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Medicare Advantage
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Louisiana
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Cameron Parish
 » 
HumanaChoice R0110-001

HumanaChoice R0110-001 Cameron Parish, LA — 2021 Medicare Advantage Plan

This page provides PPO health plan information about HumanaChoice R0110-001, a 2021 Medicare Advantage plan available to beneficiaries in Cameron Parish, Louisiana. If you join this plan you agree to allow Humana to provide your Medicare health benefits.
If you need assistance, call us at 1-855-266-4865
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This page contains editorial content that is not endorsed or approved by Humana[2]. This is not a solicitation of insurance.

Contact the Plan
Medicare Rating:
☆☆☆☆☆
CMS Plan ID:R0110-001
CMS Plan Year:2021
Premium:$0.00/mo
Premium Valid:Until 2021-12-31
Drug Plan:No
Rx Deductible:$0.00/year
Online Pharmacy:No
Rx Gap Coverage:
Availability:Cameron County, LA
Policy Valid:2021-1-1 to 2021-12-31
Insured By:Humana

HumanaChoice R0110-001
2021 Copays in Cameron Parish, LA

Healthcare ServiceMember Cost
Primary Care Doctor:$0 co-pay
Mental Health Specialist (individual):$35 co-pay
Mental Health Specialist (group):$35 co-pay
Chiropractic Services as a supplemental benefit:None
Occupational Therapy Specialist:$25 co-pay
Podiatrist Services (Medicare Covered):None
Telehealth Services:$0-35 co-pay
Emergency Room Care:$90 co-pay
(waived if admitted within 24 days)
Urgent Care:30% co-insurance ($65 max)
Urgent Care:$0-50 co-pay
Ambulance Services:$265 co-pay
Hospital Inpatient Stay:$195 per day for days 1 through 6
$0 per day for days 7 through 90
$0 per day for days 91 and beyond
Outpatient Lab Services:$0-40 co-pay
Outpatient Diag Services:$0-50 co-pay
Routine Eye Exams:Covered
(limited coverage, no additional premium)
Eye Glasses:Upgrades: Yes
Contact lenses: Yes
Eyeglasses (lenses & frames): No
Eyeglass lenses: No
Eyeglass frames: No
Limits Apply
No additional premium
Hearing Exams:Routine Exams: Yes
(limits and co-pay/insurance apply)
Aid Eval/Fitting: Yes
(limits and co-pay/insurance apply)
Hearing Aids:Over the ear: Yes
Outer ear: No
Inner ear: No
(limits and co-pay/insurance apply)

HumanaChoice R0110-001
Prescription Copays in Cameron Parish, LA

TierPreferredStandard
This plan does not include prescription drug coverage. You can get prescription coverage by joining one of the Medicare Part D Plans in Louisiana

HumanaChoice R0110-001
CMS 5-Star Review Ratings

CMS MeasureStar Rating
2021 Overall Rating☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines☆☆☆☆☆
Managing Chronic (Long Term) Conditions☆☆☆☆☆
Member Experience with Health Plan☆☆☆☆☆
Complaints and Changes in Plans Performance☆☆☆☆☆
Health Plan Customer Service☆☆☆☆☆
Drug Plan Customer Service☆☆☆☆☆
Complaints and Changes in the Drug Plan☆☆☆☆☆
Member Experience with the Drug Plan☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing☆☆☆☆☆
People commonly ask, "Is HumanaChoice R0110-001 any good?" In this table we show you the quality ratings. Each year CMS rates health plans (Part C) in five broad categories and drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating less than 3.0.

HumanaChoice R0110-001 2021 Medicare Advantage PPO Plan for Cameron Parish, LA

HumanaChoice R0110-001 is a Medicare Advantage plan from Humana that's available to Medicare beneficiaries living in Cameron Parish, Louisiana.

  1. It is a Preferred Provider Organization (PPO) health plan.
  2. It provides the same basic benefits as Original Medicare.
  3. It may offer extras that Medicare does not cover.
  4. The maximum out-of-pocket cost with this plan is $7,550 .
  5. The monthly premium is $0.00 (plus your Part B premium).
  6. NOTE: It does not include a prescription drug plan (Part D).

HumanaChoice R0110-001 vs. Original Medicare in Cameron Parish

This PPO plan replaces your traditional Medicare coverage in Cameron Parish. If you join HumanaChoice R0110-001, you must agree to let Humana manage your Medicare benefits, including:

  1. Medicare Part A (hospital insurance).
  2. Medicare Part B (medical insurance).
  3. Additional benefits included in the plan not covered by Medicare.

PPO health insurance allows you to choose your own primary care doctor, specialists and other healthcare providers. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.

HumanaChoice R0110-001 Review

These are the areas of the plan that are important to compare and review:

  • Premium: This is the amount you will pay monthly, above and beyond your Medicare Part B.
  • Maximum-Out-Of-Pocket (MOOP): This is the most you will pay for co-pays and co-insurance before the plan pays 100%.
  • CMS Ratings: Important measurements across 5 different areas that will help you understand how well this plan will care for you.
  • Prescription Coverage: Not included with this plan.
  • Co-pays & Co-insurance: If you see the doctor regularly, including specialists, you need to know what you'll pay for each visit.

IMPORTANT: Unlike Original Medicare, your out-of-pocket expenses are capped with this plan. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.

NOTE: HumanaChoice R0110-001 does not include a drug plan. To get prescription coverage, add one of the stand-alone Medicare Drug Plans in Louisiana. Coverage by prescription drug plans varies, so make sure you get the coverage you need.

Monthly Premium

The monthly premium if you join HumanaChoice R0110-001 is $0.00 per month. Plus, you must continue to pay your monthly Medicare Part B premium. Co-payments and/or co-insurances also apply with most healthcare services, except preventative care mandated by CMS (see R0110-001 Summary of Benefits below).

IMPORTANT: When evaluating this plan, look past the monthly premium. Identify the costs of the healthcare services you use most. Only then will you uncover the plan's value for your personal situation.

Maximum Out-of-Pocket (MOOP) Limit

Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket limit on inpatient and outpatient healthcare services. The HumanaChoice R0110-001 plan MOOP is $7,550 . Once you reach this amount of spending on your co-payments, all of your Medicare Part A and Part B services will be covered at no additional charge.

Plans can set their MOOP at a voluntary level of $0 to $3,400 (for in-network services) or a mandatory $3,401 to $6,700 (in-network). Combined totals for in-network and out-of-network are generally higher.

NOTE: MOOP does not include what you spend on monthly premiums. It also does not apply to your prescription drugs or Part D deductible.

CRITICAL: It is important to evaluate the combined annual MA/MAPD premiums and MOOP versus what you might expect to pay for a Medicare Supplement in Cameron Parish. Some Medicare Supplements offer less overall financial risk than Medicare Advantage.

Contact Humana

For more information about this plan, and other plans on this site, call 1-855-266-4865. You may also contact the plan:

Prospective Members:(800)833-2364
TTY Users:(711)-
Plan Website:http://www.humana.com/medicare
Formulay Information:Humana Formulary Page
Pharmacy Information:Humana Pharmacy Page

For assistance 24 hours a day, call 800-633-4227. TTY users should call 877-486-2048. If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov. To learn more about this plan, visit the Humana Medicare website.

Compare Plan Options

The average Louisiana senior compares three or more plan options before making an enrollment decision.

Additional Medicare Plan Options in Cameron Parish

Are you eligible for a Cameron Parish, LA Medicare Special Needs Plan (SNP)? SNPs are a special type of Medicare Advantage plan designed to help people with special needs. Here are some of the SNP plans in your area:

  • WellCare Freedom (Local HMO), for Dual-Eligible beneficiaries
  • Healthy Blue Dual Advantage (Local HMO), for Dual-Eligible beneficiaries
  • WellCare Pinnacle (Local HMO), for Dual-Eligible beneficiaries
  • Peoples Health Secure Complete (Local HMO), for Dual-Eligible beneficiaries
  • Vantage DUAL PLUS (Local HMO), for Dual-Eligible beneficiaries

Not qualified for an SNP? Here are some additional plans you might consider:

  • Blue Advantage (HMO)
  • Humana Gold Plus H1951-049 (HMO)
  • WellCare Endurance (HMO)
  • Lasso Healthcare Growth Plus (MSA)
  • HumanaChoice H5216-202 (PPO)

RELATED: Top 9 Advantages and Disadvantages of Medicare Advantage Plans

The Medicare Part C information on this page originates from CMS Landscape Source Files, is maintained by David Bynon, and was last updated on January 26, 2021.

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