2018 HumanaChoice H5216-129 (PPO) H5216-129-0 in MD from Humana | HealthPocket

HumanaChoice H5216-129 (PPO)

Medicare Advantage Plan for Maryland

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDH5216-129-0
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 H5216-129 (PPO)

StateMaryland
CountyBaltimore

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 H5216-129 (PPO) for Maryland

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Jacobstein, Douglas
2411 W Belvedere Ave Ste 407
Baltimore, MD 21215
Smith, Matthew
2401 W Belvedere Ave
Baltimore, MD 21215
Morgan, Athol
2600 Liberty Heights Ave
Baltimore, MD 21215
Bell, Stephen
2411 W. Belvedere Avenue, Suite 104
Baltimore, MD 21215
Sequeira, Alejandro
2435 W Belvedere Ave
Baltimore, MD 21215
Brown, Ralph
2435 W Belvedere Ave
Baltimore, MD 21215
Hooda, Ajay
2401 W Belvedere Ave
Baltimore, MD 21215
Staggs, Lynn
2401 W Belvedere Ave
Baltimore, MD 21215
Mayrer, Andrew
2435 W Belvedere Ave
Baltimore, MD 21215
Armour, Karen
2411 W Belvedere Ave
Baltimore, MD 21215
Standard, Shawn
2401 W . Belvedere Avenue
Baltimore, MD 21215
Albrecht, Charles
2435 W Belvedere Ave
Baltimore, MD 21215
Clark, Tracey
Sinai Community Care And Greenspring Pediatrics
Baltimore, MD 21215
Linder, Jeanette
2401 W Belvedere Ave
Baltimore, MD 21215
Arrabal, Pedro
2401 W Belvedere Ave
Baltimore, MD 21215
Bahou, Edward
2401 W Belvedere Ave
Baltimore, MD 21215
Qian, Jiaying
2401 W Belvedere Ave
Baltimore, MD 21215
Susai, Immanuel
2401 W Belvedere Ave
Baltimore, MD 21215
Mason, Karen
2401 W Belvedere Ave
Baltimore, MD 21215
Mavanur, Arun
2401 W Belvedere Ave
Baltimore, MD 21215
Cho, Peter
2435 W Belvedere Ave
Baltimore, MD 21215
Cheng, Ling-ling
2401 W Belvedere Ave
Baltimore, MD 21215
Conway, Janet
Rubin Institute For Advanced Orthopedics
Baltimore, MD 21215
Smyth, Shawn
2411 W Belvedere Ave
Baltimore, MD 21215
Heydt, David
4617 Park Heights Ave
Baltimore, MD 21215
Details
Douglas Jacobstein, M.D.
Phone Number
(410) 601-8663
Office Locations
2411 W Belvedere Ave Ste 407
Baltimore, MD 21215
2411 W Belvedere Ave Ste 407 Baltimore MD, 21215

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