1425 search results for Ben
- Caddo
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/caddo.pdf?sfvrsn=c17a4c52_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
2022
- St.Martin
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-martin.pdf?sfvrsn=1a7b4c52_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 H5521-234 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes, -Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
Maximum
2022
- Evangeline
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/evangeline.pdf?sfvrsn=c27a4c52_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 $6,400,
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
Maximum
- St.Charles
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-charles.pdf?sfvrsn=6b7b4c52_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
- Pointe Coupee
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/pointe-coupee.pdf?sfvrsn=707b4c52_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,
Premium
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out
- Terrebonne
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/terrebonne.pdf?sfvrsn=297b4c52_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 $7,550,
Premium
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
- Iberia
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/iberia.pdf?sfvrsn=be7a4c52_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 H5521-234 855-275-6627 $0 $5/$25 $40/$50 $225 days 1-7 Yes Yes $6,900, -Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
- Cameron
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/cameron.pdf?sfvrsn=cc7a4c52_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 H6453-010-2 800-363-9152 $0 $0 $45 $175 days 1-10 Yes Yes $5,200
Blue Advantage PPO H1248-004 800-363-9152 $100 $0/50% $40/50% $140/50% days 1-7 Yes Yes $4,000/$8,000
Blue Advantage,
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out-of-Pocket
Maximum
2022 Medicare
- St.Helena
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-helena.pdf?sfvrsn=6f7b4c52_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 H6453-007-2 800-363-9152 $0 $0 $45 $140 days 1-10 Yes Yes $6,700
Blue Advantage PPO H1248-001 800-363-9152 $100 $0/50% $30/50% $170/50% days 1-7 Yes Yes $4,000/$8,000
Blue, Hospital Pt D Coverage
Offers Extra
Benefits
Out-of-Pocket
Maximum
2022 Medicare Advantage Plans
- St.Mary
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-mary.pdf?sfvrsn=467b4c52_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,
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Offers Extra
Benefits
Out