peoples health louisiana providers

The benefits below are available with this Medicare Advantage plan. Peoples Health Secure Health (HMO-POS D You will have limited access to content on the portal until a Peoples Health administrator contacts you to authorize and activate your account. Find out if youre eligible for a special enrollment period. This is a 5-star Medicare Advantage plan with Part D (prescription drug) coverage. This means that some providers may no longer be in our network or there may be newer providers in our network that are not yet listed. If you do not have login credentials for this portal, contact your provider relations representative or email phn.provider@peopleshealth.com. ), Diabetes Monitoring Supplies (test strips, monitor, etc., from a DME provider or retail pharmacy), Mental Health & Substance Abuse Treatment, Virtual Mental Health or Substance Abuse Treatment Visit. You have the option to upgrade to fashion, designer or premium frames for an additional fee. Peoples Health Choices 65 (HMO-POS) Rural Southeast The Plan Overview for Peoples Health Secure Complete An overview of plan benefits, Annual Notice of Changesfor Peoples Health Secure Complete A summary of plan benefit changes compared to the previous year and other important plan details, Evidence of Coveragefor Peoples Health Secure Complete Information about plan benefits, membership, covered and noncovered services, member rights and responsibilities, and other important plan details, Summary of Benefitsfor Peoples Health Secure Complete A general summary of plan benefits, Vendor Information A listing of providers offering benefit-related services. You may also refer to your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. This directory is updated weekly. These plans combine your Medicare Part A and Medicare Part B into one plan, and include You do not need to get approval or a referral first from your PCP. Examples are eye exams to see if you need eyeglasses or contacts. Value-based care: What is it and what are its benefits? Out-of-network providers are under no obligation to treat plan members, except in emergency situations. Peoples Health Choices (PPO) | 2023 - Peoples Health This benefit includes a $0 dental deductible and $0 copays for preventive and comprehensive dental services received in network, up to a plan-specific maximum benefit amount. $0. WebPeoples Health plans are HMO and PPO Medicare Advantage plans in Louisiana offered by Peoples Health, a United Healthcare Company. Please note that some providers may not be accepting new patients. This directory provides information about Peoples Health network providers. You may still be able to enroll in a Peoples Health plan. All plans include $0 Virtual Visits with a doctor. MyPeoplesHealth Member Portal - Peoples Health Please confirm your information is correct and click submit. You can search for PCPs in the Physician Search. Contracting With Peoples Health - Peoples Health Look for: Weve added more doctors to our Louisiana network. Discover Peoples Health Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting Peoples Health in Louisiana. Primary Care Clinics & Doctors Offices in Louisiana accepting TheMyPeoplesHealthmember website and mobile app give our members access to health care activity, self-service tools and plan documents 24 hours a day. Most Peoples Health plan members* have a dental benefit that includes both preventive and comprehensive dental services. Call for an ambulance if you need it. CMS requires providers to comply with these instructions when completing and distributing the IM. *This plans premium is paid by Medicares Extra Help program. Complete the form below and return it to the email address provided on the form. Member Detailed Notice of Discharge for Hospitals, Member Notice of Medicare Non-Coverage (NOMNC) for Skilled Nursing Facilities, Home Health Agencies, Comprehensive Outpatient Rehabilitation Facilities and Hospices, Over-the-Counter Health & Wellness Items | 2023, Over-the-Counter Health & Wellness Items | 2022, Model of Care for Special Needs Plans (SNPs), Treating Patients in Our Preferred Provider Organization (PPO) Plans, Other Important Documents, Links and Forms. Those out-of-network services may have a higher cost to members. Emergency care can always be obtained in or out of the service area from the nearest available provider. Founded in 1994 by medical providers and physicians, Peoples Health chose to focus on one thing: helping Or, visit. Medicaid, the federal-state health insurance program for the poor that covers nearly 87 million people, contracts with companies to reimburse hospitals and doctors for Lens enhancements are available for a fee. This is a Medicare Special Needs Plan for people who also have Medicaid at levels ranging from the state paying your Part A or B premium to full Medicaid benefits. WebThe patients maximum out-of-pocket amount for Medicare Part A and Part B services from network providers is $4,500. Please have all required information available before proceeding, as incomplete applications cannot be processed. You will pay a $0 copay for all Part D covered vaccines, including Shingrix. The benefits below are available with this Medicare Advantage plan. (Deductibles and coverage limitations The NOMNC must be delivered at least two calendar days before Medicare-covered services end or the second-to-last day of service if care is not being provided daily. This is a Medicare Special Needs Plan for people who also have Medicaid at levels ranging from the state paying your Part A or B premium to full Medicaid benefits. For assistance finding a provider, please use the dental provider search tool at UHCMedicareDentistSearch.com. You will pay a $0 copay for all Part D covered vaccines, including Shingrix. ), MONTHLY PREMIUM FOR PEOPLES SECURE COMPLETE (HMO D-SNP) *, Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week (TTY users call 1-877-486-2048), Louisiana Medicaid at 1-888-342-6207, (TTY users call 1-800-220-5404), or, Social Security Administration at 1-800-772-1213, Monday through Friday, from. Check the Search Only for Primary Care Physicians box, then enter your other search criteria. Every year, we look for ways to take care of our members better. Find the latest information on what we are doing to help our members. The portal provides information formerly available through My Health Connection (HealthTrio). Costs listed are based on use of network providers. Schedule an in-person, phone, or video visit with a trusted Peoples Health primary care doctor today. Every year, we look for ways to take care of our members better. Peoples Health Online Provider Directory Network Providers | 2023 Peoples Health Secure Complete (HMO-POS D-SNP)s premium includes coverage for both medical services and prescription drug coverage. The information is available in a variety of formats for office staff use, including to share with patients. *This does not include any Medicare Part B premium you may have to pay. Hospitals and critical access hospitals are required to provide a completed Medicare Outpatient Observation Notice (MOON) to members receiving observation services for more than 24 hours to inform the members that they are not an inpatient of the facility. If you are interested in scheduling an appointment, please call (888) 8986762 to speak toanagent. Claims and authorization information is no longer accessible through My Health Connection. Peoples Health was founded and is based in southeast Louisiana and serves more than 60,000 members. Authorization is required for certain services. *Maximum benefit amount varies by plan. Peoples Health Those out-of-network services may have a higher cost to members. Detailed instructions for how to use, deliver and complete it are also available. Your PCP can offer most of your care. Peoples Health Peoples Health offers plans in all Louisiana parishes. Get help as quickly as possible. If you contact us on a weekend or holiday, we will reach out to you within one business day. Peoples Every year, Medicare evaluates plans based on a 5-star rating system. 2023 Peoples Health - All Rights Reserved. Nationwide, over 22 million people have chosen a Medicare Advantage plan for their Medicare coverage.**. Together, these booklets can help you better understand your coverage options under Medicare. Detailed instructions for how to use, deliver and complete it are also available. Peoples Health invites you to learn more with freeonlineinformational wellness presentations. Its built on providing free health education and fitness classes in the communities we serve. We want you to be as healthy as you can be. In addition to local providers that support telehealth (virtual visits), you can also visit the following provider that offers virtual care: The parishes in our service area are listed below: Peoples Health Choices 65 Greater New Orleans and Baton Rouge Area: Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Livingston, Orleans, St. Charles, St. Helena and West Baton Rouge parishes, Peoples Health Choices 65 Northshore: St. Tammany, Tangipahoa and Washington parishes, Peoples Health Choices 65 Southland: Assumption, Lafourche, St. Mary and Terrebonne parishes, Peoples Health Choices 65 Rural Southeast: Plaquemines, Pointe Coupee, St. Bernard, St. James, St. John the Baptist and West Feliciana parishes, Peoples Health Choices Gold:Acadia, Bossier, Caddo, Calcasieu, Cameron, Evangeline, Iberia, Lafayette, Ouachita, St. Landry, St. Martin and Vermilion parishes, Peoples Health Secure Health: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, DeSoto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes, Peoples Health Secure Complete: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes, Peoples Health Choices: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes, Peoples Health Patriot: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes. 2023 Peoples Health - All Rights Reserved. You may also download the IM and instructions from the CMS website. WebAs a Peoples Health Group Medicare member, you pay a premium in addition to paying your Medicare Part B premium; when seeing a provider in the plans provider network, you Click the link below to download the IM. Peoples Health Also enjoy a retail option to get diabetes testing supplies at local network pharmacies. Now its easier than ever to picture yourself with Peoples Health. Our staff uses nationally recognized criteria to make sure the service is appropriate for both your condition and the setting (inpatient, outpatient, etc.). Glasses or Contact Lenses (one pair per year - $500 Allowance), Members diagnosed with dementia may be eligible for a maximum of 12 respite care sessions per year from the network respite care provider, Nonemergency Transportation (such as trips, within 40 miles of your home, to and from your doctors office), Dental - $3,500 Coverage Maximum ($0 deductible), Dental - Preventive (X-rays, cleanings, exams, fluoride - coverage frequency varies), Dental - Comprehensive (fillings, crowns, bridges, dentures, etc. You can also request an enrollment packet. If you obtain routine care, except covered dental services, from out-of-network providers, neither Medicare nor Peoples Health will be responsible for the costs. Look for: Weve added more doctors to our Louisiana network. WebDetails drug coverage for Peoples Health Peoples Health Choices 65 (HMO-POS) in Louisiana. $230/monthCard for Food, Over-the-Counter Health & Wellness Items, and Utilities, $230/monthDebit card for food, utilities and over-the-counter (OTC)health & wellness items. If you are not apatient, fill out the contact form to help us assistyou. Provider Application for Contracting with Peoples Health. ^ Compared to 2022 Peoples Health network. Let's talk about how our primary care doctors can better care for you. Please log in to the Peoples Health Provider Portal at https://peopleshealth.com/providerportal. If you need to choose a PCP or need more information, we can help. Together, these booklets can help you better understand your coverage options under Medicare. But the best measure of success is how much we can help our plan members reach their own health goals. At Oak Street Health, our medicare doctors & physicians in Louisiana develop preventive care plans to help you achieve your physical and mental health goals. Provide your contact information, create a user name and password, and verify your provider information. Meet the executive team behind the Peoples Health business model focused on making a positive impact on the overall health of plan members. Peoples Health 2023 Peoples Health - All Rights Reserved. Free Information Kit! - Peoples Health $0 Primary Care Medicare evaluates plans based on a 5-star rating system. You are about to leave peopleshealth.com. Primary Care. Most out-of-network services must be medically necessary and may need prior authorization. This field is for validation purposes and should be left unchanged. ), Mailing address if different from service address. Peoples Health plans offer worldwide coverage for emergency care when members travel outside of the United States and its territories. You should retain a copy of each completed MOON for your records, as we may request copies of any you distribute to your Peoples Health patients. You will have to choose one of our network providers in this directory to be your primary care physician (PCP). You are about to leave peopleshealth.com. An urgently needed service is a nonemergency situation requiring immediate medical care but, given your circumstances, it is not possible or not reasonable to obtain these services from a network provider. For any questions about the information contained in this directory, please call our member services department toll-free at 1-800-222-8600, seven days a For us, success is built on prevention and early detection. To submit a request to join the Peoples Health provider network, please complete the online application below. For reference, this information is provided below: Peoples Health contact information:Peoples HealthThree Lakeway Center3838 N. Causeway Blvd., Suite 2500Metairie, LA 70002Toll-free: 1-800-222-8600TTY: 711, QIO contact information:KEPROToll-free: 1-888-315-0636 (TTY: 711). Most out-of-network services must be medically necessary. One Pass is a trademark of Optum, Inc. and/or its affiliates. Check theSearch Only for Primary Care Physiciansbox, then enter your other search criteria. A plan with Part D drug coverage for people with Medicare and full Medicaid benefits. Click here to learn more about Medicare and the parts of Medicare known as the ABCs of Medicare. You may want to follow-up with your PCP after any specialist visits. Over-the-Counter Health & Wellness Items | 2023, Over-the-Counter Health & Wellness Items | 2022, Model of Care for Special Needs Plans (SNPs), Treating Patients in Our Preferred Provider Organization (PPO) Plans, Routine Vision Benefit Additional Coverage Examples table, Search for a Medical Vision Provider (Ophthalmologist). You are about to leave peopleshealth.com. Most members are also covered for routine vision services. ), Surgery (outpatient hospital or ambulatory surgical center), Emergency Care, Urgent Care & Emergency Transportation^, Emergency Ambulance Services (ground or air), Worldwide (out of USA) Emergency Care, Urgent Care and Emergency Transportation (to nearest facility), Home Health & Skilled Nursing Facility Care, Skilled Nursing Facility Care per Day (semiprivate room and board), Occupational, Physical or Speech Therapy Visit, Durable Medical Equipment - DME (wheelchairs, oxygen, etc. To register for one of our free virtual events, click the link below or use the event calendar on the right. TTY users should call 1-877-486-2048. 2023 Peoples Health - All Rights Reserved. You can also request an enrollment packet. Areas serviced, including any special services offered, Any area hospitals with which you have an association (list hospital and status, for example, active, courtesy, temp, etc. *This plan's premium is paid by Medicare's Extra Help program. Contracting is limited to our service area. Weve gone virtual! Over-the-Counter Health & Wellness Items | 2023, Over-the-Counter Health & Wellness Items | 2022, Model of Care for Special Needs Plans (SNPs), Treating Patients in Our Preferred Provider Organization (PPO) Plans, $0 copay for covered dental, including cleanings, fluoride, fillings, crowns, root canals, extractions, dentures and implants up to the plans annual maximum when using network providers*, Medicare Advantages largest national dental network, Freedom to see any dentist who accepts Medicare. To request a hard copy of Peoples Healths provider directory, please call our member service department at toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711. If an out-of-network provider sends you a bill asking you to pay for covered services, you should. Youll need your red, white and blue Medicare card to complete the online application. Acorp Alibag Skyvistas, Articles P