2018 Paramount Elite - Enhanced Medical Only (HMO) H3653-18-0 in MI from Paramount Health Care | HealthPocket

Paramount Elite - Enhanced Medical Only (HMO)

Medicare Advantage Plan for Michigan

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderParamount Health Care
Plan IDH3653-18-0
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

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$46

Coverage Area for Paramount Elite - Enhanced 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
Not Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Not Rated
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 Paramount Elite - Enhanced Medical Only (HMO) for Michigan

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NIMMAGADDA, SANTHI
19001 HUBBARD DR
DEARBORN, MI 48126
ZACUR, HEATHER
24327 FORD RD
DEARBORN, MI 48128
HAMSTRA, DANIEL
18181 OAKWOOD BLVD
DEARBORN, MI 48124
SHKOUKANI, MAHDI
18101 OAKWOOD BLVD
DEARBORN, MI 48124
JUNN, FREDRICK
18181 OAKWOOD BLVD
DEARBORN, MI 48124
SAUTER, GEHRING
840 OAKWOOD BLVD
DEARBORN, MI 48124
REED, ROB
840 OAKWOOD BLVD
DEARBORN, MI 48124
BARTOLD, KENNETH
840 OAKWOOD BLVD
DEARBORN, MI 48124
ALHADI, TAUFIEK
18181 OAKWOOD BLVD
DEARBORN, MI 48124
SOLIMAN, STEVEN
840 OAKWOOD BLVD
DEARBORN, MI 48124
OLSON, GREGORY
840 OAKWOOD BLVD
DEARBORN, MI 48124
Details
SANTHI NIMMAGADDA, MD
Phone Number
(313) 441-1160
Office Locations
19001 HUBBARD DR
DEARBORN, MI 48126
19001 HUBBARD DR DEARBORN MI, 48126

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