Introduction to Medicare Advantage in Louisiana (Part C)

It may not seem important now, but purchasing Medicare supplement insurance can save you thousands in unforeseen medical expenses over time. One form of Medicare supplement insurance which is available to Medicare-qualified seniors is Medicare Advantage, also known as Medicare Part C. This private health insurance policy replaces your federal Medicare benefits and sometimes comes with restrictive provider networks, but gives you the option to add additional coverage benefits beyond what might be available to you with Medicare alone, or with Medicare + Medicare supplement insurance.

Federal Regulations for Medicare Advantage

To protect seniors from purchasing inferior coverage, Medicare Advantage policies are regulated by the federal government. Thanks to these regulations, it is illegal for any insurance provider to sell you coverage which is less than what you would get from Original Medicare (Parts A & B). Most policies, though, come with not just Original Medicare benefits, but also enough coverage to protect you from costly coverage gaps.

Medicare Advantage Enrollment In Louisiana

For Louisiana seniors, Medicare Advantage enrollment is about average compared to the rest of the country. 28% of Medicare beneficiaries are covered by an Advantage plan. Of course, not all Advantage plans are the same. Take a look at the chart below to learn how each plan breaks down by popularity:

Plan Type Enrollment Percentage
HMO Plans 59%
Local PPO Plans 13%
Special Needs Plans 11%
Regional PPO Plans 9%
Private Fee-For-Service Plans 5%
Other (Cost Plans, MSA’s, etc.) 3%

Plan Coverage & Cost

Several different personal factors will influence how much you might pay for your policy. For example, a male smoker who waited until the age of 70 to enroll in Medicare will likely pay a higher rate than most seniors. The chart below lists estimated costs for Medicare Advantage plans near you:

Most Popular Medicare Advantage Plans in Louisiana

As you saw earlier, there are different types of Medicare Advantage plans for sale. For the most part, these plans are distinguished by what sort of provider network you will be included in. The more restrictive the network, the fewer doctors and facilities you will be able to visit – but keep in mind that such plans are often more affordable than the less restrictive ones.

Helpful Medicare Advantage Tips & Tricks

Drug, Vision and Dental Coverage

One thing that balances out the difficulty of provider networks is the fact that you can get a streamlined and comprehensive level of coverage which most other Medicare supplement insurance does not provide. MAPD plans offer you the ability to add prescription drug coverage to your policy. You also have the option of including dental care, or vision. But the more you add, the more expensive your plan will become. Keep these facts in mind when deciding on a policy.

Enrollment Options & Best Time To Enroll

Because Medicare Advantage policies are provided by private companies, it can be more difficult to be approved for a plan. Your provider has the ability to request information about your health, and also pre-existing conditions, before they approve your policy. Those at the highest risk for rejection are seniors with serious conditions such as ESRD (End Stage Renal Disease. For more information on getting covered with a serious health condition, contact your state department of insurance. You can also visit our Medicare Advantage Enrollment Page.

  • Initial Enrollment Period: The enrollment period during your first 6 months of being enrolled in Medicare.
  • Annual Enrollment Period (AEP): This timeframe runs from October 15th through December 7th every year, and during this time you can change or cancel your Medicare Advantage and part D drug plan.
  • Special Enrollment Period (SEP): Circumstances which happen outside of the AEP window, such as employer coverage loss or moving out of state, which may require you to find new coverage immediately.

What Medicare Advantage Plan Is Best For Me?

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