Peoples Health Secure Complete (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Peoples Health.
This page features plan details for 2022 Peoples Health Secure Complete (HMO D-SNP) H1961 – 019 – 0 available in Louisiana.
Peoples Health Secure Complete (HMO D-SNP) is offered in the following locations.
Peoples Health Secure Complete (HMO D-SNP) offers the following coverage and cost-sharing.
Special Needs Plan Type: | Dual-Eligible |
Conditions Covered: |
Insurer: | Peoples Health |
Health Plan Deductible: | $0 |
MOOP: | $3,450 In-network |
Drugs Covered: | Yes |
Ready to sign up for Peoples Health Secure Complete (HMO D-SNP) ?
Part B | Part C | Part D | Part B Give Back | Total |
---|---|---|---|---|
$170.10 | $0.00 | $0.00 | $0.00 | $170.10 |
Peoples Health Secure Complete (HMO D-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Deductible: | $480.00 |
Initial Coverage Limit: | $4,430.00 |
Catastrophic Coverage Limit: | $7,050.00 |
Drug Benefit Type: | Basic |
Gap Coverage: | No Gap Coverage |
Formulary Link: | Formulary Link |
Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
---|---|---|---|---|
$0.00 | $25.50 | $17.00 | $8.50 | $0.00 |
After you pay your $480.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,430.00. Once you reach that amount, you will enter the next coverage phase.
After your total drug costs (including what this plan has paid and what you have paid) reach $4,430.00, you will pay no more than the amounts below for any drug tier until you reach $7,050.00.
Drug Type | Cost Share |
---|---|
Generic drugs | 25% |
Brand-name drugs | 25% |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,050.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.
Tier | Cost |
---|---|
Generic | $4.15 copay or 5% (whichever costs more) |
Brand-name | $10.35 copay or 5% (whichever costs more) |
Peoples Health Secure Complete (HMO D-SNP) also provides the following benefits.
In-Network: No |
Diagnostic services: | $0 copay (limits may apply) |
Endodontics: | $0 copay (limits may apply) |
Extractions: | $0 copay (limits may apply) |
Non-routine services: | Not covered |
Periodontics: | $0 copay (limits may apply) |
Prosthodontics, other oral/maxillofacial surgery, other services: | $0 copay (limits may apply) |
Restorative services: | $0 copay (limits may apply) |
Cleaning: | $0 copay (limits may apply) |
Dental x-ray(s): | $0 copay (limits may apply) |
Fluoride treatment: | $0 copay (limits may apply) |
Oral exam: | $0 copay (limits may apply) |
Diagnostic radiology services (e.g., MRI): | $0 copay (authorization required) |
Diagnostic tests and procedures: | $0 copay (authorization required) |
Lab services: | $0 copay (authorization required) |
Outpatient x-rays: | $0 copay (authorization required) |
Primary: | $0 copay |
Specialist: | $0 copay |
Emergency: | $0 copay |
Urgent care: | $0 copay |
Foot exams and treatment: | $0 copay |
Routine foot care: | $0 copay (limits may apply) |
$0 copay |
$0.00 |
In-Network: No |
Fitting/evaluation: | $0 copay (limits may apply) |
Hearing aids: | $0 copay (limits may apply) |
Hearing exam: | $0 copay |
$0 copay (authorization required) |
$0 copay (authorization required) |
$3,450 In-network |
Diabetes supplies: | $0 copay (authorization required) |
Durable medical equipment (e.g., wheelchairs, oxygen): | $0 copay (authorization required) |
Prosthetics (e.g., braces, artificial limbs): | $0 copay (authorization required) |
Chemotherapy: | $0 copay (authorization required) |
Other Part B drugs: | $0 copay (authorization required) |
Inpatient hospital – psychiatric: | $0 copay (authorization required) |
Outpatient group therapy visit with a psychiatrist: | $0 copay (authorization required) |
Outpatient group therapy visit: | $0 copay (authorization required) |
Outpatient individual therapy visit with a psychiatrist: | $0 copay (authorization required) |
Outpatient individual therapy visit: | $0 copay (authorization required) |
No |
$0 copay |
Occupational therapy visit: | $0 copay (authorization required) |
Physical therapy and speech and language therapy visit: | $0 copay (authorization required) |
$0 copay (authorization required) |
$0 copay (authorization required) |
Contact lenses: | $0 copay (limits may apply) |
Eyeglass frames: | Not covered |
Eyeglass lenses: | Not covered |
Eyeglasses (frames and lenses): | $0 copay (limits may apply) |
Other: | Not covered |
Routine eye exam: | $0 copay (limits may apply) |
Upgrades: | Not covered |
Covered |
Ready to sign up for Peoples Health Secure Complete (HMO D-SNP) ?
SMID: MULTIPLAN_HCIHNDOGMED01_M
Factsonmedicare.com is a free-to-use informational website by Dog Media Solutions LLC. All insurance agents and enrollment platforms linked to this site have their own terms and conditions.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B Premium give-back is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
All plan-related information on this site is from CMS.gov and Medicare.gov. We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.
HealthCompare Insurance Services does not offer every plan available in your area. Currently we represent 18 organizations, which offers 52,101 products in your area.
We do not feature every plan available in your area. Any information we provide is limited to those plans we do feature in your area. Enrollment is offered through our partners including HealthCompare Insurance Services Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
HealthCompare Insurance Services represents Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Medicare has neither approved nor endorsed any information on this site.