1710 search results for Out
- MA Plan DeSoto Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-desoto-parish-2017.pdf?sfvrsn=49527652_12
- deductible $1,000 annual deductible $1,000 annual deductible $350 Out-of-network
PCP Co-pay
$5/ 30% $15 $10, %
Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $5,900
Summary,
Health Plan
Deductible
$350 Out-of-network $350 Out-of-network
PCP Co-pay $0- $10 $10 0%- 20% $10, %
Out-of-Pocket
Maximum
$3,600 $6,700 $6,700
- 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
- %
Chemo Drugs
20%/ 19%- 25% 20%- 30%
20%/ 30% 20%
Out-of-Pocket
Maximum
$6,700/ $10,000 $6,700,
Health Plan Deductible $350 Out-of-network $ 350 Out-of-network $350 Out-of-network
PCP Co-pay $15,
Offered in the Gap
40%- 51% $0- $4 and/or 40%- 51% 40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20%
Out
- MA Plan Cameron Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-cameron-parish-2017.pdf?sfvrsn=5f527652_12
- %- 25% 20%/ 30%
20%/ 30%
Out-of-Pocket
Maximum
$6,700 $6,700/ $10,000
$6,700/ $10,000 $6,700, Consolidated Premium
(includes part C & D)
$0 $35 $151 $32.80 $0
Health Plan Deductible $0 $350 Out-of-network $350 Out-of-network $350 Out-of-network
PCP Co-pay $10 $15 0%- 20% $10 0%- 20% $10 0%- 20, and/or 40%-
51%
40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket Maximum $6,700
- MA Plan Claiborne Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-claiborne-parish-2017.pdf?sfvrsn=4d527652_12
- deductible $1,000 annual deductible $1,000 annual deductible $350 Out-of-network
PCP Co-pay
$5/ 30% $15, %
Out-of-Pocket
Maximum
$6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $5,900, $0
Health Plan
Deductible
$350 Out-of-network
$350 Out-of-network
PCP Co-pay $10 0%- 20% $10 0, % 20%
Out-of-Pocket
Maximum
$3,600 $6,700 $6,700
- MA Plan Catahoula Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-catahoula-parish-2017.pdf?sfvrsn=4c527652_12
- annual deductible $1,000 annual deductible $350 Out-of-network
PCP Co-pay
$15 $15 $10/ $35 $15/ 30, %- 51% 40%- 51%
Chemo Drugs 20%
20%/ 19%- 25% 20%/ 30%
20%/ 30% 20%
Out-of-Pocket
Maximum
$6,700, Consolidated
Premium (includes part
C & D)
$151 $32.80 $0
Health Plan Deductible $350 Out-of-network $350 Out-of-network
PCP Co-pay $10 0%- 20% $10 0%- 20% $25 0%- 20%
Specialist Co-pay $40 0, and/or 40%-
51%
40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20%
Out-of-Pocket Maximum $3,600 $6,700
- 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
- % 20%/ 30%
Out-of-Pocket
Maximum
$6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000,
Monthly Consolidated
Premium (includes part C & D)
$35 $151 $32.80 $0
Health Plan Deductible $350 Out-of-network $350 Out-of-network $350 Out-of-network
PCP Co-pay $15 or 0-20% $10 or 0-20% $10, in
the Gap
40%- 51% $0- $4 and/or 40%- 51% 40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
- MA Plan Caldwell Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-caldwell-parish-2017.pdf?sfvrsn=5e527652_12
- %- 25% 20%/ 30%
20%/ 30%
Out-of-Pocket
Maximum
$6,700 $6,700/ $10,000 $6,700/ $10,000 $6,700, Plan Deductible $350 Out-of-network $350 Out-of-network $350 Out-of-network
PCP Co-pay $15 0%- 20% $10,
in the Gap
40%- 51% $0- $4 and/ or 40%- 51% 40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20%
Out
- MA Plan Calcasieu Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-calcasieu-parish-2017.pdf?sfvrsn=5d527652_12
- not covered 40%- 51%
Chemo Drugs
20% 20%/ 30% 20%/ 19%- 25% 20%/ 30%
20%/ 30%
Out-of-Pocket
Maximum, Consolidated Premium
(includes part C & D)
$0 $35 $151 $32.80 $0
Health Plan Deductible $0 $350 Out-of network $350 Out-of network $350 Out-of-network
PCP Co-pay $10 $15 0%- 20% $10 0%- 20% $10 0%- 20, %- 51% 40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket Maximum $6,700 $5,900 $3,600
- MA Plan Bienville Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-bienville-parish-2017.pdf?sfvrsn=6e527652_12
- deductible $350 Out-of-network
PCP Co-pay
$5/ 30% $15 $10/ $35 $15/ 30%
$15 0%- 20%
Specialist Co, Drugs 20%/ 30%
20%/ 19%- 25% 20%/ 30%
20%/ 30% 20%
Out-of-Pocket
Maximum
$6,700/ $10,000 $6,700,
Health Plan Deductible $350 Out-of-network $350 Out-of-network
PCP Co-pay $10 0%- 20% $10 0%- 20% $25, Coverage
Offered in the Gap
$0- $4 and/or 40%-
51%
40%- 51% 40%- 51%
Chemo Drugs 20% 20%
Out
- 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
- %/ 30% 20%/ 30% 20%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000 $6,700, (includes part C
& D)
$52 $35 $151 $32.80 $0
Health Plan Deductible $0 $350 out-of-network $350 out-of-network $350 out-of-network
PCP Co-pay $25 $15 0%- 20% $10 0%/ 20% $10 0%- 20% $25 0%- 20, %- 51% $0- $4 and/ or 40%- 51% 40%- 51% 40%- 51%
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket Maximum