H3239-027-000 HMO
Exact segment geography Aetna Medicare Full Dual Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3239-027-000 — Open exact plan page → H3239-001-000 HMO
Exact segment geography Aetna Medicare QMB Only Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3239-001-000 — Open exact plan page → H3239-022-000 HMO
Exact segment geography Aetna Medicare Signature Care (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H3239-022-000 — Open exact plan page → H8492-001-000 HMO
Exact segment geography American Health Advantage of Louisiana (HMO I-SNP)
American Health Advantage of Louisiana
InstitutionalPrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8492-001-000 — Open exact plan page → H8492-002-000 HMO
Exact segment geography American Health Advantage of Louisiana Choice (HMO I-SNP)
American Health Advantage of Louisiana
InstitutionalPrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8492-002-000 — Open exact plan page → H6453-013-004 HMOPOS
Exact segment geography Blue adVantage Classic (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H6453-013-004 — Open exact plan page → H6453-019-000 HMOPOS
Exact segment geography Blue adVantage Dual Plus (HMO-POS D-SNP)
Blue Cross and Blue Shield of Louisiana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $14.90 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6453-019-000 — Open exact plan page → H1248-007-000 Local PPO
Exact segment geography Blue adVantage Liberty (PPO)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,151 in-network
- Drug coverage
- Reported
H1248-007-000 — Open exact plan page → H6453-018-002 HMOPOS
Exact segment geography Blue adVantage Platinum (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $249 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Reported
H6453-018-002 — Open exact plan page → H1248-004-000 Local PPO
Exact segment geography Blue adVantage Premier (PPO)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $175 / month
- MOOP
- $4,000 in-network
- Drug coverage
- Reported
H1248-004-000 — Open exact plan page → H6453-017-002 HMOPOS
Exact segment geography Blue adVantage Reliance (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $4,100 in-network
- Drug coverage
- Reported
H6453-017-002 — Open exact plan page → H7766-018-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE ENHANCED 018 LA (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H7766-018-000 — Open exact plan page → H7766-021-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 021 LA (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
H7766-021-000 — Open exact plan page → H7766-024-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE PLUS 024 LA (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7766-024-000 — Open exact plan page → H7766-016-000 Local PPO
Exact segment geography DEVOTED CHOICE 016 LA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,050 in-network
- Drug coverage
- Reported
H7766-016-000 — Open exact plan page → H7766-017-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 017 LA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,150 in-network
- Drug coverage
- Reported
H7766-017-000 — Open exact plan page → H7766-029-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK EXTRAS 029 LA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
H7766-029-000 — Open exact plan page → H7766-023-000 Local PPO
Exact segment geography DEVOTED DUAL CHOICE 023 LA (PPO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H7766-023-000 — Open exact plan page → H7766-022-000 Local PPO
Exact segment geography DEVOTED DUAL CHOICE FULL 022 LA (PPO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7766-022-000 — Open exact plan page → H7766-026-000 Local PPO
Exact segment geography DEVOTED DUAL CHOICE QMB 026 LA (PPO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7766-026-000 — Open exact plan page → H1947-004-000 HMO
Exact segment geography Healthy Blue Dual Advantage (HMO D-SNP)
Healthy Blue
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1947-004-000 — Open exact plan page → H1947-003-000 HMO
Exact segment geography Healthy Blue Enhanced Care (HMO D-SNP)
Healthy Blue
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H1947-003-000 — Open exact plan page → H1951-032-000 HMO
Exact segment geography Humana Dual QMB Only (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1951-032-000 — Open exact plan page → H1951-056-000 HMO
Exact segment geography Humana Dual Select H1951-056 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1951-056-000 — Open exact plan page → R0110-003-000 Regional PPO
Exact segment geography Humana Full Access (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $212 / month
- MOOP
- $3,800 in-network
- Drug coverage
- Reported
R0110-003-000 — Open exact plan page → H1951-028-000 HMO
Exact segment geography Humana Gold Plus H1951-028 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $25 / month
- MOOP
- $4,800 in-network
- Drug coverage
- Reported
H1951-028-000 — Open exact plan page → H1951-057-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1951-057-000 — Open exact plan page → H1951-061-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $1.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1951-061-000 — Open exact plan page → H1951-060-000 HMO
Exact segment geography Humana USAA Honor Giveback (HMO)
Humana
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Not reported
H1951-060-000 — Open exact plan page → H5216-201-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Not reported
H5216-201-000 — Open exact plan page → H5216-161-000 Local PPO
Exact segment geography Humana Value Plus H5216-161 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $6,850 in-network
- Drug coverage
- Reported
H5216-161-000 — Open exact plan page → H7617-081-000 Local PPO
Exact segment geography Humana Value Plus H7617-081 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $6,850 in-network
- Drug coverage
- Reported
H7617-081-000 — Open exact plan page → H5216-064-000 Local PPO
Exact segment geography HumanaChoice H5216-064 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $54 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5216-064-000 — Open exact plan page → H5216-326-000 Local PPO
Exact segment geography HumanaChoice H5216-326 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H5216-326-000 — Open exact plan page → H7617-080-000 Local PPO
Exact segment geography HumanaChoice H7617-080 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H7617-080-000 — Open exact plan page → R0110-001-000 Regional PPO
Exact segment geography HumanaChoice R0110-001 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,000 in-network
- Drug coverage
- Not reported
R0110-001-000 — Open exact plan page → H5216-332-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5216-332 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-332-000 — Open exact plan page → H6566-001-000 Local PPO
Exact segment geography Lagniappe Advantage (PPO I-SNP)
Lagniappe Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6566-001-000 — Open exact plan page → H1961-014-002 HMOPOS
Exact segment geography Peoples Health Choices 65 (HMO-POS)
Peoples Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H1961-014-002 — Open exact plan page → H1961-023-000 HMOPOS
Exact segment geography Peoples Health Complete Care LA-6 (HMO-POS C-SNP)
Peoples Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H1961-023-000 — Open exact plan page → H1961-029-002 HMOPOS
Exact segment geography Peoples Health Complete Care Support (HMO-POS C-SNP)
Peoples Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1961-029-002 — Open exact plan page → H1961-030-002 HMOPOS
Exact segment geography Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)
Peoples Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1961-030-002 — Open exact plan page → H1961-026-000 HMOPOS
Exact segment geography Peoples Health Medicare Advantage Patriot No Rx LA (HMO-POS)
Peoples Health
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H1961-026-000 — Open exact plan page → H1961-031-002 HMOPOS
Exact segment geography Peoples Health Secure Complete (HMO-POS D-SNP)
Peoples Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1961-031-002 — Open exact plan page → H1961-032-002 HMOPOS
Exact segment geography Peoples Health Secure Health (HMO-POS D-SNP)
Peoples Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H1961-032-002 — Open exact plan page → H1889-010-000 Local PPO
Exact segment geography UHC Dual Complete LA-Q1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $10.60 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-010-000 — Open exact plan page → H5008-010-000 HMOPOS
Exact segment geography UHC Dual Complete LA-Q2 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5008-010-000 — Open exact plan page → H1889-031-000 Local PPO
Exact segment geography UHC Dual Complete LA-S4 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $10.60 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-031-000 — Open exact plan page → H2491-010-000 HMOPOS
Exact segment geography Wellcare Assist (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,400 in-network
- Drug coverage
- Reported
H2491-010-000 — Open exact plan page → H2491-031-000 HMOPOS
Exact segment geography Wellcare Giveback (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H2491-031-000 — Open exact plan page → H2491-037-000 HMOPOS
Exact segment geography Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2491-037-000 — Open exact plan page → H2491-035-000 HMOPOS
Exact segment geography Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2491-035-000 — Open exact plan page → H2491-025-000 HMOPOS
Exact segment geography Wellcare Louisiana Connections Dual Reserve (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H2491-025-000 — Open exact plan page → H2491-030-000 HMOPOS
Exact segment geography Wellcare Patriot Giveback (HMO-POS)
Wellcare
- Premium
- $0 / month
- MOOP
- $7,900 in-network
- Drug coverage
- Not reported
H2491-030-000 — Open exact plan page → H2491-034-000 HMOPOS
Exact segment geography Wellcare Simple (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,200 in-network
- Drug coverage
- Reported
H2491-034-000 — Open exact plan page →