2018 HumanaChoice R5361-001 (Regional PPO) R5361-1-0 in IL from Humana | HealthPocket

HumanaChoice R5361-001 (Regional PPO)

Medicare Advantage Plan for Illinois

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDR5361-1-0
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 R5361-001 (Regional PPO)

StateIllinois
CountyCook

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 R5361-001 (Regional PPO) for Illinois

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WILLIAMS, KENNETH
2701 W 68TH ST
CHICAGO, IL 60629
CLAVIER, ALEJANDRO
3124 W 59TH ST
CHICAGO, IL 60629
KARPINSKI, ALINA
2701 W 68TH ST
CHICAGO, IL 60629
CALERO, ELEAZAR
4324 W 63RD ST
CHICAGO, IL 60629
LOPEZ, JOSEPH
5714 S RICHMOND ST
CHICAGO, IL 60629
WONG, ALTON
5525 S PULASKI RD
CHICAGO, IL 60629
AGRAWAL, HARI
2701 W 68TH ST
CHICAGO, IL 60629
LINDENBERGER, MARTIN
3124 W 59TH ST
CHICAGO, IL 60629
ADEYANJU, TINUOLA
2519W 59TH ST
CHICAGO, IL 60629
CHRISTOU, THEODORE
5525 S PULASKI RD
CHICAGO, IL 60629
PEREZ, JENNIFER
5525 S PULASKI RD
CHICAGO, IL 60629
ULASZEK, DAVID
5525 S PULASKI RD
CHICAGO, IL 60629
LEKOVIC, MARKO
6433 S PULASKI RD
CHICAGO, IL 60629
AGRAWAL, SHRI
2701 W 68TH ST
CHICAGO, IL 60629
ATASSI, MOHAMAD
6625 S PULASKI RD
CHICAGO, IL 60629
DAHODWALA, MOHAMED
6441 S PULASKI RD
CHICAGO, IL 60629
AHMED, KHALID
6449 S. PULASKI
CHICAGO, IL 60629
KHO, LIM-KUY
5525 S PULASKI RD
CHICAGO, IL 60629
ALLEGRETTI, PAUL
2701 W 68TH ST
CHICAGO, IL 60629
JAMEN, ERIN
5525 S PULASKI RD
CHICAGO, IL 60629
SIVAPRAKASAM, SUNDAR
2701 W 68TH ST
CHICAGO, IL 60629
Details
KENNETH WILLIAMS, MD
Phone Number
(773) 884-9000
Office Locations
2701 W 68TH ST
CHICAGO, IL 60629
2701 W 68TH ST CHICAGO IL, 60629

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