Personal Choice 65 Rx (PPO)

Medicare Advantage Plan (Part C w/ RX)

Don't overpay for your Medicare plan.

Call Toll Free (800) 942-8708

PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Independence Blue Cross
CMS Rating
Plan Type
PPO
Annual Deductible
$285.00

What To Know About This Plan

  • This plan has health and drug coverage
  • This plan is available for 2015. see plan

Why We Like This Plan

  • has both Health and Drug Coverage
  • gives you freedom to choose which doctors, specialist and hospitals you visit

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 copayNot offered
Tier 2: Non-Preferred Generic$40 copay$40 copayNot offered
Tier 3: Preferred Brand Name$80 copay$80 copayNot offered
Tier 4: Non-Preferred Brand Name25% coinsurance25% coinsuranceNot offered
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$15 copay$15 copay$10 copay
Tier 2: Non-Preferred Generic$120 copay$120 copay$80 copay
Tier 3: Preferred Brand Name$240 copay$240 copay$160 copay
Tier 4: Non-Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 5: Specialty Tier

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
Monitoring physical ability
Access to primary care doctor visits
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
Reducing the risk of falling
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
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Personal Choice 65 Rx (PPO) for Pennsylvania

/
PUBLIC HEALTH MANAGEMENT CORP
500 ADAMS AVENUE
PHILADELPHIA, PA 19120
PEREZ-SCHWARTZ, LUZ
3551 N BROAD ST
PHILADELPHIA, PA 19140
LOPEZ-PAJARES, NURIA
133 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
JACOBSON, IRWIN
4000 N 9TH ST
PHILA, PA 19140
LEX, JOSEPH
3401 N BROAD ST
PHILADELPHIA, PA 19140
ESTRADA, JUAN
3401 N BROAD ST
PHILADELPHIA, PA 19140
FERNANDEZ BRANDT, MELINA
3401 N BROAD ST
PHILADELPHIA, PA 19140
BORNSTEIN-CHAU, JUDITH
2601 HOLME AVE
PHILADELPHIA, PA 19152
CHENNUPATI, ANUPAMA
3401N BROAD ST
PHILADELPHIA, PA 19140
KORRAPATI, VAMSIMADHAV
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
PERRE, ANTHONY
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
MARKLEY, FRANK
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
ARIA HEALTH PHYSICIAN SERVICES
4900 FRANKFORD AVE
PHILADELPHIA, PA 19124
SYAMALA, JIJI
4900 FRANKFORD AVE
PHILADELPHIA, PA 19124
LEONARD, EDWARD
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
HERRINE, GAIL
2301 E ALLEGHENY AVE
PHILA, PA 19134
QUIEN, EMMANUEL
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
SHIN, MYUNG
2301 E ALLEGHENY AVE
PHILA, PA 19134
TEMPLE PHYSICIANS INC
2301 E ALLEGHENY AVENUE
PHILADELPHIA, PA 19134
GEORGE L. RODRIGUEZ, M.D., P.C.
841 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
GEORGE L. RODRIGUEZ, M.D., P.C.
841 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
DAVIES, ROBERT
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
MILLER, PAUL
7600 CENTRAL AVE
PHILADELPHIA, PA 19111
LORICO, ABEGAEL
7602 CENTRAL AVE
PHILA, PA 19111
AUERBACH, ROBERT
7602 CENTRAL AVE
PHILA, PA 19111
Details
PUBLIC HEALTH MANAGEMENT CORP
Phone Number
(215) 279-6666
Office Locations
500 ADAMS AVENUE
PHILADELPHIA, PA 19120
500 ADAMS AVENUE PHILADELPHIA PA, 19120

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.

Similar Plans

PremiumPlan NameCMS Rating
$0.00
Today's Options Premier 700 (PFFS)
Select
$0.00
Humana Gold Choice H8145-055 (PFFS)
Select
$0.00
Geisinger Gold Classic 4 (HMO)
Select
$0.00
UPMC for Life (HMO)
Select
$0.00
SeniorBlue - Option 3 (HMO)
Select

Related Articles

Related Searches

 

 

Speak with a licensed agent

(800) 895-7124

(800) 895-7124

24 hours a day, 7 days a week

LEARN MORE​ 
{"phone":"8008957124","helpInfo":{"leadCopy":"Speak with a licensed agent","phone":"8008957124"},"bannerData":{"phone":"8008957124","text":"Open Enrollment is Now.","text2":"Speak With a Licensed Agent"},"analyticsInfo":{"pageType":"details","productLine":"medicare","phone":"8008957124"},"globalPhoneNumber":"8008957124","partner":"TruBridge"}