2018 Health Partners Medicare Basic (HMO) H9207-1-0 in PA from HealthPartners | HealthPocket

Health Partners Medicare Basic (HMO)

Medicare Advantage Plan for Pennsylvania

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHealthPartners
Plan IDH9207-1-0
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 Health Partners Medicare Basic (HMO)

StatePennsylvania
CountyPhiladelphia

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
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
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
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
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 Health Partners Medicare Basic (HMO) for Pennsylvania

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Vangore, Surya
431 W Roosevelt Blvd
Philadelphia, PA 19120
Walsh, Brian
4702 N 5th St
Philadelphia, PA 19120
Hoellein, Kenneth
101 E Olney Ave
Philadelphia, PA 19120
Grant, Richard
101 E Olney Ave
Philadelphia, PA 19120
Lanoce, Gary
4857 C St
Philadelphia, PA 19120
Nguyen, Truong
5746 Rising Sun Ave
Philadelphia, PA 19120
Blender, Burton
335 E Wyoming Ave
Philadelphia, PA 19120
Tadley, Gerald
335 E Wyoming Ave
Philadelphia, PA 19120
Nguyen, Kenneth
448 E Wyoming Ave
Philadelphia, PA 19120
Kowalski, John
101 E Olney Ave
Philadelphia, PA 19120
Trinh, Chuong
5920 N 5th St
Philadelphia, PA 19120
Lluberes, Joselyn
101 E Olney Ave
Philadelphia, PA 19120
Brownstein, Elliot
7848 Old York Rd
Elkins Park, PA 19027
Birnbaum, Michael
8380 Old York Rd
Elkins Park, PA 19027
Lafontant, Gilbert
60 Township Line Rd
Elkins Park, PA 19027
Schwartz, Melissa
375 Township Line Rd
Elkins Park, PA 19027
Silverstein, Daniel
8302 Old York Rd
Elkins Park, PA 19027
Manin, Bradley
8250 Old York Rd # 2
Elkins Park, PA 19027
Wanner, Jeffrey
8302 Old York Rd
Elkins Park, PA 19027
Ekizian, Stephanie
8302 Old York Rd
Elkins Park, PA 19027
Jacobson, Zev
205 Yorktown Plz
Elkins Park, PA 19027
Jaffee, Lee
1939 W Cheltenham Ave
Elkins Park, PA 19027
Cahan, Michael
1939 W Cheltenham Ave
Elkins Park, PA 19027
Segal, Miriam
60 Township Line Rd
Elkins Park, PA 19027
Kim, Chong
7300 Old York Rd
Elkins Park, PA 19027
Details
Surya Vangore, M.D.
Phone Number
(215) 455-3444
Office Locations
431 W Roosevelt Blvd
Philadelphia, PA 19120
431 W Roosevelt Blvd Philadelphia PA, 19120

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