For prescription drug on formulary at in-network pharmacy. Deductible $4,000 per person $4,000 per person Open enrollment for private insurance plans normally runs from November 1 to January 15 each year. Using the Standard Silver 5800 as an example, the average premium cost of both standard and low-income plans is $463. 2023 Vantage Health Plan | Vantage DUAL PLUS (HMO-POS D-SNP) | US News Mississippi's most affordable EPO and POS health insurance plans are: EPO and POS plans differ mainly in terms of flexibility. The wellness program hosts a website that helps members with weight loss and health maintenance and features healthy recipes and exercise videos. You may go to any of our network providers listed in this directory; however, some services may require a referral or prior authorization. You must use network providers except in emergency, urgent care situations, or for out-of-area dialysis, as described above. U.S. News does not have a relationship with, or receive remuneration from Vantage Health Plan. Vantage Health Plan of Mississippi Plans in Mississippi Plans Offered by Vantage Health Plan of Mississippi in Mississippi Obamacare and Off-Exchange Health Insurance Plans Learn More About Obamacare and Off-Exchange Plans in Mississippi What are Obamacare Health Insurance Plans? Clear Bronze with Walgreens + Vision + Adult Dental. In addition, when out of the service area, you can obtain dialysis treatment from any Medicare certified dialysis provider. Vantage Health Plan offers high-quality health plans that cater to the needs of our members. By using Healthplanradar.com you agree to our Terms of Service and Privacy Policy. He is passionate about using his economics and insurance knowledge to bring transparency around financial topics and help others feel confident in their money moves. You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly. Compliance & Ethics American Health Advantage of Mississippi has implemented a Compliance Hotline. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price. Vantage Health Plan, Inc. | Better Business Bureau Profile Although plans are only offered through the exchange marketplaces, the federal government allows certified brokers, agents, and web brokers to help you enroll in an Obamacare plan and apply for a subsidy. 8 a.m. to 8 p.m. In Mississippi, the Health Maintenance Organization (HMO) plan type is the most prevalent, but the exchange also has other plan types. Enrollment in American Health Advantage of Mississippi depends on contract renewal. If you are looking to balance monthly premiums with quality claims and coverage, MoneyGeek analyzed the best health insurance in Mississippi. Vantage Health Plan Medicare Plans in MS | Health Plan Radar If you have been going to one Network Provider, you are not required to continue to go to that same Network Provider. Get to know our plan. EPO plans cost less but have fewer network options. The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). 130 DeSiard Street, Suite 300 Monroe, LA 71201 Local: (318) 361-0900 Vantage Health Plan of Mississippi, Inc. (Vantage) was formed in 2020 to offer Medicare Advantage plans to residents of Mississippi. If you live in one of our participating long-term care facilities, you may be eligible to enroll. Like APTC, this assistance is also based on income and family size. FAQs - Choosing an Obamacare or Off-Exchange Health Insurance Plan. PDF Marketplace Health Plan Pl an Finder You can enter areas in the fields to narrow down your search. VantageCare Programs | Providers | Vantage Health Plan Full Payer List. VANTAGE HEALTH PLAN - 12 Photos - 130 Desiard St, Monroe - Yelp For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. WHAT IS THE DIFFERENCE BETWEEN PLAN TYPES? Franklin, TN 37067, Claims Address: PDF Vantage Provider Portal User Guide - Vantage Health Plan No individual making a good faith report of a suspected violation shall be retaliated against. Medicare plans are available to all Medicare beneficiaries. Emergency care can always be obtained in or out of the service area from the nearest available provider. During the open enrollment period, prospective purchasers can compare various plans and select the one that best meets their requirements and coverage criteria. stream 1 0 obj *Note: Grenada and Holmes County locations have different payor contracts. Concerns regarding the cost and availability of different health insurance plans are common. Email:compliance@vhpla.com We encourage you to contact your insurer and ask ifthe plan is in network with UMMC. Plan Details | Standard Silver 5800 | Health Plan Radar You will receive notice when necessary. Molina's Confident Care Gold 1 is the most affordable Gold plan in Mississippi, costing approximately $554 per month. Thank you for allowing Vantage Health Plan, Inc. to offer you and your family affordable health coverage. Learn more about Medicare Supplement Insurance (Medigap) Plans. As a Medicare beneficiary, you can choose from different Medicare options. Fax: 1-844-280-5360. Our plan members get more than what is covered by Original Medicare, plus a dedicated clinical team, and Part D prescription drug coverage. Medicare is a federal government health insurance program for people who are 65 or older. Generally, you have up to 60 days before or after the event to reapply for or make adjustments to your health insurance. Access your information anywhere, anytime with the Vantage Portal. Typically, a more expensive plan offers more comprehensive coverage. vantagehealthplan.com - Medicare, Individual, & Group Health Insur Everyones amount will be different. Health insurance premiums vary by metal tier. Mississippi health insurance marketplace guide 2023 The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs. Limitations and exclusions may apply. The information available at this website is for informational purposes only and not for the purpose of providing legal advice. Patient Appointments: 888-815-2005, School of Graduate Studies in the Health Sciences, MyChart for Parents and Guardians of Minor Patients, Intellectual Property and Commercialization Office, MS CAN - Magnolia Health Plan, Molina HealthCare, United Healthcare, Medicaid MS CHIP - Molina MS CHIP and United Healthcare, Cigna PPO and Behavioral Health (excludes transplants), First Choice Health Plan - includes Humana PPO Commercial, but not Humana Medicare Advantage, Government Employees Health Insurance Association (GEHA) - United Healthcare, Hattiesburg Clinic Professional Association - MPCN, Interlink Health Services - Transplant Services, Mississippi Department of Rehab Services (MDRS), Mississippi Health Partners (MHP) - Family Medicine Only, Mississippi Physicians Care Network (MPCN), Mississippi State and School Employees' Health Insurance Plan (AHS Network administered by Blue Cross & Blue Shield of Mississippi), OptumHealth Care Solutions, Inc. - Transplant Services, United Healthcare - PPO Commercial, CHIP, MSCAN, Behavioral Health, Vantage Health Plan - Commercial, PPACA Plan and Medicare Advantage Plan. We encourage you to contact your insurer and ask if the plan is in network with UMMC. 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2023 - 12/31/2023 VANTAGE HEALTH PLAN OF MISSISSIPPI, INC: STANDARD SILVER CSR 73 Coverage for: Individual/Family | Plan Type: IND POS - STANDARD Silver CSR 73 * For more information about limitations and exceptions, see the plan or policy document at www . Please contact the provider to determine if he or she is accepting new patients. Large Print), upon request and thereafter, as outlined in Section 504 of the Rehabilitation Act of 1973. Part A and Part B are also known as Original Medicare. Vantage plans provide nutrition counseling, diabetes education, and tobacco cessation programs. Outpatient group therapy . Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. We do not offer every plan available in your area. By using Healthplanradar.com you agree to our Terms of Service and Privacy Policy. The calculation for the subsidy amount can be quite complicated. Oral Surgeons are considered in-network to the medical health plans listed below NOT dental. Use of the word senior or the number 65 does not imply that Medicare plans are only available to seniors. To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements. INDIVIDUAL MARKETPLACE PLANS Provider Directory This directory provides a list of Vantage's current network providers for Individual Marketplace/Exchange members who live in the state of Louisiana. In addition, some health insurance companies have been leaving the Obamacare plan market, but they may still offer Off-Exchange plans. PPO plans give you the freedom to use out-of-network doctors for a higher cost. <>/Metadata 2635 0 R/ViewerPreferences 2636 0 R>> 201 Jordan Road, Suite 200 How this plan performs for drug pricing, patient safety, member experience and more. American Health Advantage of Mississippi, is a Health Maintenance Organization (HMO) with a Medicare contract. Medicare Supplement Insurance Plans cover costs not included in Original Medicare Part A and Part B, including deductibles, copays, and coinsurance. We downloaded plan data for Mississippi directly from the Centers for Medicare & Medicaid Services (CMS). Enrollment in American Health Advantage of Mississippi depends on contract renewal. Otherwise there are not many other differences between Obamacare plans and Off-Exchange plans. endobj Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. American Health Advantage of Mississippi will mail a hard copy of the provider directory to you within three (3) business days of your request. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you. Subsidies are not available for small group plans or plans purchased directly through Vantage. :YNP"E<01U[ Click below to search for Hospitals or Medical Providers in the Vantage Network. Depending on your annual income, youll likely receive a plan with one of the following reduced MOOPs: CSRs are only applicable to Silver plans. Vantage Health Plan's Savings Bronze 5500 plan is the cheapest Expanded Bronze plan in Mississippi, costing around $416 per month. Monthly Drug Premium *Included in Monthly Plan Premium. Medicare is divided intoparts, which cover specific services. PDF Provider Directory Medicare Part A is a health insurance program administered by the federal government which primarily covers inpatient hospital care, but also covers skilled nursing facility, hospice care, and home health care costs. store Shop Our Plans credit_card Card Activation credit_card User Experience Guide If you need assistance, please contact Member Services at 1-866-704-0109 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week from October - March and 8 a.m. to 8 p.m., Monday - Friday from April - September. x}mo8 ^$HgIebwvvb1s>8vg_VTE(S,vRS|+{zw\]bq}Yp~o/8l7/?nWo}*SetPWg/+WdJUJ%+jV6W[ _,k\|_d| Call now to get help signing up for plans from licensed insurance agents! Top 10 Vantage Health Plan Provider Specialties: No data States with the most Vantage Health Plan Doctors: Cities with the most Vantage Health Plan Doctors: Aggregate Statistics Vantage Health Plan Doctors by Specialty No data By using our site, you agree to our use of cookies and our. In contrast to Medicaid, Medicare policyholders must pay for some coverages. The provider network may change at any time. Yes, a plan can be available as both an Obamacare and an Off-Exchange plan. The counties in our service area are listed below. Monroe, LA 71201-7363. Mental health services. Electronic Services Available (EDI) Need to submit transactions to this insurance carrier? Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Copyright 2022 | All rights reserved. This includes x-rays, laboratory tests, therapies, specialists, skilled nursing facility admissions, hospital admissions, and follow-up care. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans. Medicaid is a government program that provides free health insurance to those who qualify. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. Healthplanradar.com is for research purposes only. For additional information about this plan(s), please contact Vantage Health Plan. 8:00 AM - 5:00 PM. If you request it, your request for hard copies of the provider directory remains until you leave American Health Advantage of Mississippi or request that hard copies be discontinued. File taxes or be claimed as a spouse or dependent on taxes. Mark earned a masters degree in Economics and International Relations from Johns Hopkins University and a bachelors degree from Boston College. Not affiliated with or endorsed by any government agency. Information from private health insurance policies was used to determine the most affordable health insurance in Mississippi. This directory is current as of August 22, 2023. Most Medicare Advantage plans also bundle Part D - prescription drug coverage. Because of this, the cheapest option in one county may not be the cheapest in another. Vantage Health Plan of Mississippi Freedom Silver 4000 (None) | MS Enrollment in plans depends on contract renewal. Any information we provide is limited to those plans we do offer in your area. Why Trust MoneyGeek? Original Medicare is a health insurance program administered by the federal government, but Medicare Advantage plans are offered by health insurance companies approved by the federal government. For example, if you enter Mississippi in the state field, and Monroe in the county field, the search engine will generate a list of all providers, hospitals and. Freedom Silver 4000 - POS Plan summary Get our guide to the Essential Health Benefits covered by this plan and all other Marketplace plans. However, the standard plan has a MOOP cost of $8,900, while the low-income plan has a MOOP cost of $1,700 for individuals whose income falls below 150% of the FPL. Not affiliated with or endorsed by any government agency. What are the cheapest Silver and Gold plans in Mississippi for 2023? Learn about the great insurance offered by Vantage Health Plan. People under 65 with certain disabilities may be eligible for Medicare and are considered Medicare beneficiaries. We can help determine how much you are responsible for paying, if any. Established in 1994. 2 0 obj Cost-sharing plans do not affect your premium amount. It's simple, secure and free. Ambetter Virtual Access Silver - Virtual PCP selection required. by providers with Doctor.com accounts when editing their profile on Doctor.com. Additionally, MoneyGeek prepared lists of the best Medicare Advantage and best Medicare Supplement plans in Mississippi. Married couples are required to file taxes jointly. Get Directions. Off-Exchange plans existed before Obamacare. - which can only be used to reduce the costs of Obamacare plans. 3 0 obj In Mississippi, a Silver plan typically costs $3,165 for seniors, $1,490 for middle-aged people and $740 for younger adults. CLAIM.MD | Payer Information Part D plans are offered by health insurance companies which are approved by the federal government. endobj Report Fraud Waste and Abuse Vantage Health Plan Health Insurance - Health Insurance from Vantage Provides all of the benefits of Original Medicare, plus a dedicated clinical team, Part D prescription drug coverage, and more. Vantage Health Plan Medicare Advantage Plans with Part D in Mississippi However, there is a copay. For additional information about this plan(s), please contact Vantage Health Plan. Call 1-844-917-0642; TTY 1-833-312-0046 for more information. Lubbock, TX 79493 This information is not a complete description of benefits. The network providers listed in this directory have agreed to provide you with your health care services. American Health Advantage of Mississippi Consider the impact of metal level on the average monthly premium for a 40-year-old in Mississippi: Health insurance rates increase as you age. You make the choice. Call now to get help signing up for plans from licensed insurance agents! Visit Website. Enrollment in plans depends on contract renewal. Monthly premium Get a quote for this plan Your premium is the amount you pay for health insurance each month. We do not offer every plan available in your area. Vantage Health Plan | LinkedIn Vantage believes that practicing physicians must be actively involved in all aspects of healthcare improvement and cost control. Plans | Medicare Advantage | Vantage Health Plan Benefits may vary by carrier and location. Vantage Health Plan offers the best health insurance plans in Mississippi due to its affordable average monthly premium and variety of plan types. He has been quoted on insurance topics in several publications, including CNBC, NBC News and Mashable. Medicare Advantage can also include extra services not included in Part A and Part B, such as vision, hearing, dental, and wellness programs. <> Hotline:1-800-392-9249 Applying for Medicare, a federal program that offers health care at comparatively reasonable costs, may be possible if you are 65 years of age or older or have an eligible disability or disease. Specialties: Through competitive products and outstanding customer service, Vantage and its subsidiaries have grown steadily over the past 20 years into a leading business in our community with over 500 employees. During the plan selection and application process, you will be asked to enter information on your annual household income, the number of people in your household, whether they have an offer of health coverage through your employer, and a few other questions. Find a plan or a doctor today. How this plan performs in coverage of conditions, screenings, customer service and more. The Most Affordable Health Insurance in Mississippi - MoneyGeek %PDF-1.7 The Advance Premium Tax Credit (APTC) reduces monthly premium amounts, while the Cost Share Reduction (CSR) allows for lower out-of-pocket costs and reduced cost-sharing. We do not offer every plan available in your area. Enroll today or call 888.823.1910 for more information. The three cheapest HMO health insurance plans in Mississippi in this category are as follows: Silver plans are popular because they have lower deductibles and offer more coverage than Bronze plans. Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Drug Plan, Plan Provides Accurate Drug Pricing Information for Medicare's Plan Finder Website, Taking Blood Pressure Medication as Directed, Taking Cholesterol Medication as Directed, Members Who Had a Pharmacist (or Other Health Professional) Help Them Understand and Manage Their Medications, The Plan Makes Sure Members with Diabetes Take the Most Effective Drugs to Treat High Cholesterol.
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