Ochsner Health Plan ended its Medicare Advantage contract on December 31, 2025. No new prior authorization requests, concurrent review requests, or inpatient admission notifications will be accepted for services dated on or after January 1, 2026. Providers should direct all 2026 coverage and authorization inquiries to the member’s new health plan. Information on this page applies only to claims, appeals, and services rendered on or before December 31, 2025.
Provider Tools
Provider Manual
The Provider Manual is a resource for participating providers of Ochsner Health Plan.
Provider Quick Reference Guide
A printable reference sheet of contacts and claims information for participating providers of Ochsner Health Plan.
Provider Quick Reference Guide 2025 (PDF) updated 12/31/2025
2025 preauthorization lists (Effective January 1, 2025)
Provider Directory
This directory provides a list of Ochsner Health Plan’s current network providers for Acadia, Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Jefferson Davis, Lafayette, Lafourche, Livingston, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Landry, St. Martin, St. Tammany, Vermilion, and West Baton Rouge parishes in Louisiana.
2025 Provider Directory
Durable Medical Equipment Providers (DME)
Ochsner Health Plan Freedom and Heroes (HMO POS) members may use Point-of-Service (POS) providers that are outside of our network for an additional cost. Out-of-network/noncontracted providers are under no obligation to treat Ochsner Health Plan members, except in emergency situations. Please call our member services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Prescription Drugs and Pharmacy
Premier and Freedom Plans Part D Formulary*
2025 Formulary
2025 Full List of Covered Drugs Premier and Freedom (PDF)
2025 Premier and Freedom Formulary Online Search (link)
2025 Premier and Freedom List of Drugs Requiring Prior Authorization (PDF) Effective 12/01/2025
2025 Premier and Freedom List of Drugs Requiring Step Therapy (PDF) Effective 12/01/2025
Additional Information About Part D Prescription Drugs*
Important Drug and Pharmacy Information (PDF)
Medication Therapy Management (MTM) Program (PDF)
Personal Medication List (PML) Worksheet (PDF)
Prescription Drug Transition Policy (PDF)
Part D Quality Assurance Program (PDF)
Medicare Part D Prescription Redetermination Form (PDF)
Medicare Prescription Drug Coverage Determination Form (PDF)
Safer Use of Opioid Pain Medication (PDF)
*Not For Use By Ochsner Health Plan Heroes (HMO POS) Plan Members
Dual (HMO D-SNP) Part D Formulary*
2025 Dual (D-SNP) Plan Full List of Covered Drugs (PDF)
2025 Dual (D-SNP) Plan Online Formulary Search (link)
2025 Dual (D-SNP) List of Drugs Requiring Prior Authorization (PDF) Effective 12/01/2025
2025 Dual (D-SNP) List of Drugs Requiring Step Therapy (PDF) Effective 12/01/2025
*For use by Dual (HMO D-SNP) plan members