2018 HumanaChoice R7315-001 (Regional PPO) R7315-1-0 in AL from Humana | HealthPocket

HumanaChoice R7315-001 (Regional PPO)

Medicare Advantage Plan for Alabama

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDR7315-1-0
CMS Rating1
Plan TypeRegional PPO
Annual Deductible$0.00

What To Know About This Plan

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

Why We Like This Plan

  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

Coverage Area for HumanaChoice R7315-001 (Regional PPO)

StateAlabama
CountyJefferson

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
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

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

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

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

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept HumanaChoice R7315-001 (Regional PPO) for Alabama

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CUSTIS, JAMES
9772 PARKWAY E
BIRMINGHAM, AL 35215
SIMS, MARION
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
PIKE, BOB
9772 PARKWAY E
BIRMINGHAM, AL 35215
GONZALEZ, ENGLISH
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
GOTFRYD, MARK
1703 CENTER POINT PKWY
BIRMINGHAM, AL 35215
OWENS, KIMBERLY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
KING, DUANE
1160 HUFFMAN ROAD
BIRMINGHAM, AL 35215
GRAY, GARY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
TOBE-DONOHUE, COLLEEN
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
MOREHEAD, MARTHA
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
SULLIVAN, JAMES
1160 HUFFMAN RD
BIRMINGHAM, AL 35215
PETERS, DEBORAH
9772 PARKWAY E
BIRMINGHAM, AL 35215
GIAMMANCO, NATALIE
1985 AL HIGHWAY 157
CULLMAN, AL 35058
MOORE, KATHERINE
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
POWELL, MICHAEL
9772 PARKWAY E
BIRMINGHAM, AL 35215
ZAHARIAS, NERRIN
52 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
GILMER, MARY
1801 GADSDEN HWY
BIRMINGHAM, AL 35235
DAVIS, DELINDA
3729 MARY TAYLOR RD
BIRMINGHAM, AL 35235
Details
JAMES CUSTIS, MD
Phone Number
(205) 833-6888
Office Locations
9772 PARKWAY E
BIRMINGHAM, AL 35215
9772 PARKWAY E BIRMINGHAM AL, 35215

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