2018 HumanaChoice H5216-086 (PPO) H5216-86-0 in IA from Humana | HealthPocket

HumanaChoice H5216-086 (PPO)

Medicare Advantage Plan for Iowa

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDH5216-86-0
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 H5216-086 (PPO)

StateIowa
CountyPolk

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 H5216-086 (PPO) for Iowa

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MULHAUSEN, PAUL
3509 E 29TH ST
DES MOINES, IA 50317
HOCK, AMY
2918 E UNIVERSITY AVE
DES MOINES, IA 50317
CONVERY, LOUISE
3509 E 29TH ST
DES MOINES, IA 50317
YOUNT, DAVID
2459 E EUCLID AVE
DES MOINES, IA 50317
HAWKINS, RONNIE
3509 E 29TH ST
DES MOINES, IA 50317
FRANKOVA, DANIELA
3509 E 29TH ST
DES MOINES, IA 50317
NUTT, GARY
2802 E EUCLID AVE
DES MOINES, IA 50317
MOUSER, THOMAS
3000 EASTON BLVD
DES MOINES, IA 50317
KRUZICH, JOHN
2918 E UNIVERSITY AVE
DES MOINES, IA 50317
QUINN, MICHAEL
700 E UNIVERSITY AVE
DES MOINES, IA 50316
RICHARDS, L
1301 PENN AVE
DES MOINES, IA 50316
MOON JR, KENNETH
2301 EAST 14TH STREET
DES MOINES, IA 50316
MITCHELL, MARIA
2301 E 14TH ST
DES MOINES, IA 50316
NEU, STACEY
840 E UNIVERSITY AVE
DES MOINES, IA 50316
LIN, IAN
1301 PENN AVE
DES MOINES, IA 50316
BERRY, GREGORY
1201 PENNSYLVANIA AVE
DES MOINES, IA 50316
GANSKE, CORRINE
840 E UNIVERSITY AVE
DES MOINES, IA 50316
CAHALAN, STEVEN
1301 PENN AVE
DES MOINES, IA 50316
PALAKURTHY, PRASAD
1301 PENN AVE
DES MOINES, IA 50316
ALBRECHT, JULIE
1301 PENN AVE
DES MOINES, IA 50316
LUEPKE, MICHAEL
1201 PENN AVE
DES MOINES, IA 50316
GAFFEY, JOHN
1301 PENN AVE STE 213
DES MOINES, IA 50316
STEVENS, CRAIG
1301 PENN AVENUE
DES MOINES, IA 50316
HALL, DAVID
1301 PENN AVE
DES MOINES, IA 50316
PATEL, JAMIE
1301 PENNSYLVANIA AVE
DES MOINES, IA 50316
Details
PAUL MULHAUSEN, MD
Phone Number
(515) 248-1600
Office Locations
3509 E 29TH ST
DES MOINES, IA 50317
3509 E 29TH ST DES MOINES IA, 50317

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