Peoples Health Medicare Advantage Patriot No Rx LA (HMO-POS) Medicare Advantage Plan H1961-026 • 2026 • East Feliciana Parish, LA

Peoples Health Medicare Advantage Patriot No Rx LA Overview

Coverage Overview for Peoples Health Medicare Advantage Patriot No Rx LA

Peoples Health Medicare Advantage Patriot No Rx LA is a Medicare Advantage HMO-POS plan that includes Medicare Part A and Part B coverage, with limited access to out-of-network providers in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $0-$55 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $275 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $6700.00. After this limit is reached, in-network services are fully covered.

This plan is listed by CMS under Plan ID H1961-026. A summary of cost sharing is provided below.

Out-of-Pocket Costs

Peoples Health Medicare Advantage Patriot No Rx LA includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H1961-026.

Certain preventive services are covered 100% by Peoples Health Medicare Advantage Patriot No Rx LA as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.