AARP MedicareComplete 1 (HMO)

Medicare Advantage Plan for Louisiana

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH4089-1-0
CMS RatingNot Rated1
Plan TypeHMO
Annual Deductible$375.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
Yes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$6,700 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$295 for days 1 through 5
$0 for days 6 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$250 per visit
Doctor visits
Primary:
$5 per visit
Specialist:
$40 per visit
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:
$80 per visit (always covered)
Urgent care:
$30-40 per visit (always covered)
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:
20%
Lab services:
$2
Diagnostic radiology services (e.g., MRI):
20%
Outpatient x-rays:
$13
Mental health services
$295 for days 1 through 5
$0 for days 6 through 90
Outpatient group therapy visit with a psychiatrist:
$30
Outpatient individual therapy visit with a psychiatrist:
$40
Outpatient group therapy visit:
$30
Outpatient individual therapy visit:
$40
Skilled Nursing Facility
$0 for days 1 through 20
$160 for days 21 through 62
$0 for days 63 through 100
Rehabilitation services
Occupational therapy visit:
$40
Physical therapy and speech and language therapy visit:
$40
Ambulance
$250
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:
$40
Routine foot care:
$40
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):
20% per item
Prosthetics (e.g., braces, artificial limbs):
20% per item
Diabetes supplies:
$0 per item
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:
20%
Other Part B drugs:
20%

Coverage Area for AARP MedicareComplete 1 (HMO)

StateLouisiana
CountyEast Baton Rouge Parish

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds$3 copayNot offered
Tier 2: Non-Preferred GenericNot offered$12 copayNot offered
Tier 3: Preferred Brand NameNot offered$45 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$95 copayNot offered
Tier 5: Specialty TierNot offered25% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$9 copay$0 copay
Tier 2: Non-Preferred GenericNot offered$36 copay$0 copay
Tier 3: Preferred Brand NameNot offered$135 copay$125 copay
Tier 4: Non-Preferred Brand NameNot offered$285 copay$275 copay
Tier 5: Specialty TierNot offered25% coinsurance25% coinsurance

Physician Finder

Physicians that accept AARP MedicareComplete 1 (HMO) for Louisiana

/
PEI, LEO
17000 MEDICAL CENTER DRIVE
BATON ROUGE, LA 70816
HOLMES, KEITH
2345 ONEAL LN
BATON ROUGE, LA 70816
SUNKARA, PALLAVI
17000 MEDICAL CENTER DR
BATON ROUGE, LA 70816
JOHNSTON, FRANCIS
1940 ONEAL LN
BATON ROUGE, LA 70816
STAFFORD, ANGELA
15420 S HARRELLS FERRY RD
BATON ROUGE, LA 70816
IDOWU, BEN
17050 MEDICAL CENTER DR
BATON ROUGE, LA 70816
LEA, RANDALL
17 ALICE PECK DAY DR
LEBANON, NH 03766
WAHID, SAIYID
1962 ONEAL LN
BATON ROUGE, LA 70816
PATEL, PALVI
7777 HENNESSY BLVD
BATON ROUGE, LA 70808
FREEMAN, NATHAN
17000 MEDICAL CENTER DR
BATON ROUGE, LA 70816
GIDDEN, HOWARD
3907 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816
KOZAR, BRIAN
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
ELLIOTT, ROBERT
17050 MEDICAL CENTER DR STE 400
BATON ROUGE, LA 70816
MCCAULEY, LINDA
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
MCKINNEY, ROBERT
2345 ONEAL LN
BATON ROUGE, LA 70816
VUONG, HIEU
3851 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816
GESN, LOIS
2345 ONEAL LN
BATON ROUGE, LA 70816
FLINT, CAROLINE
2345 ONEAL LN
BATON ROUGE, LA 70816
GIROD, TYRONE
5617 GALERIA DR
BATON ROUGE, LA 70816
THOMAS, JOSEPH
8415 GOODWOOD BLVD
BATON ROUGE, LA 70806
NELSON, SCOTT
10423 OLD HAMMOND HWY
BATON ROUGE, LA 70816
EDWARDS, MARK
5428 STUMBERG LN
BATON ROUGE, LA 70816
Details
LEO PEI, M.D.
Phone Number
(225) 752-2470
Office Locations
17000 MEDICAL CENTER DRIVE
BATON ROUGE, LA 70816
17000 MEDICAL CENTER DRIVE BATON ROUGE LA, 70816

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