Medicare Plans

Open Medicare Plan Data.

Peoples Health Medicare Advantage Patriot No Rx LA (HMO-POS) Medicare Advantage Plan H1961-026 • 2027 • Saint Mary Parish, LA

CMS Rating: ☆☆☆☆☆ (3.5 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$6700.00In-network
Part B Giveback
−$200.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Saint Mary Parish, LA
Local Enrollment
0 beneficiaries in Saint Mary Parish
Last update:

Peoples Health Medicare Advantage Patriot No Rx LA (HMO-POS) Introduction

CMS Plan ID H1961-026 identifies Peoples Health Medicare Advantage Patriot No Rx LA, a Medicare Advantage HMO-POS plan offered by Peoples Health. The plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $0.00 medical deductible, and $6700.00 in-network maximum out-of-pocket.

This plan is available to eligible beneficiaries who live in Saint Mary Parish, Louisiana. CMS reports local enrollment of 0 beneficiaries for this plan in Saint Mary Parish. New members can contact the plan at (800)555-5757 (TTY 711) for help and additional plan information.

Compare Similar Plans in Saint Mary Parish

Compare this plan with the two most-enrolled HMO-POS plans available in Saint Mary Parish, Louisiana. Enrollment is based on CMS local enrollment data.

HMO-POS plan comparison for Saint Mary Parish, Louisiana
Plan Detail Peoples Health Medicare Advantage Patriot No Rx LA Peoples Health Choices 65 Blue adVantage Classic
CMS Plan ID H1961-026-0 H1961-014-3 H6453-013-3
Local Enrollment 0 1,279 127
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $0.00 $500
Maximum Out-of-Pocket $6,700.00 $5,900.00 $4,500.00
Part B Giveback −$200.00 reduction Not offered Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $0-$40 copay $0-$35 copay $40 copay
Part D Deductible Not Applicable $595.00 $700.00
CMS Star Rating 3.5 3.5 3.5
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Want to explore more options? Browse all Medicare Advantage plans in Saint Mary Parish, or compare Medicare Advantage plans across Louisiana, including premiums, out-of-pocket costs, CMS ratings, and enrollment.

Plan Benefits

Peoples Health Medicare Advantage Patriot No Rx LA has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H1961-026.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H1961-026-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $0-$40 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
Not covered
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$95 copay
Lab services
In-network: $0 copay
Outpatient x-rays
In-network: $10 copay
Diagnostic tests and procedures
In-network: $25 copay

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$0-$50 copay
Inpatient hospital care
In-network:
Tier 1
$350 per day for days 1-8
$0 per day for days 9-90
$0 per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Ground ambulance
In-network: $275 copay

Mental Health Services

Outpatient individual therapy
In-network: $0-$25 copay
Outpatient group therapy
In-network: $15 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$350 per day for days 1-8
$0 per day for days 9-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $40 copay
Occupational therapy
In-network: $40 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Durable medical equipment
In-network: 20% coinsurance
Prosthetics
In-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Endodontics
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Restorative services
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Vision Services

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
In-network: $0 copay
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
Not covered
Prescription hearing aids
In-network: $0 copay
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
In-network: $0 copay

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 Performance Ratings (Contract ID: H1961)

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

2027 Medicare Star Ratings for Contract H1961
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆
Medicare Advantage Plan Availability

Peoples Health Medicare Advantage Patriot No Rx LA is available to eligible Medicare beneficiaries residing in Saint Mary County, Louisiana, including communities such as Berwick, Morgan City, Patterson, Baldwin, Franklin, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Peoples Health (official source) http://peopleshealth.com October 4, 2026
Medicare.gov Compare types of Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.