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Peoples Health Complete Care LA-7 (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-7 (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-7 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
Peoples Health Complete Care LA-7 (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-7 (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-7 (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-7 (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-7 (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 $270.00 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 $5900.00 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-7 (HMO-POS C-SNP)
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Drug Coverage
The Peoples Health Complete Care LA-7 (HMO-POS C-SNP) plan features an annual drug deductible of $270. Under this plan, Tier 1 preferred generic drugs are highly accessible with no copay for a 1-month or 3-month supply at standard pharmacies and standard or preferred mail-order services. Tier 2 generic drugs are also affordable, requiring a low $5 copay for a 1-month supply at standard pharmacies, or no copay for a 3-month supply through preferred mail order. For higher-tier prescriptions, cost-sharing transitions to coinsurance. Tier 3 preferred brand drugs carry a 24% coinsurance across standard pharmacies and mail-order options, while Tier 4 non-preferred drugs require 44% coinsurance for a 1-month supply. Tier 5 specialty tier drugs have a 30% coinsurance for a 1-month supply at both standard pharmacies and mail-order services.
Additional Benefits
The Peoples Health Complete Care LA-7 (HMO-POS C-SNP) plan offers affordable coverage with many essential services featuring no coinsurance. Primary care visits, telehealth services, and routine preventive care require no copay, while specialist visits have a copay of up to $30. For hospital stays, inpatient care requires a $195 daily copay for days 1 through 10 and no copay for days 11 through 90, while outpatient hospital services range from no copay up to a $195 copay. Emergency room visits require a $130 copay, which is waived if you are admitted within 24 hours, and urgent care copays range from no copay to $50. Additional benefits include routine vision and hearing exams with no copay, alongside preventive dental care covered with no copay. Patients also benefit from home health services with no copay, while medical equipment and dialysis services require a 20% coinsurance.
Inpatient Hospital See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Covered acute and psychiatric stays require a $195 daily copay for days 1 through 10 and no copay for days 11 through 90, with unlimited additional acute days covered at no copay. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) outpatient services are covered with no coinsurance, though prior authorization is required. Outpatient hospital and substance abuse services feature copays ranging from no copay up to $195 and $25 respectively, while ambulatory surgical center and blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers Medicare-approved ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no coinsurance and a copay ranging from no copay to $50, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) provides primary care, telehealth, and opioid treatment with no copay and no coinsurance, while specialist and therapy services require copays up to $30 and no coinsurance. Mental health and psychiatric services have copays up to $25 with no coinsurance, but podiatry is not covered, and some chiropractic services are covered though routine and other chiropractic services are not.
Preventive Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers preventive services, including annual physicals, kidney disease education, and select screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered; fitness benefits and home safety devices are covered with no copay and no coinsurance, but health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services are not covered.
Hearing Services See details
Hearing services are covered by Peoples Health Complete Care LA-7 (HMO-POS C-SNP), including one routine hearing exam annually with no copay and no coinsurance, though hearing aid fitting and evaluations are not covered. Up to two prescription or OTC hearing aids are covered per year with no coinsurance and copays ranging from $199.00 to $1,249.00, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) offers partially covered vision services with no deductibles or coinsurance, including one routine eye exam per year and contact lenses or eyeglass frames with no copay. Eyeglass lenses are covered with a $0 to $153 copay up to a combined $200 eyewear allowance every two years, while other eye exams, eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) dental services are partially covered, offering Medicare-covered dental care with no copay and 20% coinsurance, and preventive services with no copay and no coinsurance. Comprehensive services, including restorative, endodontics, periodontics, prosthodontics, implants, orthodontics, and oral surgery, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Peoples Health Complete Care LA-7 (HMO-POS C-SNP) with no copay, though prior authorization is required. Medicare Part B insulin drugs carry a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Peoples Health Complete Care LA-7 (HMO-POS C-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers medical equipment, providing durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are also covered under this plan with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic tests and procedures require a $50 copay and no coinsurance, while lab services have no copay and no coinsurance. Radiological services feature no copay for diagnostic radiology, a $20 copay for outpatient X-rays, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, although prior authorization is required. While some services are covered, specific sub-services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
Peoples Health Complete Care LA-7 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and prior authorization is required.
Other Services See details
Other Services are partially covered by Peoples Health Complete Care LA-7 (HMO-POS C-SNP), offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the 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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