Best Medicare Advantage Plans in Mississippi for 2020
Have you tried to compare the best Medicare Advantage plans in Mississippi for 2020? If you’re going to be eligible for Medicare in the next few months or if you enrolled in Medicare Part A and Medicare Part B recently, you should be shopping around for Medicare Advantage plans in Mississippi as soon as you can. Many Original Medicare beneficiaries realize that relying on Medicare Part A and Part B alone can lead to expensive coinsurance, copayments (copays) and deductibles, so they sign up for either Medicare Supplement plans or Medicare Part C plans in Mississippi. Those who don’t are often either dual-eligible for Medicaid and Original Medicare or have coverage through their employer or their spouses’ employer. If you’d like to learn more about Medicare Advantage plans and the benefits that they provide, check out the information below.
Overview of the Best Medicare Advantage Plans in Mississippi for 2020
Medicare Advantage plans in Mississippi are more similar to standard health plans than many Medicare plans are. If you’ve had coverage in the past through your employer, the plan that you had then was probably pretty similar to how a Medicare Advantage plan works. The only difference is that Medicare Advantage plans are required to offer certain perks and levels of coverage in order for insurance companies to be involved in the federal Medicare program.
If you decide to sign up for a Medicare Advantage plan for 2020 instead of just relying on Original Medicare (Medicare Part A and Medicare Part B), you’ll need to compare the different policies and providers that are available. From an HMO or HMO-POS option to MSA (savings account) or PFFS options, you have a lot of policy types to choose from. Many people find them confusing, but we’re here to make it easy to compare Medicare Part C plans in Mississippi and to find great rates from insurance agency options like Humana.
After all, we have licensed insurance agents here who can help you understand your Medicare coverage and the out-of-pocket costs you’ll be responsible for if you don’t sign up for a policy. We can also tell you about the differences between Medigap plans and Medicare Advantage plans and can give you a complete description of benefits and cons of each. We want to help you make an educated decision, so give us a call today.
Best Medicare Advantage Plans in Mississippi: When Can You Enroll?
There are certain Medicare Advantage enrollment periods; you must enroll in your Medicare Advantage plan during one of these periods. Of course, you will also need to be enrolled in Medicare Part A and Part B first:
- Medicare Initial Coverage Election Period ICEP: Starts when you first become a beneficiary of Medicare Part A and Part B and gives you the opportunity to sign up for Medicare Advantage.
- Medicare Annual Election Period AEP: Starts on October 15 and ends on December 7 of each year; gives you have the opportunity to sign up for, disenroll or change your Medicare Part C policy.
- Medicare Advantage Disenrollment Period MADP: Te MADP once gave beneficiaries the chance to disenroll from a Medicare Advantage plan in Mississippi and go back to Original Medicare (Medicare Part A and Part B), but it is no longer functioning.
- Medicare Advantage Open Enrollment Period MA OEP: MA OEP is new as of 2019. This period will start on January 1 and end on March 31st of each year. It gives you a chance to change your MA policy if you want to.
- Medicare Special Election Periods SEP: An SEP is triggered in individual situations when a person might need to shop for a plan outside of a typical Medicare Enrollment Period. Moving, losing coverage and more will help you qualify for an SEP.
Best Types of Medicare Advantage Plans in Mississippi for 2020
When shopping for a Medicare Advantage plan in Mississippi, you will be able to pick from these popular options. Taking a look at the pros and cons listed below will help you compare and choose the one that is best for you.
PPO Preferred Provider Organization Plans (PPO) in Mississippi
- Have networks
- You don’t have to see a doctor or go to a hospital in the network with a PPO
- You will pay less if you stick with in-network doctors, hospitals and other healthcare providers.
- No referrals are required
HMO Health Maintenance Organization Plans (HMO) in Mississippi
- These are the Medicare Advantage plans that typically have the lowest monthly premiums, including some plan options with $0 premium.
- You are restricted to in-network providers (except in emergencies).
- You must get referrals from a primary care doctor (PCP).
Private Fee-for-Service PFFS in Mississippi
- With private fee-for-service, your insurance company will determine what it will and will not pay for and what type of cost-sharing you’re responsible for.
- There are no network restrictions.
Special Needs Plans SNPs in Mississippi
- These are designed for people with chronic health conditions or institutional conditions. End stage renal disease ESRD is one example.
- Insurance companies are required to provide Medicare Part D prescription drug plans in Special Needs Plans.
Enrollment Figures for Mississippi Medicare Advantage Plans
Check out these interesting figures for Original Medicare and Medicare Part C in Mississippi:
- The five largest counties in Mississippi are Hinds, Harrison, DeSoto, Rankin and Jackson.
- There were 606,646 Medicare beneficiaries in Mississippi in 2018.
- 105,370 of Medicare beneficiaries in Mississippi were enrolled in Medicare Advantage in 2018.
How Do Medicare Advantage Plans in Mississippi Cover Prescription Drugs?
Included in the rates of some of the best Medicare Advantage plans in Mississippi are Medicare Advantage prescription drug plans. When you’re looking for the best option for you, you can look at the formulary, which is a list of drugs that are covered. You can also look at the prescription drug tiers to find out how much you will have to pay for your medicine.
Be aware that stand-alone Part D plan options are also available. You may choose to purchase your own Medicare prescription drug plan if you can’t find a good policy in your area that offers prescription drug coverage or if you want better drug coverage than what is offered.
Network Restrictions for Medicare Advantage Plan in Mississippi?
As a potential beneficiary of one of these policies, you should be aware of how provider networks work and how they will and will not restrict you:
- In-Network vs. Out-of-Network Within Coverage Area: HMO Medicare Advantage plans and PPO Medicare Advantage plans both cover out-of-network care in emergency situations. An HMO will not pay for out-of-network care in other situations, while a PPO will. If you use an out-of-network provider with a PPO, though, your out-of-pocket expenses will be higher when seeking care in a hospital, doctor’s office or nursing home
- Traveling With Plan: With both health maintenance organization HMO plans or preferred provider organization PPO plans, emergency care is covered throughout the United States when you’re traveling. With a PPO, you can take advantage of out-of-network help even outside of emergency situations, although your costs will be higher.
- Moving Across State Lines: Medicare Part A and Part B offer the same benefits in all 50 states, but Advantage policies are different. With Medicare Part C in Mississippi, you will need to change plans if you move.
Added Benefits of Medicare Advantage Plan in Mississippi
Look for these exciting perks when picking out a policy from a company with top star ratings:
- Hearing care, routine vision and dental care
- Wellness programs
- Silver Sneakers or other similar gym membership
- Recommendations for diet and nutrition
- Allowance for over-the-counter medication costs
- Healthy living seminars and classes
- Transportation to and from medical appointments
- Payment of some or all of the Medicare Part B premium
Here are a few changes for 2020:
- Starting in 2020, insurance companies that provide Medicare Advantage plans in Mississippi will be able to add some supplemental non-health related benefits to certain beneficiaries, such as providing help with making structural changes to the home when needed. This is designed to help those who might need help with widening doorways or installing ramps for their homes.
- The Centers for Medicare and Medicaid Services approved a 2.53% payment increase to Medicare insurers that offer Medicare Advantage plans in Mississippi.
Top Providers of Medicare Part C Plans in Mississippi for 2020
Several private health insurance companies will offer Medicare Advantage Plans in Mississippi for 2020. This list is a good starting point for your comparison:
- Humana: Humana offers PPOs that have earned some of the better star ratings in the state. Over 60 percent of MA plan members in Mississippi have signed up with Humana.
- WellCare: If you’re looking for an HMO with low rates, you might consider a WellCare HMO or HMO-SNP. WellCare commands about one-quarter of the state market for these plans. They have earned higher star ratings than most other insurers in this state.
- Magnolia: This regional insurer offered an HMO, but the star rating is not available because the plan is new.
- Cigna: This national insurer has enrolled about 10 percent of local Medicare Advantage plans members.
- Also look for Aetna as potential option in your area.
At this time, there weren’t any Mississippi private insurers that had earned a 5-star rating from Medicare. A 5-star rating is rare in most places. It’s important to keep your eye on new ratings as you compare Medicare Advantage Plans in Mississippi for 2019 during Open Enrollment.
Mississippi Medicare Resources
Check out these resources for more information or low-income help: