Medicare Advantage Plans in Pearl River County, Mississippi
Below are Medicare Advantage plans available to residents of Pearl River county, Mississippi.
3 carriers offer 9 plans throughout the county of Pearl River.
Residents may choose plans from
HealthSpring, Humana Insurance Company or Universal American Corp.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Pearl River county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Pearl River
| Carrier |
Plan Title |
Plan Type |
| HealthSpring |
HealthyAdvantage Preferred SMS (HMO) (H4407-002) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $32.5 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- Authorization rules may apply.
- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $40 copay for each specialist visit for Medicare-covered benefits.
|
| HealthSpring |
TotalCare SMS (HMO SNP) (H4407-004) |
HMO |
Premium and Other Important Information - * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
- ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
- $6 700 out-of-pocket limit for Medicare-covered services.*
- $33.4 monthly plan premium in addition to your monthly Medicare Part B premium.*
Doctor Office Visits- Authorization rules may apply.
- $0 or $10 copay for each primary care doctor visit for Medicare-covered benefits.*
- $0 or $30 copay for each in-area network urgent care Medicare-covered visit*
- $0 or $35 copay for each specialist visit for Medicare-covered benefits.*
|
| HealthSpring |
HealthyAdvantage SMS (HMO) (H4407-011) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
Doctor Office Visits- Authorization rules may apply.
- $5 copay for each primary care doctor visit for Medicare-covered benefits.
- $25 copay for each in-area network urgent care Medicare-covered visit
- $25 copay for each specialist visit for Medicare-covered benefits.
|
| HealthSpring |
HealthyAdvantage Premier SMS (HMO-POS) (H4407-023) |
HMO with POS Option |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $50 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- Authorization rules may apply.
- $5 copay for each primary care doctor visit for Medicare-covered benefits.
- $25 copay for each in-area network urgent care Medicare-covered visit
- $25 copay for each specialist visit for Medicare-covered benefits.
|
| Humana Insurance Company |
HumanaChoice H4956-001 (PPO) (H4956-001) |
Local Preferred Provider Organization |
Premium and Other Important Information - $3 900 out-of-pocket limit for Medicare-covered services.
- $1 000 annual deductible. Contact the plan for services that apply.
- $5 800 out-of-pocket limit for Medicare-covered services.
- $46 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $10 to $35 copay for each specialist visit for Medicare-covered benefits.
- 30% of the cost for each primary care doctor visit
- 30% of the cost for each specialist visit
|
| Universal American Corp. |
Today's Options Premier 400 (PFFS) (H6169-013) |
Private Fee for Service |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services.
- $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $25 copay for each primary care doctor visit for Medicare-covered benefits.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $50 copay for each specialist visit for Medicare-covered benefits.
- $30 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Universal American Corp. |
Today's Options Premier Plus 250A (PFFS) (H6169-024) |
Private Fee for Service |
Premium and Other Important Information - $3 250 out-of-pocket limit for Medicare-covered services.
- $147 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $5 copay for each primary care doctor visit for Medicare-covered benefits.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
- $10 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
| Universal American Corp. |
Today's Options Premier Plus 450C (PFFS) (H6169-033) |
Private Fee for Service |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services.
- $87 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $25 copay for each primary care doctor visit for Medicare-covered benefits.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $50 copay for each specialist visit for Medicare-covered benefits.
- $30 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Universal American Corp. |
Today's Options Premier 200 (PFFS) (H6169-051) |
Private Fee for Service |
Premium and Other Important Information - $3 250 out-of-pocket limit for Medicare-covered services.
- $80.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $5 copay for each primary care doctor visit for Medicare-covered benefits.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
- $10 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
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Mississippi Plan Data by City