PARTC

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C)
Insurance Provider
Humana
CMS Rating
Plan Type
PFFS
Annual Deductible
$0.00

What To Know About This Plan

  • This is a health coverage only plan

Plan Details

Costs and Other Important Information

Plan Year:
2013
Optional Supplemental Benefits?
Yes
Choice of Doctors?
Any Willing Doctor
Prescription Drugs Covered?
No
Out-Of-Pocket Spending Limit
$4,900 In and Out-of-Network
Other Deductibles?
In Network: No. Out of Network: No
Health Plan Deductible
$500 Out-of-Network
Monthly Drug Plan Premium
Not Applicable
Monthly Health Plan Premium
$0.00

Benefits

Service
In Network
Out of Network
Doctor Office Visits
$15 maximum per visit
$15 maximum per visit
Specialist Office Visit
$35 maximum per visit
$35 maximum per visit
Outpatient Services
$150 maximum or 25% maximum per visit
25% maximum per visit
Emergency Care
$65 maximum per visit
Not Applicable
Ambulance Services
20% maximum
20% maximum
Kidney Disease and Conditions
20% maximum per visit
20% maximum per visit
Home Health Care
$0
$0 maximum per visit
Durable Medical Equipment
20% maximum per item
20% maximum per item
Inpatient Hospital Care
Days 1-8: $195 copay per day. Days 9-90: $0 copay per day
Days 1-8: $195 copay per day. Days 9-90: $0 copay per day
Skilled Nursing Facility (SNF)
Days 1-7: $0 copay per day. Days 8-100: $50 copay per day
Days 1-7: $0 copay per SNF day. Days 8-100: $50 copay per SNF day
Inpatient Mental Health Care
Days 1-7: $195 copay per day. Days 8-90: $0 copay per day
Days 1-7: $195 copay per day. Days 8-90: $0 copay per day

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Access to primary care doctor visits
Not Rated
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Humana Gold Choice H8145-108 (PFFS) for Virginia

/
DREW, THERESE
1444 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
WINKE, BETH
5226 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
RAYMOND, PATRICIA
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
MCCOY, DAWN
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
CHIRTEA, DEBORAH
5253 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
HOLTZ, MICHAEL
5253 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
CHUNG, MICHAEL
5253 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
AGNEW, PATRICK
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
WIJTMANS, ERIK
1444 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
POWELL, ANDREA
1444 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
PHOCAS, JOHN
5272 FAIRFIELD BLVD
VIRGINIA BEACH, VA 23464
ANTOINE, ANGELA
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
MAGNO, ELIZABETH
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
LAW, KATHERINE
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
ROSE, MEREDITH
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
ESPADA, FRANCISCO
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
GONZALES, NORMAN
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
KHAN, ABDUR
4221 PLEASANT VALLEY ROAD
VIRGINIA BEACH, VA 23464
AMIN, BIRAL
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
SINESI, CHRISTOPHER
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
HUFFORD, DENNIS
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
KALAGAYAN, HECTOR
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
GOINS, ERNEST
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
PIERCE, GREGORY
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
YOUNG, WINFIELD
1212 LAKE JAMES DR
VIRGINIA BEACH, VA 23464
Details
THERESE DREW, MD
Phone Number
(757) 474-7490
Office Locations
1444 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
1444 KEMPSVILLE RD VIRGINIA BEACH VA, 23464

Community Q&A

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