Medicare, a government run health insurance program for older adults and disabled individuals. Of Mississippi’s over three million residents, roughly 16.4 percent are 65 and older. There will be more than 472,000 Original Medicare enrollees and more than 136,000 Medicare Advantage enrollees in Mississippi in 2022. About one in five residents in the state are on Medicare. Nearly all doctors in Mississippi accept Medicare patients. Total state spending in Mississippi for Medicare was over $5.2 billion, or around $11,000 per enrollee. If you are qualified for Medicare plans in Mississippi, you should be aware of your alternatives.
Medicare in Mississippi: Details
For the 2022 fiscal year, CMS reported the following Medicare trends for the state of Mississippi:
- Medicare covers 612,813 people in Mississippi.
- Monthly premiums for Medicare Advantage plans in Mississippi dropped from $22.52 in 2021 to $21.41 the following year.
- In 2022, Medicare Advantage enrollees in Mississippi will have a greater selection to choose from in Mississippi, with 61 plans available, up from 54 in 2021.
- Those who live in Mississippi and are eligible for Medicare can shop for Medicare Advantage plans, including some with zero monthly premiums.
- In 2022, eleven distinct Medigap options will be available to Mississippians.
How Do I Qualify for Medicare in Mississippi?
Medicare is a federal program meant to assist persons who are not likely to obtain health insurance via their employment in obtaining coverage. Those who are eligible are either past Medicare’s traditional eligibility age of 65 due to retirement or have a medical condition that permits them to join Medicare earlier.
To get Medicare benefits in Mississippi, one must meet the following requirements in addition to being a permanent resident or a citizen of the US who has been in the country continuously for at least five years:
- You are 65 or older
- You are younger than 65, disabled, and receiving Social Security or Railroad Retirement Board disability benefits.
- Your condition is Amyotrophic Lateral Sclerosis (ALS), commonly referred to as Lou Gehrig’s disease.
- You have chronic renal failure (ESRD).
Once you meet the requirements, you can pick from several types of coverage to suit your needs. Being well-versed in these choices will equip you to select the most suitable Medicare plan.
Medicare Plans in Mississippi
Original Medicare Plan in Mississippi
Parts A and B are the two components of the original Medicare program. Part A covers hospital stays, nursing home care, hospice care, and limited home health care. Those who have paid Medicare taxes for a minimum amount of time and their spouses are eligible for free coverage. Coverage can be purchased by those who don’t qualify for tax subsidies. Care provided outside of a hospital, including doctor visits, prescription drugs, and other medical supplies, is covered by Part B. Medicare Part B has a sliding scale premium, with the standard payment set at $170.10 per month in 2022.
About 479,000 people in Mississippi are enrolled in Medicare Part A. Part B enrollees number 442,000, serving a smaller population. Most of the state’s recipients (about 87,000) are qualified for the program because they are over 65, but others are disabled.
This arrangement pays services on a “pay as you go” basis. In 2022, the deductible for Medicare Part A will be $1,556, and the deductible for Medicare Part B will be $233. Following this deductible, Medicare will pay for 80% of medically necessary care. The recipients themselves pay for the remaining 80%.
Medicare Advantage Plans in Mississippi 2022
There are 13 Medicare Advantage providers operating in the state of Mississippi, and most offer a variety of plans that include drug coverage. In Mississippi, you can choose between HMO, PPO, PFFS (Private fee-for-service), and SNP plans (Special Needs Plans), depending on your budget, Medicare eligibility, healthcare needs, preferred doctors and doctor’s pharmacies, and other coverage preferences.
Medicare Advantage Plans in Mississippi: What You Need to Know
- The number of Mississippians who can choose from Medicare Advantage plans will increase to 61 in 2022, up from 54 in 2021.
- By 2022, all Medicare recipients will be able to enroll in a Medicare Advantage plan at no cost to themselves.
- In 2022, Medicare Advantage monthly premiums average $21.41, a reduction from $20.91 from the previous year.
What Mississippi Medicare Advantage Plans Cover?
Medicare recipients in Mississippi who choose Medicare Advantage over conventional Medicare may be eligible for a lower deductible while still receiving the same benefits. Parts A and B of Medicare, often known as Original Medicare, must be included in MA plans so that beneficiaries can continue access to hospital and medical coverage. On the other hand, Medicare Advantage often provides more extensive coverage and extras that aren’t available with Original Medicare. Health insurance, prescription medicines, and assistive listening devices might all be included in the benefits package.
Affordable Medicare Advantage Plans in Mississippi
Medicaid recipients in Mississippi can pick from a variety of Medicaid plans. About 65.50 percent (403,912) of all Medicare beneficiaries in Mississippi are enrolled in the original Medicare program (Part A and Part B). There are 212,972 people in Mississippi with Medicare, and 34.50 percent of them choose Medicare Advantage plans offered by private organizations and insurance carriers that Medicare approves.
- The average monthly premium in Mississippi is $41.94.
- The state of Mississippi has a yearly average drug deductible of $316.60.
- Mississippi’s average out-of-pocket spending limit for in-network care is $4,914.36.
- The average number of stars for local plans available in Mississippi is 3.8. (Out of 5)
Medicare Supplement Plans in Mississippi 2022
The Medigap plans in 2022 assist with paying for medical expenses, including deductibles, coinsurance, and copayments that Original Medicare does not cover. Medicare Supplement plans are standardized and given letter designations in most states, including Mississippi (for example, Medigap Plan K). No matter where you buy it, a Medigap policy with the same name will provide the same amount of coverage. To illustrate, if you live in Lafayette County and choose to enroll in Medigap Plan K from one insurance provider, the policy will provide the same coverage for Medicare Part B deductibles and copayments as a Medigap Plan K from a separate provider in Madison County. Pricing and availability of plans may vary.
Your Medigap (OEP) Open Enrollment Period is when you can sign up for a Medicare Supplement Insurance plan, which is true in Mississippi and every other state. Your Medigap OEP will begin when you or your partner turns 65 and you enroll in Medicare Part B, which will last six months. You can confidently apply for a Medigap policy, knowing that you will be accepted for your Medigap OEP. After your Medigap OEP ends, you may apply for a Medicare Supplement Insurance plan, but insurers are not compelled to accept you as a member. They may subject you to medical underwriting or restrictions based on pre-existing conditions.
Affordable Medicare Supplement Plans in Mississippi
There are wide price variations among the various Medigap policies. Medigap premiums for females in Jackson, Mississippi, may be higher than those for females in Biloxi, Mississippi. And yet, why is it the case?
Most Medicare Supplement plans are indeed similar in the protections they provide. However, the costs will differ widely from one place to another. The price you pay may vary depending on your age and gender.
The following Medigap plans are a good example of where you might find some price variations.
The rates for Medigap Plan G for a 65-year-old woman can range from $98.10 to $198.80 each month. However, a male of the same age, 65, can expect to pay more for the identical Medigap coverage.
A Medigap Plan G policy for a male might cost anything from $113 to $250 per month. Women who opt for Medigap plan N can anticipate paying the same or more ($86-$145/month). A Medigap plan N premium for a male can cost anywhere from $86 per month to $250 or more.
Medicare Part D Plans in Mississippi
Mississippi Prescription drugs not paid for by Original Medicare are covered under Medicare Part D plans. As a result of these private insurance programs, you can purchase low-cost prescriptions from your pharmacy. We’ll explore several plans offered.
What is Prescription Drug Plans for Medicare Part D?
Insurance for the following is included in Medicare’s Part D prescription drug program:
- Different brand-name and generic prescription drugs
- People on Medicare take a wide range of prescription drugs.
Medicare Part D plans, which commercial insurance firms certified by Medicare supplies, vary from one another.
To completely understand what medications are covered by your plan, check out the formulary. This will allow you to confirm that the plan covers your medications.
Part D plans in Mississippi with the affordable premiums
If you don’t anticipate frequent coverage use, a Part D Plan with a modest cost is a good option. Aetna is the first major option in terms of coverage. The monthly fee for this plan is only $6.50.
Given its accessibility, UnitedHealthcare is also a common option. And if you choose UnitedHealthcare for your cheap premium plan, you can anticipate a monthly charge of $29.30.
Customers frequently select an additional major player, Humana, at warehouse clubs like Costco, which need a pharmacy insurance plan. The yearly cost to participate in this plan is $22.70. On the other hand, the deductible for all three plans is the same at $480.
Plans in Mississippi with a zero-dollar deductible for Part D
If you need prescription drugs regularly, enrolling in a Medicare Part D plan with no annual deductible is an excellent choice. However, premiums will be more expensive. When you sign up for Aetna coverage, you’ll pay $59 per month in premiums.
The deductible for Wellcare’s 4-star plan is $0.00. In contrast, the monthly cost for this plan is $68.90.
UnitedHealthcare is the third company on the list. UnitedHealthcare has a three-star rating for overall plan efficacy and the highest premium, at $97.30 per month.
Mississippi Part D Plans with Gap Coverage
Gap insurance is included in some Medicare Part D plans in Mississippi. UnitedHealthcare, for instance, has a $310.90 premium and a $365.90 deductible. Yet another UnitedHealthcare plan has the same monthly premium of $97.30 but no out-of-pocket costs.
Cigna is also a viable option, being one of the largest insurance providers in the United States. They have a $100 deductible and a monthly premium of $63.20 for their Part D plan.
Aetna, which offers nationwide wellness programs, is the last option. If you select this plan, you may expect to pay a $59 monthly premium. It’s more expensive than some other Part D plans, but there’s no deductible.
What is the cost of Medicare in Mississippi?
- Original Medicare: Part A rates under the original Medicare program can be as high as $499 per month or as low as $0. Each coverage period has a $1,556 deductible for hospital care under Medicare Part A. Most enrollees in Medicare Part B pay the usual $170.10 monthly fee. Part B has a $233 deductible.
- Medicare Advantage Plans: In 2022, Medicare Advantage Plans in Mississippi will cost an average of $21.41. The first payment for some plans is nothing.
- Part D plans: In terms of monthly premiums, the bare minimum for Medicare Part D insurance is $6.50.
- Medigap plans: For a 65-year-old nonsmoking female in Jackson, the Medigap Plan G premium will run between $95 and $381 per month.
Medicare in Mississippi: By Numbers
|Original Medicare beneficiaries
|Average plan cost
|Mississippi’s annual spending on each recipient
Spending per recipient compared to the average for the country
|Part A: $0 to $499 per month*
Part B: $170.10 **
All in all, Medicare enrollment for Mississippi residents exceeds 600,000. Throughout the state, numerous private insurance companies provide a variety of Medicare Advantage and Medigap policies. The monthly premium expenses for Mississippi Medicare Advantage plans in 2021 have reduced overall. Lastly, if you reside in Mississippi and seek supplemental coverage, you can also choose from various Medigap plans.
Reach out Today at NewMedicare, and get your quotes now!