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Medicare Advantage · HMOPOS
Peoples Health
Plan year 2027

Peoples Health Complete Care LA-7 (HMO-POS C-SNP) H1961-033-001

Monthly premium
$0
+ your Part B premium
Max out-of-pocket
$5,900
in-network annual cap
Primary care
$0
per visit copay
Specialist
$35
per visit
Eligibility required for this C-SNP
The plan must verify that you have one of its qualifying chronic or disabling conditions, such as cardiovascular disorders, diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.
Extra benefits for members who qualify
  • Food and produce benefit
These benefits are not available to every member. Even if you have a listed chronic condition, the plan must confirm that you meet its coverage criteria. See the Evidence of Coverage for complete rules.

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$0
Rx deductible
$505
Inpatient hospital
Days 1-10: $250/day, Days 11-90: $0/day, then $0/day
no limit on covered hospital days
Inpatient mental health
Days 1-10: $250/day, Days 11-90: $0/day
Outpatient surgery
$250
Emergency room
$130
Urgent care
$50

What's included, and what it's actually worth5 benefits included. Tap any card for the detail

Hearing

$1,000/yr hearing aid allowance
Hearing aid allowance$1,000/yr hearing aid allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$200eyewear allowance per 2 years
Eyewear allowance$200 eyewear allowance per 2 years
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$0 copay
In-network$0 copay per visit
Doctor Visits: Specialist$35 copay
In-network$35 copay per visit
Inpatient Hospital$250/day, days 1–10
In-networkDays 1-10: $250/day, Days 11-90: $0/day, then $0/day
Benefit limitNone — additional covered days are unlimited
Outpatient Surgery$250 copay
In-network$250 copay per procedure
Mental HealthDays 1-10: $250/day, Days 11-90: $0/day
Inpatient psychiatricDays 1-10: $250/day, Days 11-90: $0/day
OTC allowanceOTC benefit ($0 copay)
DetailsOTC benefit ($0 copay)
Fitness$0 fitness benefit
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

This plan has a $0 monthly premium.
See your primary doctor for $0.
No separate medical deductible.

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS)

What does Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) cover?

Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including cardiovascular disorders and diabetes. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include vision ($200 eyewear allowance per 2 years), hearing ($1,000/yr hearing aid allowance), over-the-counter (OTC) (OTC benefit ($0 copay)), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) cost in 2027?

The published 2027 monthly plan premium for Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $505. The in-network medical out-of-pocket maximum is $5,900; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $35. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS)?

CMS lists Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) as a HMOPOS plan. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

What chronic conditions qualify for Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS)?

Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as cardiovascular disorders, diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Learn about Special Needs Plans

How does Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) coordinate care for my chronic condition?

Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include cardiovascular disorders and diabetes. The record also lists vision ($200 eyewear allowance per 2 years), hearing ($1,000/yr hearing aid allowance), and over-the-counter (OTC) (OTC benefit ($0 copay)). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.

When can I enroll in Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS)?

Peoples Health Complete Care LA-7 (HMO-POS C-SNP) (HMOPOS) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Chronic Condition Special Needs Plan directory. This plan is offered in Louisiana. Plan availability can vary by county.

Helpful next steps