2018 Essence (HMO-POS) H5211-3-0 in WI from Security Health Plan | HealthPocket

Essence (HMO-POS)

Medicare Advantage Plan for Wisconsin

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderSecurity Health Plan
Plan IDH5211-3-0
CMS Rating1
Plan TypeHMO-POS
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$17

Coverage Area for Essence (HMO-POS)

StateWisconsin
CountyMilwaukee

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
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 Essence (HMO-POS) for Wisconsin

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Punke, Jodi
1020 N 12th St
Milwaukee, WI 53233
Ellias, Mazin
4131 W Loomis Rd
Greenfield, WI 53221
Roiger, Michelle
111 E Wisconsin Ave
Milwaukee, WI 53202
Aldinger, Glenn
111 E Wisconsin Ave
Milwaukee, WI 53202
Pajek, Emil
111 E Wisconsin Ave
Milwaukee, WI 53202
Laundrie, Dennis
111 E Wisconsin Ave
Milwaukee, WI 53202
Kambol, James
111 E Wisconsin Ave
Milwaukee, WI 53202
Glinski, Jeffrey
10625 W North Ave
Milwaukee, WI 53226
Foreman, Jason
111 E Wisconsin Ave
Milwaukee, WI 53202
Shimp, Richard
111 E Wisconsin Ave
Milwaukee, WI 53202
Details
Jodi Punke, DO
Phone Number
(414) 219-7300
Office Locations
1020 N 12th St
Milwaukee, WI 53233
1020 N 12th St Milwaukee WI, 53233

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