2015 Benefits Comparison Los Angeles County · Other Benefits Gym Membership Yes Yes No Yes...

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Blue Shield of California 6300 Canoga Ave. Woodland Hills, CA 91367 Elsa Haro Rapp Sr. Outreach Manager/Supervisor 1.877.841.8135 press 12 office 424.731.0003 cell [email protected] CareMore 12900 Park Plaza Dr. #150 Cerritos, CA 90703 1.877.211.6614 enrollment services Theresa Martinez Regional Sales Manager 562.755.2858 cell [email protected] Health Net 7755 Center Ave., #800 Huntington Beach, CA 92647 1.800.949.3022 enrollment services Daniel McCarville Territory Manager 714.514.5280 cell [email protected] UnitedHealthcare 505 N. Brand Blvd. Glendale, CA 91203 1.877.596.3258 enrollment services Paul Brownell Individual Sales Representative 909.896.7623 cell [email protected] For more information, call 1.888.365.4450 or visit us at: PIHHealth.org/Seniors Senior Health Plans Senior Health Plans Medicare Open Enrollment Health Plan Contact Information 2015 Benefits Comparison Los Angeles County HEALTH IS A CHOICE. SO IS PIH HEALTH.

Transcript of 2015 Benefits Comparison Los Angeles County · Other Benefits Gym Membership Yes Yes No Yes...

Page 1: 2015 Benefits Comparison Los Angeles County · Other Benefits Gym Membership Yes Yes No Yes Transportation No $0; 22 One way trips to plan-approved locations No No Senior Health Plans

Blue Shield of California

6300 Canoga Ave. Woodland Hills, CA 91367

Elsa Haro Rapp Sr. Outreach Manager/Supervisor

1.877.841.8135 press 12 office 424.731.0003 cell

[email protected]

CareMore

12900 Park Plaza Dr. #150 Cerritos, CA 90703

1.877.211.6614 enrollment services

Theresa Martinez Regional Sales Manager

562.755.2858 cell [email protected]

Health Net

7755 Center Ave., #800 Huntington Beach, CA 92647

1.800.949.3022 enrollment services

Daniel McCarville Territory Manager

714.514.5280 cell [email protected]

UnitedHealthcare

505 N. Brand Blvd. Glendale, CA 91203

1.877.596.3258 enrollment services

Paul Brownell Individual Sales Representative

909.896.7623 cell [email protected]

For more information, call 1.888.365.4450 or visit us at: PIHHealth.org/Seniors

Senior Health Plans Senior Health Plans

Medicare Open Enrollment Health Plan Contact Information

2015 Benefits Comparison Los Angeles County

HEALTH IS A CHOICE. SO IS PIH HEALTH.

Page 2: 2015 Benefits Comparison Los Angeles County · Other Benefits Gym Membership Yes Yes No Yes Transportation No $0; 22 One way trips to plan-approved locations No No Senior Health Plans

Health Plan Blue Shield 65 Plus (HMO) CareMore Value Plus (HMO) Health Net Healthy Heart (HMO)UnitedHealthcare

AARP MedicareComplete SecureHorizons Plan 1 (HMO)

Monthly Premium $0 $0 $0 $0

Deductible $0 $0 $0 $0

Maximum Out of Pocket $2,800 $3,000 $3,400 $5,400

Inpatient Care

Inpatient Hospital Care $0 $0 $200 copay per day, days 1-5;

$0 copay per day, days 6 and beyond$0

Skilled Nursing Facility Care$0 copay/day for days 1-20;

$75 copay/day for days 21-100$0 copay/day for days 1-20;

$25 copay/day for days 21-100$0 copay/day for days 1-20;

$75 copay/day for days 21-100

$0 copay/day for days 1-20;$150 copay/day for days 21-56;$0 copay/day for days 57-100

Outpatient Care and Services

Primary Care Visits $0 $0 $0 $0

Specialist Visits $0 $0 $0 $0

Outpatient Surgery$0 copay for ambulatory surgical center

$100 copay for hospital$0

$100 copay for ambulatory surgical center$0-$200 copay for outpatient hospital,

depending on the service$0

Ambulance $200 copay per trip, one way $100 $250 $250

Emergency Care $65$65

Waived if Admitted$65

Waived if Admitted$65

Waived if Admitted

Urgent Care $5 $0 $10

Waived if Admitted $30 - $50, depending on the service

Durable Medical Equipment 20%0% coinsurance, $0-$49920% coinsurance, $500+

20% 20%

Lab Services $0 $0 $0 $13

X-Rays $0 $0 $0 $0

Diagnostic Radiology (such as MRIs, CT scans) $40 $0 - $75, depending on the service $60 20%

Therapeutic Radiology (such as radiation treatment for cancer) 20% $60 $60 20%

Prescription Drug Benefits

Part B Drugs 20% 20% 20% 20%

Initial Coverage $2,960 $2,960 $2,960 $2,960

Tier 1: Preferred Generic Drugs $0 $0 $3 $4

Tier 2: Non-Preferred Generic Drugs $5 $7.50 $10 $8

Tier 3: Preferred Brand Drugs $40 $37.50 $35 $45

Tier 4: Non-Preferred Brand Drugs $85 $85 $85 $95

Tier 5: Specific to individual health plan 25% Injectable Drugs 33% Specialty Tier Drugs 33% Specialty Tier Drugs 33% Specialty Tier Drugs

Tier 6: Specific to individual health plan 33% Specialty Tier Drugs $0 Select Care Drugs $0 Select Care Drugs N/A

Coverage Gap Tier 1 & 2 Tiers 1, 2 & 6 Tiers 1, 2 & 6 Tier 1 & 2

Other Benefits

Gym Membership Yes Yes No Yes

Transportation No $0; 22 One way trips to plan-approved locations No No

Senior Health Plans

Note: This is a summary of benefits intended for education and training purposes only. Please contact a certified Medicare representative for further benefit information.


· PDF filefor Saudi Aramco in 2012 (Valentine ... Blasting NO YES NO YES NO YES NO YES NO YES NO YES NO YES ... known to Raychem as tackifiers for

· PDF filefor Saudi Aramco in 2012 (Valentine ... Blasting NO YES NO YES NO YES NO YES NO YES NO YES NO YES ... known to Raychem as tackifiers for

Central/Intermediate Administrative Level … · Web viewRPR antigen Yes No Yes No Immersion oil Yes No Yes No Uristix Yes No Yes No Methanol Yes No Yes No ...

Central/Intermediate Administrative Level … · Web viewRPR antigen Yes No Yes No Immersion oil Yes No Yes No Uristix Yes No Yes No Methanol Yes No Yes No ...

DENTAL IMAGES PC...GE reflux/heartburn Glaucoma Neurological disorders Recurrent infections Persistent swollen glands in neck Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

DENTAL IMAGES PC...GE reflux/heartburn Glaucoma Neurological disorders Recurrent infections Persistent swollen glands in neck Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

MDGS.TASE MDGS.Nasdaq February 2016 - … · Stomach acid rises ... MUSE™ EGS Torax yes yes yes yes yes yes 1 Mederi no no yes GI/Surgeon no no no no no no no 1 Surgeon ... Chris

MDGS.TASE MDGS.Nasdaq February 2016 - … · Stomach acid rises ... MUSE™ EGS Torax yes yes yes yes yes yes 1 Mederi no no yes GI/Surgeon no no no no no no no 1 Surgeon ... Chris

Decision Making Flow Chart - NASA Aircraft Icing … · Decision Making Flow Chart Yes Yes Yes Yes No No No No No No Yes Yes No No Yes Yes No No No No Yes Yes No No Yes Yes Yes Yes

Decision Making Flow Chart - NASA Aircraft Icing … · Decision Making Flow Chart Yes Yes Yes Yes No No No No No No Yes Yes No No Yes Yes No No No No Yes Yes No No Yes Yes Yes Yes

Office Policy - lpwellness.com · Tonsillitis Yes No Bleeding Disorders Yes No Gout Yes No Pacemaker Yes No Tuberculosis Yes No Breast Lump/Cyst Yes No Headaches Yes No Parkinson’s

Office Policy - lpwellness.com · Tonsillitis Yes No Bleeding Disorders Yes No Gout Yes No Pacemaker Yes No Tuberculosis Yes No Breast Lump/Cyst Yes No Headaches Yes No Parkinson’s

Investor presentation - Medigus Relations/Investorsppt2014.pdf · Esophyx . Linx . yes . yes . yes . yes yes . yes yes . yes . yes . 1 GI/Surgeon. Stretta . no . yes . no . 1 . no

Investor presentation - Medigus Relations/Investorsppt2014.pdf · Esophyx . Linx . yes . yes . yes . yes yes . yes yes . yes . yes . 1 GI/Surgeon. Stretta . no . yes . no . 1 . no

Brother ScanNCut Comparison - My Sewing Room · CM100DM CM550DX No CM650W (ScanNCut2) Yes No No Yes Yes No No No No No Yes Yes 3.6" 3.6" 12" x 12" 12" x 12" Yes Yes 300 objects 12"

Brother ScanNCut Comparison - My Sewing Room · CM100DM CM550DX No CM650W (ScanNCut2) Yes No No Yes Yes No No No No No Yes Yes 3.6" 3.6" 12" x 12" 12" x 12" Yes Yes 300 objects 12"

2013-14 No No No No No No No No Cert. No Yes* No · 13 Dr. R.N. Pradhan 1.7.48 775 NFSG P&T Bherampur yes yes Yes Yes Yes No 14 Dr. S.C. Banerjee 17.10.48 776 NFSG IGM, Alipore yes

2013-14 No No No No No No No No Cert. No Yes* No · 13 Dr. R.N. Pradhan 1.7.48 775 NFSG P&T Bherampur yes yes Yes Yes Yes No 14 Dr. S.C. Banerjee 17.10.48 776 NFSG IGM, Alipore yes

Mail & Guardian · Kwa Dabeka CHC 13.1nanda CHC Providing Yes Yes Yes Yes Yes No No No No No Yes Yes Yes No No No No No Yes No No No No Yes Yes No No No Yes Yes Yes Yes No No No No

Mail & Guardian · Kwa Dabeka CHC 13.1nanda CHC Providing Yes Yes Yes Yes Yes No No No No No Yes Yes Yes No No No No No Yes No No No No Yes Yes No No No Yes Yes Yes Yes No No No No

Tranquility Vertical Stack (TSL) Series...A = ADA B A YES NO NO NO NO NO PSC PSC STANDARD LOW STATIC YES YES NO YES YES NO NO YES YES YES YES YES NO NO NO NO ECM CONSTANT VOLUME (DXM2

Tranquility Vertical Stack (TSL) Series...A = ADA B A YES NO NO NO NO NO PSC PSC STANDARD LOW STATIC YES YES NO YES YES NO NO YES YES YES YES YES NO NO NO NO ECM CONSTANT VOLUME (DXM2

YES or NO: PRODUCTS CONTAIN THE FOLLOWING … · Calcium Lactate Crust: Original crust No Yes No No No Yes No No No Yes No No No No Pan crust No Yes No No No No No No Yes Yes No Yes

YES or NO: PRODUCTS CONTAIN THE FOLLOWING … · Calcium Lactate Crust: Original crust No Yes No No No Yes No No No Yes No No No No Pan crust No Yes No No No No No No Yes Yes No Yes

SCHOOL INSURANCE APPLICATION · Employees Volunteers Yes No Yes No Yes No Yes No Yes No Yes No Yes No years years Yes No. Page 5 of 12 Sexual Misconduct Liability If coverage is desired,

SCHOOL INSURANCE APPLICATION · Employees Volunteers Yes No Yes No Yes No Yes No Yes No Yes No Yes No years years Yes No. Page 5 of 12 Sexual Misconduct Liability If coverage is desired,

Best Engineering College of Rajasthan | Top Engineering College.Bhamashah Card Aadhar Card For Office Use (Document Received) Yes No Yes / NO Yes No Yes / No Yes I No Yes / No Yes

Best Engineering College of Rajasthan | Top Engineering College.Bhamashah Card Aadhar Card For Office Use (Document Received) Yes No Yes / NO Yes No Yes / No Yes I No Yes / No Yes

 · 2014-12-05 · Blood Preswe Yes No Yes No Yes Yee Yes Yes Yes Yes Yes Yes Yes NO NO No NO No No No No No Hena Asthma AIDS or HtV+ Ulcer Thyoid Osease Kidney Disease Yes No Yes

 · 2014-12-05 · Blood Preswe Yes No Yes No Yes Yee Yes Yes Yes Yes Yes Yes Yes NO NO No NO No No No No No Hena Asthma AIDS or HtV+ Ulcer Thyoid Osease Kidney Disease Yes No Yes

Suggested ADULT PIF Changes · Web viewACLS ATLS PALS FCCS YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO ACLS ATLS PALS FCCS YES NO YES NO YES NO YES NO YES NO YES NO YES

Suggested ADULT PIF Changes · Web viewACLS ATLS PALS FCCS YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO ACLS ATLS PALS FCCS YES NO YES NO YES NO YES NO YES NO YES NO YES

Intelligent Agents(€¦ · Solitaire No Yes Yes Yes Yes Yes Backgammon Yes No No Yes Yes No Taxi driving No No No No No No Internet shopping No No No No Yes No Medical diagnosis

Intelligent Agents(€¦ · Solitaire No Yes Yes Yes Yes Yes Backgammon Yes No No Yes Yes No Taxi driving No No No No No No Internet shopping No No No No Yes No Medical diagnosis

Evaluation of Speech Recognizers for Use in Advanced Combat … · ITT Yes Yes No No Yes Yes No No 500 > i00 1500 Yes Yes Yes No MARCONI Yes Yes No Yes Yes Yes No No 640 > I00 400

Evaluation of Speech Recognizers for Use in Advanced Combat … · ITT Yes Yes No No Yes Yes No No 500 > i00 1500 Yes Yes Yes No MARCONI Yes Yes No Yes Yes Yes No No 640 > I00 400

AGENCY/ORGANIZATION SPONSORSHIP FORM...REQUIRED FOR ALL PROGRAMS Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Assessment Fee (one time only $50.00) Bus Pass (First

AGENCY/ORGANIZATION SPONSORSHIP FORM...REQUIRED FOR ALL PROGRAMS Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Assessment Fee (one time only $50.00) Bus Pass (First

 · M. Irfan No No no Yes agreed Yes Yes No no 15000 Yes Ashraf Ali Yes yes yes yes yes yes Yes Yes yes 32786 yes Feed Well Yes Yes Yes Yes agreed Yes Yes Yes Yes 26000 Yes Al-Wahid

 · M. Irfan No No no Yes agreed Yes Yes No no 15000 Yes Ashraf Ali Yes yes yes yes yes yes Yes Yes yes 32786 yes Feed Well Yes Yes Yes Yes agreed Yes Yes Yes Yes 26000 Yes Al-Wahid