2018 PacificSource Medicare Explorer 6 (PPO) H4754-6-0 in ID from PacificSource Health Plans | HealthPocket

PacificSource Medicare Explorer 6 (PPO)

Medicare Advantage Plan for Idaho

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderPacificSource Health Plans
Plan IDH4754-6-0
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

  • gives you freedom to choose which doctors, specialist and hospitals you visit

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$15

Coverage Area for PacificSource Medicare Explorer 6 (PPO)

StateIdaho
CountyAda

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
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
Not Rated
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 PacificSource Medicare Explorer 6 (PPO) for Idaho

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BUNNELL, ERICA
10790 W OVERLAND RD
BOISE, ID 83709
MARSH, RYAN
10790 W OVERLAND RD
BOISE, ID 83709
ANDERSON, LAWRENCE
8955 W HACKAMORE DR
BOISE, ID 83709
POGUE, BRYAN
10583 W LAKE HAZEL RD
BOISE, ID 83709
BOX, JEFFREY
1435 S MAPLE GROVE
BOISE, ID 83709
JONES, ALVIN
9362 W OVERLAND RD
BOISE, ID 83709
WAITE, GLENN
232 S WHISPERWOOD WAY
BOISE, ID 83709
MOCK, DALE
10798 W. OVERLAND RD
BOISE, ID 83709
JACOBSEN, ERIC
10798 W. OVERLAND RD
BOISE, ID 83709
TSCHANNEL, DEBORAH
1301 S FIVE MILE RD
BOISE, ID 83709
SAWYER, BRIAN
9211 W OVERLAND RD
BOISE, ID 83709
BAKER, CARMEN
1556 S TIMESQUARE LN
BOISE, ID 83709
MOHR, JOHN
3301 TERRA DR
BOISE, ID 83709
MILLER, MELVIN
1084 N COLE RD
BOISE, ID 83704
CHRISMAN, JILL
777 N RAYMOND ST
BOISE, ID 83704
SPELICH, MARK
7979 W RIFLEMAN ST
BOISE, ID 83704
JONES, JERALYN
777 N RAYMOND ST
BOISE, ID 83704
LAWRENCE, STEWART
6030 W EMERALD ST
BOISE, ID 83704
BROWN, LAWRENCE
6533 W EMERALD ST
BOISE, ID 83704
KREUSEL, DANA
7550 W EMERALD ST STE 101
BOISE, ID 83704
DAGOBERG, ASHLEE
10259 W EMERALD ST
BOISE, ID 83704
BROWNING, CHRYSTAL
7550 W EMERALD ST STE 101
BOISE, ID 83704
GABRIELSEN, JACOB
7550 W EMERALD ST STE 101
BOISE, ID 83704
PINES, RICHARD
413 N ALLUMBAUGH ST
BOISE, ID 83704
SPERO, MICHAEL
3163 N ASH PARK LN
BOISE, ID 83704
Details
ERICA BUNNELL, DPT
Phone Number
(208) 322-8709
Office Locations
10790 W OVERLAND RD
BOISE, ID 83709
10790 W OVERLAND RD BOISE ID, 83709

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