2018 HumanaChoice H5216-127 (PPO) H5216-127-0 in DE from Humana | HealthPocket

HumanaChoice H5216-127 (PPO)

Medicare Advantage Plan for Delaware

select spinner
PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDH5216-127-0
CMS Rating1
Plan TypePPO
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 H5216-127 (PPO)

StateDelaware
CountyNew Castle

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 H5216-127 (PPO) for Delaware

/
PETIT, NANCY
701 N CLAYTON ST
WILMINGTON, DE 19805
TRIBUIANI, MELISSA
701 N CLAYTON ST
WILMINGTON, DE 19805
SHERIF, HISHAM
4755 OGLETOWN STANTON RD
NEWARK, DE 19805
LIFRAK, IRWIN
1010 N UNION ST
WILMINGTON, DE 19805
BERG, NICHOLAS
1601 KIRKWOOD HWY
WILMINGTON, DE 19805
CLEMMER, RICHARD
1601 KIRKWOOD HWY
WILMINGTON, DE 19805
GARCIA, MARK
701 N. CLAYTON ST
WILMINGTON, DE 19805
ZORC, CATHERINE
7TH AND CLAYTON STREET
WILMINGTON, DE 19805
NEWCOMB, WILLIAM
1010 NORTH BANCROFT PARKWAY
WILMINGTON, DE 19805
BIAN, YONGLING
701 N CLAYTON ST
WILMINGTON, DE 19805
SAVAGE, CHRISTOPHER
1010 NORTH BANCROFT PARKWAY
WILMINGTON, DE 19805
MELENDEZ, MAYDA
2500 W 4TH ST
WILMINGTON, DE 19805
VRANIC, FRANCISCO
7TH & CLAYTON STREET
WILMINGTON, DE 19805
HILTON, THOMAS
3301 LANCASTER PIKE
WILMINGTON, DE 19805
GBEMUDU, YVETTE
601 NEW CASTLE AVE
WILMINGTON, DE 19801
ZDUNEK, MIROSLAW
701 N CLAYTON ST STE 401
WILMINGTON, DE 19805
MAHESHWARI, VINAY
701 N CLAYTON ST
WILMINGTON, DE 19805
PATEL, SHASHIKALA
7TH AND CLAYTON STREETS
WILMINGTON, DE 19805
MALHOTRA, ARUN
701 NORTH CLAYTON STREET,
WILMINGTON, DE 19805
LEADER, RICHARD
SEVENTH & CLAYTON STREETS
WILMINGTON, DE 19805
BONNER, HUGH
701 N CLAYTON ST
WILMINGTON, DE 19805
SAHM, KATHERINE
1100 N GRANT AVE
WILMINGTON, DE 19805
BROSMAN, MICHAEL
213 GREENHILL AVE
WILMINGTON, DE 19805
SHALABY, WALEED
1100 N GRANT AVE
WILMINGTON, DE 19805
COWDERY, SUSAN
3301 LANCASTER PIKE
WILMINGTON, DE 19805
Details
NANCY PETIT, M.D.
Phone Number
(302) 421-4775
Office Locations
701 N CLAYTON ST
WILMINGTON, DE 19805
701 N CLAYTON ST WILMINGTON DE, 19805

Similar Plans

PremiumPlan NameCMS Rating
from $0
Humana Gold Plus H6622-010 (HMO)
Details
from $12
EnvisionRxPlus (PDP)
Details
from $0
Aetna Medicare Choice Plan (HMO)
Details
from $22
Express Scripts Medicare - Saver (PDP)
Details
from $29
SilverScript Choice (PDP)
Details

Related Articles

Related Searches

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

{}