Ochsner Health Plan Freedom (HMO POS)

  • Out-of-network coverage:
    Coordinated care and additional savings when using in-network providers
  • $85 credit per calendar quarter for over-the-counter health & wellness items from OTC Catalog
  • 24-hour Nurse Hotline 
  • Medicare Part D prescription drug coverage
  OHP Freedom (HMO POS) In-network Out-of-network
Monthly Plan Premium $0 $0
Part B Premium Give Back This plan does not include a Part B Give Back.
Medicare Part D Prescription Drug Coverage This plan includes Part D coverage.
Maximum out-of-pocket $3,700 per year
Doctor Visits and Nurse Hotline
Primary Care Physician Visit $0 copay 20%
Specialist Visit $20 copay 20%
24-Hour Nurse Line $0 copay $0 copay
Preventive Care  
Pap Test, Pelvic Exams, Mammograms $0 20%
Prostate and Colorectal Cancer Screenings $0 20%
Vaccinations* $0 $0 
Labs & Tests  
Lab Services (at contracted lab provider) $0 20% 
Diagnostic Tests $35 20% 
Advanced Imaging (MRI, MRA, CT, CTA, PET scans, etc.) $85 20% 
Outpatient Surgery
Surgery at Outpatient Hospital or Ambulatory Surgery Center $130  20%
Inpatient Hospital Stay  
Inpatient Deductible $0 $0 
Hospital Stay (days 1-7) $65 per day 20%
Hospital Stay (days 8 and beyond) $0 20%

  Emergency and Urgent Care


Urgent Care $20 copay $20 copay 
Emergency Care $90 copay $90 copay 
Emergency & Urgent Care If you are admitted to the hospital within one (1) day, the copay is waived. Covered Worldwide

  Additional Benefits Not Covered by Original Medicare


Over-the-Counter Health & Wellness Items $85 credit per calendar quarter from OTC Catalog N/A
Routine Vision Exam (1 per calendar year) $0 copay for routine vision exam (through contracted provider) N/A
Glasses or Contact Lenses Up to $200 allowance per calendar year (through contracted provider) N/A 
Hearing Aids Up to $1,000 per calendar year for both ears combined (through contracted provider) N/A 
Dental Coverage - Preventive and Comprehensive Up to $2,000 per calendar year, $50 comprehensive deductible applies before coverage begins (through contracted provider) N/A 
Health Club Membership
Ochsner Fitness Centers included: Downtown, Harahan, Heritage Plaza
$0 copay
(through contracted provider Silver&Fit)
Post Discharge Home Meal Delivery (inpatient hospital stay or skilled nursing facility stay) $0 copay (through contracted provider) N/A  
Additional Benefits – Part D Drug Coverage
Part D Deductible $0
Coverage through the Part D Coverage Gap Tier 1 and Tier 2
Drug Tier 30-Day Supply
Initial Coverage Stage
90-Day Supply
Initial Coverage Stage
Retail & Mail Order
Tier 1 (with coverage through the gap) $0 $0
Tier 2 (with coverage through the gap) $10 $0
Tier 3 $45 $135
Tier 4 $100 $300
Tier 5 33% coinsurance 30-day supply only

*Important Message About What You Pay for Vaccines-Our plan covers most Part D vaccines at no cost to you. Call our Pharmacy Help Desk for more information.1-800-910-1837, TTY users should call 711. Hours are24 hours a day/365 days a year.

Important Message About What You Pay for Select Insulin -You won’t pay more than $35 for a one-month supply of each Select Insulin product covered by our plan, no matter what cost-sharing tier it’s on.


Ohp1023421012o Sq

Would You Like Us
to Contact You?

Please complete our secure, Contact Us form. A representative will reach out shortly.

Ohp174991936o Sq

Get the Answers
YOU Need!

Reach out to our team members for more information about Ochsner Health Plan.

Ohp927545248o Sq

Learn About
Our Plans

Find the Medicare Advantage option that works best for YOU.

Scroll to Top