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MyPeoplesHealth member portal

Details: An HRA is a set of questions about your health. It helps you understand how healthy you are in different areas and identify risks. Being armed with this knowledge can get you closer to your health goals. You should complete an HRA yearly because your health and goals can change from year to year.

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Contact Peoples Health for New Enrollment or Member Inquiries

Details: Peoples Health values the health and safety of our employees, members and community. In light of the ongoing outbreak of COVID-19, we are following recommended guidelines to implement social distancing. The Peoples Health office locations in Metairie and Baton Rouge are closed to visitors until further notice.

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Peoples Health Online Provider Directory – Network

Details: For Peoples Health Choices 65 (HMO), Peoples Health Choices Gold, Peoples Health Choices Value (HMO), Peoples Health Secure Choice (HMO D-SNP), Peoples Health Secure Health (HMO D-SNP) and Peoples Health Secure Complete (HMO D-SNP) members: You must use network providers except in emergency or urgent care situations or for out-of …

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Peoples Health Choices (PPO)

Details: Peoples Health Choices is a Preferred Provider Organization plan with out-of-network coverage and Part D prescription drug coverage. learn more about this plan. learn more about this plan. Important plan documents and forms. Enroll in the Choices Plan. Available in the following parishes • Acadia • Ascension • Assumption

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Peoples Health Online Provider Directory – Network

Details: For Peoples Health Choices 65, Peoples Health Choices Value, Peoples Health Choices Gold, Peoples Health Choices and Peoples Health Group Medicare members: The plan’s pharmacy network includes preferred and standard mail service pharmacies. With the preferred mail service pharmacy, you generally have lower out-of-pocket copays.

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Understanding Medicare

Details: What is Medicare? Medicare is a federally funded health insurance program that provides health care benefits to people 65 years and older, younger people with certain disabilities, and people of any age who have permanent kidney failure or end-stage renal disease (ESRD) and require dialysis or a kidney transplant.

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Complete Drug List (Formulary) 2021

Details: of health care providers work together in selecting drugs that are needed for well-rounded care and treatment. Your plan will generally cover the drugs listed in our drug list as long as: · The drug is used for a medically accepted indication, · The prescription is filled at a network pharmacy and · Other plan rules are followed.

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› Url: https://www.peopleshealth.com/wp-content/uploads/2020/09/2021_ComprehensiveFormulary_Choices.pdf Go Now

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Authorization Requirements Search

Details: Call toll-free at 1-866-687-7335 to speak with a plan representative, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711.

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Peoples Health Secure Complete (HMO D-SNP)

Details: The Peoples Health Secure Complete (HMO D-SNP) plan is a health plan with Part D drug coverage for people with Medicare and full Medicaid benefits. This Medicare Special Needs Plan offers additional benefits such as a healthy food allowance and a greater allowance for over-the-counter items.

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Peoples Health Choices 65 (HMO) Orleans, Jefferson, East

Details: The Peoples Health Choices 65 (HMO) Orleans, Jefferson, East Baton Rouge plan is a Medicare Advantage Prescription Drug plan with a Part B premium Give Back (we pay a portion of your monthly Medicare Part B premium for you) and a quarterly allowance for over-the-counter health & wellness items.

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Comprehensive Wellness Assessment

Details: Peoples Health special needs plan members receive an assessment every year they are enrolled in a special need plan. What are the benefits? The comprehensive wellness assessment is a no-cost benefit for you—you pay no copay or coinsurance for it.

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Peoples Health Choices 65 (HMO) Southland

Details: The Peoples Health Choices 65 (HMO) Southland plan is a Medicare Advantage Prescription Drug plan with a Part B premium Give Back (we pay a portion of your monthly Medicare Part B premium for you) and a quarterly allowance for over-the-counter health …

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Peoples Health Patriot (PPO)

Details: The Peoples Health Patriot (PPO) plan is a Preferred Provider Organization plan with a Part B premium Give Back and out-of-network coverage. No Part D …

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Provider Plan Documents and Forms 2021

Details: Home Health Agency Update/Recertification Form – To update home health services for members, as well as to request recertification for continuation of services Electronic Funds Transfer Documents Electronic funds transfer (EFT) is a free and secure way to receive faster claim payments.

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Summary of Benefits 2020

Details: Peoples Health Choices 65 #14 (HMO) is a Medicare Advantage HMO plan with a Medicare contract. To join this plan, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, live within our service area listed below, and be a United States citizen or lawfully present in the United States. Our service area includes these parishes in:

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The Importance of Medicare’s Star Ratings

Details: Peoples Health’s 4.5-Star rating is an overall rating – a combination of the two broad categories of health plan and drug plan quality. Under those two broad categories are measures that consider a range of issues such as: Customer service; Helping members stay healthy and improving their health; Managing chronic conditions

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Peoples Health Choices 65 (HMO) Rural Southeast

Details: The Peoples Health Choices 65 (HMO) Rural Southeast plan is a Medicare Advantage Prescription Drug plan with a Part B premium Give Back (we pay a portion of your monthly Medicare Part B premium for you) and a quarterly allowance for over-the-counter health & wellness items.

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2020 COMPLETE DRUG LIST (FORMULARY)

Details: outpatient health care) or Medicare Part D (prescription drugs). Your doctor may need to provide the plan with more information about how this drug will be used to make sure it’s correctly covered by Medicare. HRM - High-risk medication. This drug is known as a high-risk medication (HRM) for patients 65 years and older. This drug

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Peoples Health Choices Gold (HMO)

Details: The Peoples Health Choices Gold plan is a Medicare Advantage Prescription Drug plan with a $40 per quarter allowance for over-the-counter health & wellness items. learn more about this plan Important plan documents and forms

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How to Enroll in a Peoples Health Medicare Advantage Plan

Details: Peoples Health Group Medicare (HMO-POS) Office of Group Benefits (OGB) Call toll-free at 1-866-687-7335 to speak with a plan representative, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711 .

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2021 Health Plan Overview

Details: with Peoples Health. Peoples Health is the choice of more than 80,000 people with Medicare in Louisiana. Founded in 1994 by medical providers and physicians, we focus on one thing: helping people with Medicare enjoy the best health possible. Today, Peoples Health is part of the UnitedHealthcare® family of plans. Both

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How Medicare and Medicaid Work Together

Details: Peoples Health special needs plans are available to anyone who has both Medicare and medical assistance from the state or Louisiana Medicaid. Some companies that offer these special needs plans require dual-eligibles to have full coverage from Medicaid to …

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Peoples Health History

Details: Peoples Health’s 4.5-Star rating is an overall rating – a combination of the two broad categories of health plan and drug plan quality. Under those two broad categories are measures that consider a range of issues such as: Customer service; Helping members stay healthy and improving their health; Managing chronic conditions

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Part D Coverage for Members

Details: Peoples Health will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy and other plan rules are followed. For more information on how to fill your prescriptions, please review your plan’s Evidence of Coverage.

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Specialty Physician Descriptions

Details: A specialist is a doctor who provides healthcare services for a specific disease, condition or part of the body. The doctor’s expertise in …

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Emergency Preparedness

Details: The health and well-being of our members is a top priority. We understand the importance of communicating with our members during an event that interrupts business or, more importantly, is a local or regional emergency.

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Emergency Preparedness

Details: The health and well-being of our members is a top priority. We understand the importance of communicating with our members during an event that interrupts business or, more importantly, is a local or regional emergency. If the governor of Louisiana, the U.S. secretary of the Department of Health and Human Services or the president of the United

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Costs to See a Doctor 2021

Details: Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits Notes: Authorization is required for certain services. Call toll-free at 1-866-687-7335 to speak with a plan representative, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711. This information is not a complete description of benefits.

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Over-the-Counter (OTC) Product Catalog

Details: The products on this list are intended for member use only to help with a health or medical need. Ordering OTC items for family members and friends is prohibited. If you have not received your order within 10 business days, call . 1-888-628-2770 (TTY: 1-877-672-2688), Monday through Friday, 8:00 a.m. to 7:00 p.m. Central Time

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Frequently Asked Questions for Peoples Health providers

Details: Most 2021 Peoples Health plans require that plan members receive care from network providers, except in emergency or urgent situations; however, the following plans do offer an out-of-network benefit that allows enrolled members to receive other services from out-of-network providers.

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Request for Medicare Prescription Drug

Details: Representation documentation for requests made by someone other than enrollee or the enrollee’s prescribing doctor: Attach documentation showing the authority to represent the enrollee (a completed Authorization of Representation Form CMS-1696 or a written equivalent). For more information on appointing a representative, contact your plan or 1-800-MEDICARE.

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2020 Peoples Health Choices 65 #14 P(HMO) Plan Overview

Details: Peoples Health? The choice of more than 75,000 . Medicare beneficiaries in Louisiana. Founded in 1994 by medical providers and physicians, Peoples Health chose to focus on one thing: helping people with Medicare. That focus has helped Peoples Health become one of the largest Medicare Advantage organizations in Louisiana.*

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Costs to See a Doctor

Details: Get informed about what it costs to see a doctor. The costs to see a doctor can vary by year and by plan. Explore the plan listings below to learn the costs associated with visiting a primary care physician, a specialist, a podiatrist, a vision care provider and more.

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Peoples Health Choices Value (HMO)

Details: Peoples Health Choices Value’s premium includes coverage for both medical services and prescription drug coverage. SEE IF YOU QUALIFY FOR EXTRA HELP. If you aren’t getting Extra Help, you can see if you qualify by calling: Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week (TTY users call 1-877-486-2048)

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2020 Non-SNP Mail-Order Pharmacy Information

Details: Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits Members can order prescription drugs from a network mail service pharmacy and have their prescription drugs delivered to their home. You can use any of your plan’s network pharmacies

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Peoples Health: Request nonemergency transportation from

Details: Nonemergency transportation is a covered benefit for Peoples Health Secure Health (HMO D-SNP) and Peoples Health Secure Complete (HMO D-SNP). Please complete the form below to request nonemergency transportation. Fields marked with an …

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FAQs for Providers who want to contract with Peoples Health

Details: A Peoples Health contracting specialist will contact you in the near future to deliver a contract for your review. If you accept the terms, you must sign the contract and return it to Peoples Health. We will then initiate the credentialing process, which takes up to 90 days.

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