Peoples Health Dual Special Needs Plans (D-SNP) are HMO-POS plans that offer benefits for people with both Medicare and Medicaid. These plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams, and neither requires referrals. Members must have Medicaid to enroll, although the level of Medicaid required varies by plan.
Peoples Health Chronic Special Needs Plans (C-SNP) are HMO-POS plans that provide specialized benefits and services for Medicare beneficiaries with chronic conditions such as diabetes, heart failure and/or cardiovascular disorders. These plans do not require referrals for specialty care.
Health Maintenance Organization (HMO) plans use a network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies.
Point of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher cost. Peoples Health POS plans only cover out-of-network dental care.
Peoples Health also offers other Medicare Advantage plans in Louisiana. Find more information here.
For information about claims and activity with dates of service before Jan.1, 2024, please visit the Peoples Health provider website.
To learn more about Peoples Health Medicare Advantage plans, visit peopleshealth.com and choose the Explore Our Plans menu.
To learn more about Medicare Part D prescription drug coverage or to access related forms, review the materials available on the Plan Information and Forms page of UHC.com/medicare.