2018 HAP Senior Plus Medical Only (HMO) H2354-19-0 in MI from Health Alliance Plan | HealthPocket

HAP Senior Plus Medical Only (HMO)

Medicare Advantage Plan for Michigan

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHealth Alliance Plan
Plan IDH2354-19-0
CMS Rating1
Plan TypeHMO
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 HAP Senior Plus Medical Only (HMO)

StateMichigan
CountyWayne

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
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
Not Rated
High risk medication
Not Rated
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 HAP Senior Plus Medical Only (HMO) for Michigan

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Zouabi, Firas
18311 W Warren Ave
Detroit, MI 48228
Amouzegar, Syed
16810 W Warren Ave
Detroit, MI 48228
Eubanks, Prince
20526 Plymouth Rd
Detroit, MI 48228
Obeid, Erfan
15841 W Warren Ave
Detroit, MI 48228
Saad, George
20526 Plymouth Rd Ste C
Detroit, MI 48228
Prechel, William
16551 W Warren Ave
Detroit, MI 48228
Signori, Enrique
4900 Mercury Dr
Dearborn, MI 48126
Berri, Ziad
14515 Ford Rd
Dearborn, MI 48126
Selitsky, Benson
5050 Schaefer Rd
Dearborn, MI 48126
Mohamed, Tahir
6050 Greenfield Rd
Dearborn, MI 48126
Elmenini, Mohammad
10645 W Warren Ave
Dearborn, MI 48126
Mullins, Keith
19401 Hubbard Dr
Dearborn, MI 48126
Kutait, Anas
19401 Hubbard Dr
Dearborn, MI 48126
Yasin, Fares
4634 Greenfield Rd
Dearborn, MI 48126
Venkataraman, Preeti
5111 Auto Club Dr
Dearborn, MI 48126
Mira, Alaaeldin
Oakwood Healthcare Center Mercury Drive
Dearborn, MI 48126
Grahovac, Jure
5050 Schaefer Rd
Dearborn, MI 48126
Khatib, Basel
5728 Schaefer Rd Ste 101
Dearborn, MI 48126
Dearborn Family Medicine Center
5728 Schaefer Rd
Dearborn, MI 48126
Dearborn Urgent Care Pc
5728 Schaefer Rd
Dearborn, MI 48126
Ortiz-reyes, Maria
15101 Ford Rd
Dearborn, MI 48126
Shehab, Ramsey
19401 Hubbard Dr
Dearborn, MI 48126
Rose, Christina
5141 Oakman Blvd
Dearborn, MI 48126
Levine, Robert
Henry Ford Health System
Dearborn, MI 48126
Shettler, Carolyn
5050 Schaefer Rd.
Dearborn, MI 48126
Details
Firas Zouabi, M.D
Phone Number
(313) 271-2800
Office Locations
18311 W Warren Ave
Detroit, MI 48228
18311 W Warren Ave Detroit MI, 48228

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