1710 search results for Out

MA Plan East Carroll Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-east-carroll-parish-2017.pdf?sfvrsn=31527652_12

and/or 25%- 51% Drugs not covered Chemo Drugs 20% 20%/ 19%- 25% 20%/ 30% Out-of-Pocket Maximum $6,700, $32.80 Health Plan Deductible $ 1,000 annual deductible $ 350 Out-of-network $ 350 Out-of-network, - $4 and/or 40%- 51% 40%- 51% Chemo Drugs 20%/ 30% 20% 20% 20% Out-of-Pocket Maximum $6,700/ $10,000, Deductible $ 350 Out-of-network PCP Co-pay $10- $25 0%- 20% Specialist Co-pay $50 0%- 20% ER $75, Drug Deductible $350 Additional Coverage Offered in the Gap 40%- 51% Chemo Drugs 20% Out

MA Plan Grant Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-grant-parish-2017.pdf?sfvrsn=22527652_12

%- 51% Drugs not covered Chemo Drugs 20% 20%/ 19%- 25% 20%/ 30% Out-of-Pocket Maximum $6,700, Deductible $1,000 annual deductible $350 Out-of-network $350 Out-of-network PCP Co-pay $15/ 30, % Chemo Drugs 20%/ 30% 20% 20% 20% Out-of-Pocket Maximum $6,700/ $10,000 $5,900 $3,600 $6,700, ) $0 $0 Health Plan Deductible $350 Out-of-network $ 0 PCP Co-pay $25 or 0-20% $5 Specialist Co, Deductible $350 $0 Additional Coverage Offered in the Gap 40%- 51% 40%- 51% Chemo Drugs 20% 20% Out

MA Plan Lincoln Parish 2017

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

% Drugs not covered Chemo Drugs 20% 20% 19%- 25% 20%/ 30% Out-of-Pocket Maximum $6,700 $6,700, Plan Deductible $1,000 annual deductible $350 Out-of-network $350 Out-of-network PCP Co-pay $15, % 40%- 51% Chemo Drugs 20%/ 30% 20% 20% 20% Out-of-Pocket Maximum $6,700/ $10,000 $5,900 $3,600, Monthly Consolidated Premium (includes part C & D) $0 Health Plan Deductible $350 Out-of-network, Additional Coverage Offered in the Gap 40%- 51% Chemo Drugs 20% Out-of-Pocket Maximum $6,700

MA Plan Bossier Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-bossier-parish-2017.pdf?sfvrsn=6f527652_12

% 20% 20% 20%/ 19%- 25% Out-of-Pocket Maximum $5,900/ $10,000 $6,700 $6,700 $6,700/ $10,000, Plan Deductible $1,000 annual deductible $1,000 annual deductible $350 Out- of network $350 Out, % Chemo Drugs 20%/ 30% 20%/ 30% 20% 20% Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000, Premium (includes part C & D) $32.80 $0 Health Plan Deductible $350 Out- of network PCP Co-pay, 20% 20% Out-of-Pocket Maximum $6,700 $6,700

MA Plan Caddo Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-caddo-parish-2017.pdf?sfvrsn=5c527652_12

% 20% 20%/ 19%- 25% Out-of-Pocket Maximum $5,900/ $10,000 $6,700 $6,700 $6,700/ $10,000 Summary, deductible $1,000 annual deductible $350 Out-of pocket $350 Out-of pocket PCP Co-pay $10/ $35 $15, %-51% $0- $4 and/ or 40%- 51% 40%- 51% Chemo Drugs 20%/ 30% 20%/ 30% 20% 20% 20% Out-of-Pocket, part C & D) $0 Health Plan Deductible $350 Out-of pocket PCP Co-pay $25 0%- 20% Specialist Co-pay, Drugs 20% Out-of-Pocket Maximum $6,700

MA Plan Acadia Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-acadia-parish-2017.pdf?sfvrsn=7e527652_12

% Out-of-Pocket Maximum $6,700 $6700/ $10,000 $6,700/$10,000 Summary of Benefits Acadia Parish, part C & D) $47 $0 $35 $32.80 Health Plan Deductible $1,000 annual deductible $0 $350 out, % $0- $15 and/or 40%- 51% 40%- 51% 40%- 51% Chemo Drugs 20%/ 30% 20% 20% 20% Out-of-Pocket Maximum, $0 $0 Health Plan Deductible $350 out-of-network $350 out-of-network $0 PCP Co-pay $10 0%-20, and /or 40% -51% 40%- 51% 40%- 51% Chemo Drugs 20% 20% 20% Out-of-Pocket Maximum $3,600 $6,700 $6,700

MA Plan Richland Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-richland-parish-2017.pdf?sfvrsn=a84f7652_12

% (Part B) Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 2017 Medicare Advantage, in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (Richland Parish) HumanaChoice, deductible $350 Out-of-Network deductible $350 Out-of-Network deductible $15 / 30% $15 $10 $25, Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (Richland, Vantage Health Plan Inc HMO HMO-POS $32.80 $0 $166 annual deductible $350 Out-of-Network

MA Plan Madison Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-madison-parish-2017.pdf?sfvrsn=ce4f7652_12

% (Part B) Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 2017 Medicare Advantage, in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (Madison Parish) HumanaChoice, deductible $350 Out-of-Network deductible $350 Out-of-Network deductible $15 / 30% $15 $10 $25 - $50, Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (Madison Parish, Vantage Health Plan Inc HMO HMO-POS $32.80 $0 $166 annual deductible $350 Out-of-Network

MA Plan West Carroll Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-west-carroll-parish-2017.pdf?sfvrsn=cc457652_6

% 20% / 30% (Part B) Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 2017 Medicare, Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (West Carroll Parish, $1,000 annual deductible $350 Out-of-Network deductible $350 Out-of-Network deductible $15 / 30, Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits, Out-of-Network deductible $10 $25 / 0 - 20% 20% after $166 deductible $50 / 0 - 20% 20% per visit

MA Plan Webster Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-webster-parish-2017.pdf?sfvrsn=c0457652_6

) Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 2017 Medicare Advantage Plans, Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table (Webster Parish) HumanaChoice (PPO, $151 $1,000 annual deductible $350 Out-of-Network deductible $350 Out-of-Network deductible $15, Drug Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary, annual deductible $350 Out-of-Network deductible $10 $25 / 0 - 20% 20% after $166 deductible $50 / 0