2021 HumanaChoice H5216-105 (PPO) H5216-105-000 in KY from Humana | HealthPocket

HumanaChoice H5216-105 (PPO)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHumana
Plan IDH5216-105-000
Plan Year2021
CMS Rating
Plan TypePPO
Annual Deductible$0.00
Out-of-Pocket Maximum4500

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

Costs and Other Important Information

Plan Year2021
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

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
Care for older adults – medication reviewNot Rated
Care for older adults – functional status assessmentNot Rated
Care for older adults – Pain assessmentNot Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Rheumatoid arthritis management
Reducing the risk of falling
Improving bladder control
Medication reconciliation post-discharge
Statin Therapy for Patients with Cardiovascular Disease

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Rating of health care quality
Rating of health plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
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

Physicians that accept HumanaChoice H5216-105 (PPO) for Kentucky

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Michael, Hess
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Jeffrey, Kriegel
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Ashima, Gupta
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Marcella, Perez
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Maggie, Tran
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Kevin, Buck
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Katrina, Diersing
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Ronachai, Banchongmanie
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Kelly, Sullivan
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Sushil, Kumar
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Michael, Barr
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John, Rice
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Michael, Mckibben
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Rishi, Kumar
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Mark, Brockman
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Michael Hess, M.D.
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  • Phone Number
    (502) 367-2288
  • Office Locations
    5334 S 3rd St
    Louisville, KY 40214
5334 S 3rd St Louisville KY, 40214
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HealthPocket.com is a free information source. 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. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.