Ochsner Health Plan Premier (HMO)
Louisiana Medicare Advantage Plan (2024 Plan)
Overall Government Star Rating4.0
Ready to Enroll Online?
Ochsner Health Plan Premier (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Louisiana and offered by the health insurance company Ochsner Health Plan. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Ochsner Health Plan Premier (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $2,900 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Ochsner Health Plan Premier (HMO) are defined below.
Additional Benefits and Coverage
Ochsner Health Plan Premier (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Ochsner Health Plan Premier (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Ochsner Health Plan Premier (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of Ochsner Health Plan Premier (HMO) to Other Plans in Louisiana
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Ochsner Health Plan Premier (HMO) received an overall government quality rating of 4.0 stars out of 5 stars.
Ochsner Health Plan Premier (HMO) performed worse than Louisiana’s State average overall quality score of 4.2 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Ochsner Health Plan Premier (HMO) received 4.5 stars for its health plan quality score which is better than the Louisiana State average health plan quality score of 4.2 stars.
Ochsner Health Plan Premier (HMO) received 3.5 stars for its drug plan quality score which is worse than the Louisiana State average drug plan quality score of 4.0 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 11 through 90
Skilled nursing facility
$165 per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase1||Catastrophic coverage phase|
|Preferred Generic||$0.00 copay||$0.00 copay||$0 copay|
|Generic||$10.00 copay||$10.00 copay||$0 copay|
|Preferred Brand||$45.00 copay||$0 copay|
|Specialty Tier||33%||$0 copay|
|1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.|
Part B Drugs
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
In this article we rank Louisiana Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Louisiana is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Louisiana.