2018 HumanaChoice H5216-123 (PPO) H5216-123-0 in WV from Humana | HealthPocket

HumanaChoice H5216-123 (PPO)

Medicare Advantage Plan for West Virginia

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDH5216-123-0
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

  • 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 HumanaChoice H5216-123 (PPO)

StateWest Virginia
CountyKanawha

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 HumanaChoice H5216-123 (PPO) for West Virginia

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HANSBARGER, LUTHER
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
MATUSIC, JOSEPH
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
CALHOUN, BYRON
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
EWING, KIMBERLY
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
HUNTER, PAUL
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
CHAUVENET, ALLEN
830 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
BENDRE, SACHIN
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
SUSON, EDUARDO
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
EVANS, CORTNEY
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
PARRY, AARON
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
ECKERD, JOHN
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
EMRICK, BETH
830 PENNSYLVANIA AVE STE 104
CHARLESTON, WV 25302
BUSH, STEPHEN
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
KHAN, RAHEEL
830 PENNSYLVANIA AVE STE 104
CHARLESTON, WV 25302
CHIANG, MYRA
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
HUNTER, FRANCIS
12 KANAWHA TER
SAINT ALBANS, WV 25177
GANTT, PICKENS
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
THOMAS, DAVID
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
MAUPIN, KEVIN
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
HILL, RANDALL
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
DIETZ, PAUL
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
O'SUOJI, CHIBUZO
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
ZANGENEH, FEREYDOUN
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
DEPOND, ROBERT
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Details
LUTHER HANSBARGER, M.D.
Phone Number
(304) 388-1552
Office Locations
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
830 PENNSYLVANIA AVE CHARLESTON WV, 25302

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