2018 Freedom Blue PPO Basic (PPO) H3916-12-0 in PA from Highmark | HealthPocket

Freedom Blue PPO Basic (PPO)

Medicare Advantage Plan for Pennsylvania

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHighmark
Plan IDH3916-12-0
CMS Rating1
Plan TypePPO
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

  • gives you freedom to choose which doctors, specialist and hospitals you visit

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$93

Coverage Area for Freedom Blue PPO Basic (PPO)

StatePennsylvania
CountyPhiladelphia

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
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 Freedom Blue PPO Basic (PPO) for Pennsylvania

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Gyi, Aung
101 E Olney Ave
Philadelphia, PA 19120
Mccafferty, John
101 E Olney Ave
Philadelphia, PA 19120
Schindler, Alan
101 E Olney Ave
Philadelphia, PA 19120
Bell, George
101 E Olney Ave
Philadelphia, PA 19120
Yoo, Stanley
101 E Olney Ave
Philadelphia, PA 19120
Brady, Paul
101 E Olney Ave
Philadelphia, PA 19120
Matson, David
101 E Olney Ave
Philadelphia, PA 19120
Vangore, Surya
431 W Roosevelt Blvd
Philadelphia, PA 19120
Deitch, Kenneth
101 E Olney Ave
Phila, PA 19120
Garcia, Laureano
328 W Godfrey Ave
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
Small, Ronald
104 W Cheltenham Ave
Philadelphia, PA 19120
Steerman, Paul
101 E Olney Ave
Philadelphia, PA 19120
Comprehensive Med Care
328 W Godfrey Ave
Philadelphia, PA 19120
Nguyen, Truong
5746 Rising Sun Ave
Philadelphia, PA 19120
Einstein Community Health Associates, Inc
101 E Olney Ave
Phila, PA 19120
Blender, Burton
335 E Wyoming Ave
Philadelphia, PA 19120
Tadley, Gerald
335 E Wyoming Ave
Philadelphia, PA 19120
Stanilla, Joseph
101 E Olney Ave
Philadelphia, PA 19120
Hails, Kevin
101 E Olney Ave
Philadelphia, PA 19120
Myers, John
101 E Olney Ave
Philadelphia, PA 19120
Cosgrove, Douglas
101 E Olney Ave
Philadelphia, PA 19120
Details
Aung Gyi, M.D.
Phone Number
(215) 456-7000
Office Locations
101 E Olney Ave
Philadelphia, PA 19120
101 E Olney Ave Philadelphia PA, 19120

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