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Peoples Health Complete Care LA-6 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Peoples Health Complete Care LA-6 (HMO-POS C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Peoples Health Complete Care LA-6 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select parishes in Louisiana. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Peoples Health Complete Care LA-6 (HMO-POS C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Peoples Health Complete Care LA-6 (HMO-POS C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Peoples Health Complete Care LA-6 (HMO-POS C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Peoples Health Complete Care LA-6 (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $355.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6700.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Peoples Health Complete Care LA-6 (HMO-POS C-SNP)
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Drug Coverage
The Peoples Health Complete Care LA-6 (HMO-POS C-SNP) plan features an annual drug deductible of $355. For Tier 1 preferred generic drugs, you will pay no copay for 1-month and 3-month standard pharmacy fills or 3-month mail orders. Tier 2 generic drugs cost $10 for a 1-month standard pharmacy supply, but you can get a 3-month supply with no copay through preferred mail order. For brand-name and specialty medications, costs are based on coinsurance percentages. Tier 3 preferred brand drugs require a 21% coinsurance, while Tier 4 non-preferred drugs carry a 46% coinsurance. Specialty Tier 5 prescriptions require a 29% coinsurance for a 1-month supply at standard pharmacies and mail-order services.
Additional Benefits
The Peoples Health Complete Care LA-6 (HMO-POS C-SNP) plan offers robust coverage for essential medical services, often with no coinsurance. Members enjoy no copay for primary care visits, telehealth services, and annual preventive exams, while specialist visits require a low copay of up to $35. For hospital care, inpatient stays feature a $275 daily copay for the first several days before dropping to no copay, and emergency room visits carry a $130 copay that is waived if you are admitted. This plan also provides valuable supplemental benefits, including routine dental, vision, and hearing exams with no copay. While durable medical equipment and dialysis services require a 20% coinsurance, diabetic supplies and home health services are fully covered with no copay. Additionally, members can take advantage of no-copay benefits for over-the-counter items and chronic illness meals, alongside a $300 eyewear allowance every two years.
Inpatient Hospital See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers inpatient hospital services with no coinsurance, requiring a $275 daily copay for days 1 through 10 of acute stays and days 1 through 9 of psychiatric stays, followed by no copay for remaining covered days. Prior authorization is required, and certain services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Peoples Health Complete Care LA-6 (HMO-POS C-SNP) with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Outpatient hospital and observation services require no copay to a $275 copay, while outpatient substance abuse services require a $15 copay for group sessions and no copay to a $25 copay for individual sessions.
Partial Hospitalization See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers partial hospitalization with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers Medicare-approved ground and air ambulance services with a $275 copay per trip and no coinsurance, though prior authorization is required. Transportation services are not covered under this plan.
Emergency Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a $0 to $50 copay and no coinsurance, while worldwide emergency, urgent, and emergency transportation services are covered with no copay and no coinsurance.
Primary Care See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance. Specialists, mental health, and therapy services are covered with no coinsurance and copays ranging from no copay up to $35, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by Peoples Health Complete Care LA-6 (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, glaucoma screenings, diabetes training, fitness benefits, and home safety devices. However, many supplemental services are not covered, including health education, weight management, nutritional benefits, in-home support, and personal emergency response systems.
Hearing Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) partially covers hearing services, offering one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two OTC hearing aids (with a $199 to $829 copay and no coinsurance) and two prescription hearing aids (with a $199 to $1,249 copay and no coinsurance) annually, though inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) vision services are partially covered with no coinsurance. One annual routine eye exam is covered with no copay, though prior authorization is required and other eye exam services are not covered. Eyewear is covered up to a $300 limit every two years with no copay for contact lenses and frames, and a $0 to $153 copay for lenses, while upgrades and combined eyeglasses are not covered.
Dental Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) offers partially covered dental services, providing Medicare-covered dental care with no copay and a 20% coinsurance, and preventive services like exams and cleanings with no copay and no coinsurance. However, several treatment areas are not covered, including restorative services, endodontics, periodontics, prosthodontics, oral surgery, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Peoples Health Complete Care LA-6 (HMO-POS C-SNP) with no copay, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy and other drugs have no copay and a coinsurance of 0% to 20%, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes are covered with no copay and no coinsurance, with prior authorization required across all medical equipment categories.
Diagnostic and Radiological Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) covers diagnostic and radiological services with prior authorization required. Lab services and diagnostic radiological services have no copay and no coinsurance, diagnostic tests require a $50 copay and no coinsurance, outpatient X-rays require a $25 copay, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered under the Peoples Health Complete Care LA-6 (HMO-POS C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) offers a cardiac rehabilitation benefit where some services are covered with no copay and no coinsurance, though prior authorization is required. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) care with no coinsurance, as additional days beyond the Medicare-covered limit are not covered. Prior authorization is required, but no prior three-day hospital stay is needed, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100.
Other Services See details
Peoples Health Complete Care LA-6 (HMO-POS C-SNP) partially covers other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and the covered meal benefit requires prior authorization.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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