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Looking for 2025 Peoples Health Secure Health (HMO-POS D-SNP)? Click here.

Peoples Health Secure Health (HMO-POS D-SNP) | 2024

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A plan with Part D drug coverage for people with Medicare and medical assistance from the state. This is a Medicare Special Needs Plan for people who also have Medicaid at levels ranging from the state paying your Part A or B premium to full Medicaid benefits. Available in all Louisiana parishes.

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$0
Primary Care
Physician Visit

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$112/month
Allowance for Food, Utility Bills and OTC Items

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$0
Up to 36
One-Way Trips

plan_premium_blue
Stethoscope icon

$0
Primary Care
Physician Visit

Icon of a bandage

$112/month
Allowance for Food, Utility Bills and OTC Items

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$0
Up to 36
One-Way Trips

 Plan Highlights | 2024

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$0 Primary
Care
Visits

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$0
Hearing Aids

Icon of a bandage

$112/Month
Allowance for Food, Utility Bills and OTC Items

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$0 Meals
After Inpatient
Hospital Stay

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$0
Dental Exams,
Cleanings & X-rays

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$0
Eyeglasses
or Contacts

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$0 
Up to 36
One-Way Trips

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$0
Fitness
Benefit

Plan Benefits | 2024

The benefits below are available with this Medicare Advantage plan. For a full list of benefits, please see the Evidence of Coverage for this plan.

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All tier 1 and 2 generics are COVERED through the Part D coverage gap. Brand-name drugs have partial coverage through the gap. 100-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

You will pay a maximum of $35 for each 1-month supply of Part D-covered insulin drugs through all drug payment stages, except the Catastrophic drug payment stage, where you pay $0.

You will pay a $0 copay for all Part D-covered vaccines, including Shingrix.

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Notes:

Costs listed are based on use of network providers.

Authorization is required for certain services.

Doctor and Hospital Coverage

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Part D Prescription Drug Coverage

All tier 1 and 2 generics are COVERED through the Part D coverage gap. Brand drugs have partial coverage through the gap. 100-day supplies of maintenance medications on tiers 1, 2, 3 and 4 are available at retail pharmacies and by mail order.

You will pay a maximum of $35 for each 1-month supply of Part D-covered insulin drugs through all drug payment stages, except the Catastrophic drug payment stage, where you pay $0.

You will pay a $0 copay for all Part D covered vaccines, including Shingrix.

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Additional Benefits

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Notes:

Costs listed are based on use of network providers.
Authorization is required for certain services.

Important Documents | 2024

Plan Overview for Peoples Health Secure Health – An overview of plan benefits

Annual Notice of Changes for Peoples Health Secure Health – A summary of plan benefit changes compared to the previous year and other important plan details

Evidence of Coverage for Peoples Health Secure Health – Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details

Summary of Benefits for Peoples Health Secure Health – A general summary of plan benefits

Vendor Information – A listing of providers offering benefit-related services

Medicare Star Ratings Summary

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Extra Help | 2024

African American male and female seniors embracing in a pool
Male and female Caucasian seniors riding bicycles ; background of trees in the fall
Two female seniors planting flowers in flower pots.
Class of seniors working out at a gym.

Peoples Health Secure Health (HMO-POS D-SNP) 
Monthly Plan premium for people who get Extra Help from Medicare to help pay for their prescription drug costs

If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare.

If you get extra help, your monthly plan premium will be $0 for any of the plan(s) below. (This does not include any Medicare Part B premium you may have to pay.)

  • Peoples Health Secure Health (HMO-POS D-SNP)

Peoples Health Secure Health (HMO-POS D-SNP) premium includes coverage for both medical services and prescription drug coverage.

If you aren’t getting Extra Help, you can see if you qualify by calling:

  • 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
  • Your State Medicaid Office, or
  •  The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call Customer Service at 1-855-269-0778, TTY 711, from 8 a.m.-8 p.m. local time, 7 days a week.

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