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County

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Zip Code	19120
Applicant	12/15/1983 Male
Coverage Start	12/17/2018

Insurance Type	Medicare Advantage Plan (Part C w/ RX)
Insurance Provider	Highmark
Plan ID	H3957-3-0
Plan Year	2018
CMS Rating
Plan Type	HMO
Annual Deductible	$0.00

What To Know About This Plan	This plan has health and drug coverage This plan is available for 2019. see plan

Why We Like This Plan	has both Health and Drug Coverage

Costs and Other Important Information

Plan Year	2018
Optional Supplemental Benefits	No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)	$6,700 In-network
Other health plan deductibles?	No
Health Plan Deductible	$0
Monthly Drug Plan Premium	$98.00
Monthly Health Plan Premium	$105.50

Benefits

SERVICE	COST
Inpatient hospital coverage	$325 per stay
Outpatient hospital coverage	$225 per visit
Doctor visits	Primary: $10 per visit Specialist: $30 per visit
Preventive care	$0 copay
Emergency care/Urgent care	Emergency: $80 per visit (always covered) Urgent care: $50 per visit (always covered)
Diagnostic procedures/lab services/imaging	Diagnostic tests and procedures: $0-10 Lab services: $0-10 Diagnostic radiology services (e.g., MRI): $100 Outpatient x-rays: $25
Mental health services	$325 per stay Outpatient group therapy visit with a psychiatrist: $30 Outpatient individual therapy visit with a psychiatrist: $30 Outpatient group therapy visit: $30 Outpatient individual therapy visit: $30
Skilled Nursing Facility	$0 for days 1 through 20 $167.50 for days 21 through 100
Rehabilitation services	Occupational therapy visit: $30 Physical therapy and speech and language therapy visit: $30
Ambulance	$175
Transportation	$10
Foot care (podiatry services)	Foot exams and treatment: $30 Routine foot care: $30
Medical equipment/supplies	Durable medical equipment (e.g., wheelchairs, oxygen): 20% per item Prosthetics (e.g., braces, artificial limbs): 20% per item Diabetes supplies: 0-20% per item
Wellness programs (e.g., fitness, nursing hotline)	Covered
Medicare Part B drugs	Chemotherapy: 20% Other Part B drugs: 20%

Coverage Area for Security Blue HMO Standard (HMO)

State	Pennsylvania
County	Philadelphia

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day Supply	Preferred Retail Pharmacies	Non-Preferred Retail Pharmacies	Mail-Order Pharmacies
Tier 1: Preferred Generic	Not offereds	$0 copay	Not offered
Tier 2: Non-Preferred Generic	Not offered	$13 copay	Not offered
Tier 3: Preferred Brand Name	Not offered	$44 copay	Not offered
Tier 4: Non-Preferred Brand Name	Not offered	$100 copay	Not offered
Tier 5: Specialty Tier	Not offered	33% coinsurance	Not offered

90 Day Supply	Preferred Retail Pharmacies	Non-Preferred Retail Pharmacies	Mail-Order Pharmacies
Tier 1: Preferred Generic	Not offered	$0 copay	Not offered
Tier 2: Non-Preferred Generic	Not offered	$39 copay	Not offered
Tier 3: Preferred Brand Name	Not offered	$132 copay	Not offered
Tier 4: Non-Preferred Brand Name	Not offered	$300 copay	Not offered
Tier 5: Specialty Tier

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

Physicians that accept Security Blue HMO Standard (HMO) for Pennsylvania

Last Name

Location/Distance

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Nguyen, Kenneth

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Small, Ronald

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Matson, David

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Comprehensive Med Care

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Rojas, Job

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Kowalski, John

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Yoo, Stanley

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Florendo, Maria Emilia

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Ross, Harris

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Nguyen, Truong

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Myers, John

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Kim, Hi

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Levin, Bruce

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Garcia, Laureano

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Richardson, Thomas

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Jaffe, Richard

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Brady, Paul

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Cosgrove, Douglas

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Rosenstein, Kenneth

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Yoo, Sook

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Otero-perez, Guillermo

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Trinh, Chuong

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Stanilla, Joseph

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Kenneth Nguyen, M.D.

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Phone Number
(215) 324-2180
Office Locations
448 E Wyoming Ave
Philadelphia, PA 19120

448 E Wyoming Ave Philadelphia PA, 19120

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Call (800) 931-6467

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.