional PPO Monthly Consolidated Premium, -of-Pocket Maximum Summary of Benefits Table (St. Bernard Parish) AAA4 Vantage Traditional Plus (HMO

Assumption

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/assumption.pdf?sfvrsn=f7a4c52_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, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum

Acadia

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/acadia.pdf?sfvrsn=d7a4c52_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 Freedom PPO H5521-234 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes $6,900/$11,300 Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400, Premium PCP Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Additional Benefits Out

Allen

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/allen.pdf?sfvrsn=e7a4c52_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, Benefits Out-of-Pocket Maximum 2022 Medicare Advantage Plans Allen Parish Vantage 100 HMO-POS

Avoyelles

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/avoyelles.pdf?sfvrsn=97a4c52_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 H5521-232 855-275-6627 $0 $0/$25 $30/$50 $225 days 1-5 Yes Yes, Co-Pay Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket

Bossier

https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/bossier.pdf?sfvrsn=fb7a4c52_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 Plan HMO H3928-002 855-275-6627 $28 $5 $35 $145 days 1-10 Yes Yes $6,900 Aetna Medicare Eagle PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400, Specialist Co-Pay Inpatient Hospital Pt D Coverage Offers Extra Benefits Out-of-Pocket Maximum