American Health Advantage of Mississippi (HMO I-SNP) Costs & Coverage, Madison County, Mississippi

CMS Rating: (0.0 out of 5 stars^*)

Explore the benefits and costs of American Health Advantage of Mississippi (HMO I-SNP), a 2025 Medicare Special Needs Plan designed to meet your unique healthcare needs. Review this plan to understand how it aligns with your health and financial goals.

This American Health Advantage of MS HMO I-SNP plan is required to provide all of the same benefits as Original Medicare, but out-of-pocket costs are different. Available to qualified individual living in Madison County, MS, American Health Advantage of Mississippi may include extra benefits not covered by Medicare Part A or Part B.

• Doctor Visits
• Foot Care
• Chiropractic
• Urgent & Emergency
• Mental Health
• Rehab Services
• Equipment & Supplies
• Diag, Lab, Imaging
• Part B Drugs
• Dental
• Hearing Aids
• Vision
• Prescriptions

Health Plan Cost Sharing & Benefits

American Health Advantage of Mississippi is a Health Maintenance Organization (HMO) plan. As an HMO {plan_type_2} member, you typically receive healthcare services through the plan’s local network of providers, with referrals generally required to see specialists and other providers. However, American Health Advantage of Mississippi does cover out-of-network care for emergencies and out-of-area dialysis.

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Prescription Drug Plan Costs & Benefits

Prescription Drug Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Prescription Drug Plan Deductible

The Medicare Part D annual deductible with this plan is $590.00. This is the amount you must pay at the pharmacy before American Health Advantage of MS begins paying its share.

Prescription Drug Plan Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, American Health Advantage of Mississippi has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

CMS Rating Marks

The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage {plan_type_2}s in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this American Health Advantage of MS plan.

Eligibility for Enrollment in American Health Advantage of Mississippi

To enroll in American Health Advantage of Mississippi , you must meet the following three criteria:

1. You are eligible for Medicare;
2. You reside within the plan’s service area; and
3. You require the level of care typically provided in an institutional setting, such as a long-term care nursing facility, for 90 days or more.

This plan accomodates individuals in a long-term care facility. It is also available to people who need the level of care given in a long-term care facility who can remain at home or live in an assisted living facility.

If you live at home and need a similar level of skilled care, you may qualify for an Institutional Equivalent Special Needs Plan (IE-SNP).

SNP Plan Enrollment Periods

Once you’ve confirmed your eligibility for American Health Advantage of Mississippi , it’s crucial to enroll during the appropriate Medicare Enrollment Period to ensure you receive the coverage you need without delay. Depending on your situation, you may need to enroll during one of the following periods:

• Initial Enrollment Period (IEP): This is your first opportunity to enroll when you become Medicare-eligible.
• Annual Enrollment Period (AEP): The annual window when you can review and adjust your Medicare coverage.
• Special Enrollment Periods (SEPs): Special situations may allow you to enroll or change plans outside of the standard periods.

To get a deeper understanding of these enrollment periods, click here to learn more and stay informed about your Medicare choices.

Contact American Health Advantage of MS

If you qualify for Medicare benefits but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.

Plans Offered through Medicare.org

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.