PARTC

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C)
Insurance Provider
Blue Cross Blue Shield of Minnesota
CMS Rating
Not Rated
Plan Type
Cost
Annual Deductible
$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

All cost-sharing assumes in-network healthcare providers.

Plan Details

Costs and Other Important Information

Plan Year:
2016
Monthly Drug Plan Premium
Not Applicable
Health Plan Deductible
$0
Choice of Doctors?
Plan Doctors for Most Services
Monthly Health Plan Premium
$74.00
Out-Of-Pocket Spending Limit
$3,000 In-network
Optional Supplemental Benefits?
No
Prescription Drugs Covered?
No
Other Health Plan Deductibles?
No

Benefits

Service
Cost
Ambulance
$25
Doctor's office visits
Primary Physician
$15 per visit
Specialist
$15 per visit
Durable medical equipment (wheelchairs, oxygen, etc.)
20% per item
Emergency care
$50 per visit (always covered)
Home health care
You pay nothing
Mental health care
$100 per stay
Outpatient hospital
$0-50 per visit
Renal dialysis
$15 per visit
Inpatient hospital care
$100 per stay
Skilled Nursing Facility (SNF)
You pay nothing

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
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
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Not Rated
Reducing the risk of falling
Plan all-cause readmissions
Not Rated

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical
Not Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Not Rated
Appeals auto-forward
Not Rated
Appeals upheld
Not Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement
Not Rated

Member Experience with Drug Plan

Rating of drug plan
Not Rated
Getting needed prescription drugs
Not Rated

Drug Pricing and Patient Safety

MPF Price Accuracy
Not Rated
High risk medication
Not Rated
Part D medication adherence for diabetes
Not Rated
Part D medication adherence for hypertension
Not Rated
Part D medication adherence for cholesterol
Not Rated
Medication Therapy Management program completion rate
Not Rated

Physician Finder

Physicians that accept Platinum Blue Choice (Cost) for Minnesota

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YANG, PAOKOU
1504 WHITE BEAR AVE N
SAINT PAUL, MN 55106
KRAMER, LAURA
1710 SUBURBAN AVE
SAINT PAUL, MN 55106
HATLESTAD, PRESTON
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
NICHOLSON, WILL
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
BARSANTI, JOHN
911 MARYLAND AVE E
SAINT PAUL, MN 55106
DEVRIES, JASON
UFP PHALEN VILLAGE CLINIC
SAINT PAUL, MN 55106
KELLY, TARA
911 MARYLAND AVE E
SAINT PAUL, MN 55106
DALY, PATRICK
651 ARCADE ST
SAINT PAUL, MN 55106
BANICA-WOLTERS, RALUCA
401 PHALEN BLVD
SAINT PAUL, MN 55101
ROHAN, ANTON
640 JACKSON ST
SAINT PAUL, MN 55101
SARPAL, RAJBIR
640 JACKSON ST
SAINT PAUL, MN 55101
LAMBERT, DAVID
166 4TH ST E
SAINT PAUL, MN 55101
STANSON, CHRISTINE
640 JACKSON STREET
ST PAUL, MN 55101
PFAFF, ANTHONY
401 PHALEN BLVD
ST PAUL, MN 55101
AHRENHOLZ, DAVID
640 JACKSON STREET
ST PAUL, MN 55101
MCGRAIL, MICHAEL
640 JACKSON STREET
ST PAUL, MN 55101
NELSON, JESSIE
640 JACKSON STREET
ST PAUL, MN 55101
HERNANDEZ, BRADLEY
640 JACKSON ST
SAINT PAUL, MN 55101
FIELD, BRUCE
640 JACKSON ST
SAINT PAUL, MN 55101
MOHR, WILLIAM
640 JACKSON STREET
ST PAUL, MN 55101
KAUL, SHEETAL
640 JACKSON ST - MS 11102M
ST. PAUL, MN 55101
FUERSTENBERG, JON
640 JACKSON ST
SAINT PAUL, MN 55101
JOHNSON, NICHOLAS
640 JACKSON STREET
ST PAUL, MN 55101
MULCAHY, PAUL
166 4TH ST E
SAINT PAUL, MN 55101
HERMANSEN, BRUCE
640 JACKSON ST - MAIL STOP 11302C
ST. PAUL, MN 55101
Details
PAOKOU YANG, DPM
Phone Number
(651) 771-2513
Office Locations
1504 WHITE BEAR AVE N
SAINT PAUL, MN 55106
1504 WHITE BEAR AVE N SAINT PAUL MN, 55106

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