PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Humana
CMS Rating
Not Rated
Plan Type
HMO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$5 copay$5 copay$5 copay
Tier 2: Non-Preferred Generic$10 copay$10 copay$10 copay
Tier 3: Preferred Brand Name$45 copay$45 copay$45 copay
Tier 4: Non-Preferred Brand Name$95 copay$95 copay$95 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$15 copay$15 copay$0 copay
Tier 2: Non-Preferred Generic$30 copay$30 copay$0 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$125 copay
Tier 4: Non-Preferred Brand Name$285 copay$285 copay$275 copay
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

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

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
Not Rated
Diabetes care – eye exam
Not Rated
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Not Rated
Diabetes care – cholesterol controlled
Not Rated
Controlling blood pressure
Not Rated
Rheumatoid arthritis management
Not Rated
Improving bladder control
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Ratings of Plan Responsiveness and Care

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated

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

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

Physician Finder

Physicians that accept Humana Gold Plus H4145-001 (HMO) for Oklahoma

/
JOHNSON, JOHNNY
3400 W TECUMSEH RD
NORMAN, OK 73072
BEAN, GORDON
3001 S TELEPHONE RD
MOORE, OK 73160
TREACY, BRYAN
1035 SW 19TH ST
MOORE, OK 73160
MCCREIGHT, DAWNA
1227 N SANTA FE AVE
MOORE, OK 73160
CHILDS, JERRY
700 S TELEPHONE ROAD
MOORE, OK 73160
PADGHAM, MICHAEL
700 S TELEPHONE ROAD
MOORE, OK 73160
FANNING, JANET
8100 S WALKER AVE
OKLAHOMA CITY, OK 73139
WILSON, WILLIAM
400 N EASTERN AVE
MOORE, OK 73160
WENDT, STEPHANIE
1816 N EASTERN AVE
MOORE, OK 73160
HINZ, WESLEY
3400 W TECUMSEH RD
NORMAN, OK 73072
NYDICK, CYNTHIA
520 S TELEPHONE RD
MOORE, OK 73160
AYERS, NEIL
500 N EASTERN AVE
MOORE, OK 73160
MILES, RODNEY
520 S TELEPHONE RD
MOORE, OK 73160
CHERRY, JOHN
3400 W TECUMSEH RD
NORMAN, OK 73072
MILLER, ANDREA
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
THOMPSON, CARL
1708 SUNRISE
MOORE, OK 73160
LEEMASTER, LARRY
3001 S TELEPHONE RD
MOORE, OK 73160
CLAVER, HAROLD
101 WESLEY CIR
MOORE, OK 73160
HARMON, BETTY
3400 W TECUMSEH RD
NORMAN, OK 73072
MORRIS, SCOTT
3001 S TELEPHONE RD
MOORE, OK 73160
NELSON, LANA
3400 W TECUMSEH RD
NORMAN, OK 73072
FLETCHER, KIMBERLY
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
HSIEH, MISTY
3400 W TECUMSEH RD
NORMAN, OK 73072
EARLEY, MITCHELL
2605 SW 119TH ST
OKLAHOMA CITY, OK 73170
EARLEY, KRISTIN
2605 SW 119TH ST
OKLAHOMA CITY, OK 73170
Details
JOHNNY JOHNSON, DO
Phone Number
(405) 912-3140
Office Locations
3400 W TECUMSEH RD
NORMAN, OK 73072
3400 W TECUMSEH RD NORMAN OK, 73072

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