H6453-013-001 HMOPOS
Exact segment geography Blue adVantage Classic (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H6453-013-001 — 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 → H6453-021-000 HMOPOS
Exact segment geography Blue adVantage Giveback (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H6453-021-000 — 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 → H6453-018-001 HMOPOS
Exact segment geography Blue adVantage Platinum (HMO-POS)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $238 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Reported
H6453-018-001 — 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 → H6453-017-001 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
H6453-017-001 — Open exact plan page → H1248-014-000 Local PPO
Exact segment geography Blue adVantage Thrive (PPO)
Blue Cross and Blue Shield of Louisiana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H1248-014-000 — 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 → H1951-041-000 HMO
Exact segment geography Humana Dual QMB Only (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $10.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1951-041-000 — 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 → H1951-062-000 HMO
Exact segment geography Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H1951-062-000 — Open exact plan page → H1951-049-003 HMO
Exact segment geography Humana Gold Plus H1951-049 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H1951-049-003 — 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 → H5216-330-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5216-330 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-330-000 — 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 → H1961-023-000 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 →