2018 Health Net Aqua (PPO) H5439-12-0 in OR from Health Net | HealthPocket

Health Net Aqua (PPO)

Medicare Advantage Plan for Oregon

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHealth Net
Plan IDH5439-12-0
CMS RatingNot Rated1
Plan TypePPO
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$49

Coverage Area for Health Net Aqua (PPO)

StateOregon
CountyMultnomah

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Annual flu vaccine
Not Rated
Improving or maintaining physical health
Not Rated
Improving or maintaining mental health
Not Rated
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
Not Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated
Care Coordination
Not Rated

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Not Rated
Members choosing to leave the health plan
Not Rated
Beneficiary access and performance problems
Not Rated
Health plan quality improvement
Not Rated

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Not Rated
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
Not Rated
Appeals upheld
Not Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Not Rated
Members choosing to leave the drug plan
Not Rated
Beneficiary access and performance problems
Not Rated
Drug plan quality improvement
Not Rated

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs
Not Rated

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 Health Net Aqua (PPO) for Oregon

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Crihfield, Kimberly
15285 Nw Central Dr
Portland, OR 97229
Miller, Jewel
4635 Nw Salishan Dr
Portland, OR 97229
Kakodkar, Swati
15640 Nw Laidlaw Rd
Portland, OR 97229
Barich, Frank
15640 Nw Laidlaw Rd
Portland, OR 97229
Blievernicht, Matthew
15280 Nw Central Dr
Portland, OR 97229
Ji, Dong
15640 Nw Laidlaw Rd
Portland, OR 97229
Gillingham, Todd
15160 Nw Laidlaw Rd
Portland, OR 97229
Dorrington, Michael
4876 Nw Bethany Blvd
Portland, OR 97229
Barlow, Robert
12400 Nw Cornell Rd
Portland, OR 97229
Pena, Angeles
15220 Nw Laidlaw Rd Ste 100
Portland, OR 97229
Barry, Harold
12400 Nw Cornell Rd
Portland, OR 97229
Simas, Gilbert
11389 Nw Pumpkin Ct
Portland, OR 97229
Hardebeck, Laura
13520 Nw Pettygrove St
Portland, OR 97229
Geddes, Gary
12400 Nw Cornell Rd
Portland, OR 97229
Krisciunas, Vic
12400 Nw Cornell Rd
Portland, OR 97229
Lutfi, Eman
9555 Sw Barnes Rd
Portland, OR 97229
Doshi, Heena
12400 Nw Cornell Rd
Portland, OR 97229
Mcilraith, Marlo
15220 Nw Laidlaw Rd Ste 100
Portland, OR 97229
Dalmia, Lopa
12400 Nw Cornell Rd Ste 201
Portland, OR 97229
Hankenson, Lori
9555 Sw Barnes Rd
Portland, OR 97229
Chiang, Lydia
15220 Nw Laidlaw Rd., Ste 100
Portland, OR 97229
Samagh, Gunjeet
15640 Nw Laidlaw Rd
Portland, OR 97229
Losli, Steve
3300 Nw 185th Ave
Portland, OR 97229
Webber, Marilyn
14223 Nw Spruceridge Ln
Portland, OR 97229
Chandran, Prasanna
15950 Sw Millikan Way
Beaverton, OR 97006
Details
Kimberly Crihfield, MD
Phone Number
(503) 216-9060
Office Locations
15285 Nw Central Dr
Portland, OR 97229
15285 Nw Central Dr Portland OR, 97229

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