Introduction to Medicare Part C in Mississippi (Medicare Advantage)

Are you worried about existing coverage gaps in Medicare Parts A and B? If not, you might want to give the subject some thought. These coverage gaps may not seem like much, but they can cost you thousands in out-of-pocket medical bills if you aren’t careful. One way to cover those gaps and offset your potential risk is to enroll in a Medicare Advantage policy. These policies will help you manage your Medicare benefits and cover the gaps, all under one single policy.

Federal Regulations for Medicare Advantage

Sometimes Medicare Advantage policies are referred to as “Medicare replacement” policies. This is because, essentially, they are replacing your federal Medicare benefits with an equal or better policy. They have to – it is illegal to sell a Medicare Advantage policy which does not, at the very least, provide equal coverage to that of Traditional Medicare. Odds are, though, that your policy will include much more coverage than that – especially if your goal is to cover the gaps in Traditional Medicare.

Medicare Advantage Enrollment In Mississippi

Medicare Advantage enrollment in Mississippi is fairly low, compared to the national average. Only 13% of qualified seniors are members of a Medicare Advantage plan. When it comes to Advantage plans, though, there is a lot of variety to choose from. In the chart below, you can see more info about the available plans, as well as their 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

Curious about what you should be paying for Medicare Advantage in Mississippi? Below, we have another chart which shows some estimated rates for Advantage plans in your area. Keep in mind, however, that many factors will influence your actual quote. Age, smoking habits, and gender are among a few of those many factors.

Most Popular Medicare Advantage Plans in Mississippi

One of the biggest cost-altering factors in Medicare Advantage plans has to do with the type of plan you choose. Plan types are largely determined by their provider network. HMO plans, for example, have smaller networks, and an equally smaller price tag. Plans with larger networks, such as PPOs, give you better access to medical care – but they unfortunately do so at a higher rate.

Helpful Medicare Advantage Tips & Tricks

Doctor/Provider Network Restrictions

Keep in mind that, unlike Medicare, Medicare Advantage is not universally accepted by most doctors and/or hospitals. The doctors you may see and the facilities where you may get care are limited to your provider network. There will also be restrictions on what care you can get and where, whether you’re staying in network or trying to go outside of it. Lastly, even if your current doctor is a member of a Medicare Advantage network that you would like to sign up for, that could change at any time. You might want to have a contingency plan in place for if such a change happens while you are enrolled in your Medicare Advantage plan.

Doctor/Providers List

Drug, Vision and Dental Coverage

Of course, the hassle of dealing with provider networks is balanced somewhat by the option for additional coverage under the same policy. Should you require it, you can add vision, dental, and even prescription drug coverage (a.k.a. MAPD plans, which are plans that incorporate Medicare Part D). Many seniors enjoy how convenient it is to have all of their necessary coverages and benefits bundled together within a single policy. However, this convenience means that you may be expected to pay higher monthly premiums for it.

Enrollment Options & Best Time To Enroll

For quick and easy approval, you’ll want to enroll in a Medicare Advantage plan during your Medicare Initial Enrollment Period (for more info, see below or visit our Medicare Advantage Enrollment Options page). The longer you wait to apply, the more difficult it may be to get covered. You may be faced with additional challenges if you have a serious medical condition, such as ESRD (End Stage Renal Disease). However, there is hope to obtain coverage even in the face of a serious illness – just contact your state department of insurance for more information.

  • Initial Enrollment Period: For best results, try to enroll in a Medicare Advantage plan within your first 6 months of Medicare enrollment.
  • Annual Enrollment Period (AEP): You have the option of changing or cancelling your Medicare Advantage and Part D drug plan between October 15th and December 7th every year.
  • Special Enrollment Period (SEP): If you lose your employer plan coverage, move out of your coverage area, or lose coverage from your provider, you could qualify for an SEP.

What Medicare Advantage Plan Is Best For Me?

Compare Medigap Plans Online

Comments are closed.