Are you new to Medicare or turning 65?
If you live in Louisiana, Ochsner Health Plan might be right for you.
If you are turning 65 soon or are new to Medicare, you probably know that these milestones come with a valuable perk. You may now be eligible to join a Medicare Advantage plan. In addition to more benefits than original Medicare, Medicare Advantage plans often offer limited or zero-cost premiums, low copays, plus additional benefits like prescription drug coverage, vision, dental, hearing, and fitness benefits… and much more.
Before you become eligible for Medicare, it is a good idea to carefully review your options and try to select a plan that best meets your health, wellness, and out-of-pocket financial needs. It’s important to be certain that the plan is offered in your parish, your physicians are in the network, and your prescription medications are covered.
In 2022, those newly eligible for Medicare living in the Greater New Orleans and Greater Baton Rouge metropolitan areas can choose from two Medicare Advantage benefit plans offered by Ochsner Health Plan. Those aging-in or turning 65, have a 7-month window to enroll into a Medicare Advantage plan (the month of their 65th birthday and the three months before and three months after that month). Medicare calls this the Initial Enrollment Period.
“Ochsner Health has an established record of managing its population using data driven methods addressing gaps in care and screening for preventable disease,” said Ann Kay Logarbo, MD, FAAP, Medical Director, Ochsner Health Plan. “Ochsner Health Plan is excited to work with Ochsner Health to leverage their proven success in our Medicare Advantage members, providing exceptional care management and improving the health of our members.”
Ochsner Health Plan began serving members on January 1, in the following parishes: Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Lafourche, Livingston, Orleans, St. Charles, St. John the Baptist, St. Tammany, and West Baton Rouge. Those that became Medicare-eligible prior to Ochsner Health Plan’s launch date had the opportunity to switch Medicare Advantage Plans during Medicare’s 2022 Annual Enrollment Period (AEP) (from October 15, 2021, through December 7, 2021).
Ochsner Health, the largest health system in Louisiana, participates as a provider in most of the major Medicare Advantage plans in Louisiana. However, Ochsner Health launched their own Medicare Advantage plan to better connect their patients, healthcare providers and health insurance with integrated, cutting-edge services and technology.
“As the U.S. Medicare population continues to grow by 11,000 people every day, more seniors across Louisiana are seeking the best medical options available to them,” said Warner Thomas, president and CEO, Ochsner Health. “Ochsner wanted to create an innovative plan that takes full advantage of Ochsner Health’s fully integrated health system. We encourage Ochsner patients who might qualify for Medicare to compare Ochsner Health Plan’s Medicare Advantage plan benefits to other Medicare Advantage plans in the area.”
Both Ochsner Health Plans offer a $0 plan premium, $0 PCP visit, $20 specialist visits and a $65/day inpatient hospital stay, plus Part D Prescription Drug Coverage and hearing, vision, and dental coverage -- as well as a free fitness center membership and $75 OTC allowance each quarter.
Ochsner Health Plan Premier (HMO) also offers a $30 per month Part B Premium Giveback and a $3,500 maximum out of pocket per year. Ochsner Health Plan Freedom (HMO POS) offers a $3,700 maximum out-of-pocket per year and an out-of-network option – giving members the freedom to seek care from non-participating providers at higher cost. *
“Ochsner Health’s primary goal is to serve as a catalyst to make our patients and Louisiana communities healthier,” said Thomas. “Ochsner has strived to stay ahead of the increasing demand and health needs of Louisiana’s aging citizens with the development and implementation of innovative facilities, services, programs and emerging technology. Ochsner Health Plan will serve an important role in our work to accomplish these goals for Louisianans.”
“At Ochsner, our goal is to provide the highest quality care available to meet all of our patients’ health and wellness needs at every stage of life,” said Warner Thomas, president and CEO, Ochsner Health. “By launching Ochsner Health Plan with Medicare Advantage plans, developed by Ochsner and fully integrated with services offered throughout our system, we’ll be able to help seniors enjoy the best years of their lives.”
Ochsner Health Plan offers the Silver & Fit program with free fitness benefits to members that include membership in Ochsner’s fitness programs as well as digital, exercise other resources for those that wish to work on their personal fitness in the privacy of their own homes.
Ochsner Health Plan is also committed to offering the highest quality benefits and services available. One way that they will do this is by listening the needs of members through the development of a Member Advisory Team. The team will provide feedback for continuous quality improvement by meeting regularly with Ochsner Health Plan leadership to let them know what’s working and what needs improvement.
So, if you are Medicare eligible and live in the service area, compare your current coverage to an Ochsner Health Plan. The benefits comparison may surprise you.
Follow news and updates about and from Ochsner Health Plan on LinkedIn, Facebook, Twitter, Instagram, and YouTube. For additional information, visit www.ochsnerhealthplan.com. If you are new to Medicare or turning age 65 and would like a licensed agent to follow up with you about Ochsner Health Plan benefits and enrollment contact: OHPINFO@ochsner.org or call 1-855-431-3422 (TTY: 711).
Ochsner Health Plan, Inc. is a Medicare Advantage company with a Medicare contract. Enrollment in Ochsner Health Plan depends upon contract renewal.
*Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.