Medicare Advantage Plans in Louisiana

To enroll in Medicare Advantage in Louisiana, you must first be enrolled in Original Medicare (Medicare Part A and Medicare Part B). You will be required to pay Part B costs. The standard monthly Medicare Part B premium for 2023 is $164.90. The annual Part B deducible for 2022 is $226.

Louisiana Enrollment Facts:

1. Number of people enrolled in Medicare Advantage in Louisiana: 361,594

Local HMO – 248,480

Local PPO – 27,103

Regional PPO – 16,085

2. Enrolled in Medicare Advantage in Louisiana: 40%

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Top-rated Medicare Advantage Plan Companies in Louisiana

  • Ameri Health
  • Aetna
  • Cigna
  • Peoples Health
  • Humana
  • Coventry Health

Popular Medicare Advantage Plan Types in Louisiana

Medicare Advantage PPO

  • PPO plans offer a more extensive network, and no referrals are required.
  • PPO premiums range from $0 to $100 per month.

Medicare Advantage HMO Plan

  • HMO premiums are generally $0 per month.
  • HMO plans have lower out-of-pocket costs because they use the HMO referral network.

Medicare Advantage D-SNIP

Medicare Advantage D-SNIP plans are best for those with limited incomes or chronic health conditions. Enrollees on this type of plan can have Medicare AND Medicaid to lower out-of-pocket costs on copays, coinsurance, and premiums. Part B deductibles will usually be $0 to a small amount.

  • A Louisiana Medicare Advantage plan may include some extra benefits not covered by Original Medicare, such as:
  • Vision care benefits
  • Dental care benefits
  • Hearing exam and hearing aid assistance
  • MAPD plans have built-in prescription drug coverage
  • Gym memberships or other fitness and wellness benefits

When can I enroll in a Medicare Advantage plan?

Initial Enrollment Period

Your Initial Enrollment Period begins three months before your 65th birthday month and ends three months after your birthday month.

Once you enroll in Original Medicare, you can choose to purchase a Medicare Advantage plan. Many Medicare Advantage plans have built-in prescription drug coverage.

Alternatively, you may choose a Medicare Supplement plan (Medigap) to work alongside Original Medicare to help pay some out-of-pocket costs not covered by Original Medicare.

Open Enrollment Period – AKA Annual Election Period

The Medicare Annual Election Period (AEP) happens every year from October 15 to December 7. If you did not enroll in Medicare during your Initial Enrollment Period upon turning 65, you might have a second chance during the fall Annual Enrollment Period.

You can also change from one plan to another (MA or PD) or choose to drop either of these without replacing it.

Medicare Advantage Open Enrollment Period

The Medicare Advantage Open Enrollment Period lasts from January 1 to March 31. At this time, you can switch Medicare Advantage plans or return to Original Medicare.

Special Enrollment Periods – Special Circumstances

A Special Enrollment Period (SEP) can occur at any time of the year under certain circumstances. Some situations that might make you eligible for SEP would be:

  • Medicare terminated your Medicare Advantage plan’s contract
  • You lost your employment-based insurance coverage
  • You moved to a location outside your current MA plan’s service area

5-star Special Enrollment Period

If you are enrolled in a Medicare Advantage plan with a star rating below five stars and find a five-star rated plan, you can change (one time only) to the 5-star plan any time between December 8 and the following year on November 30.

Consult a Medicare agent before making this change to be sure you do not lose your Prescription drug coverage or MA coverage when enrolling in a 5-star plan.

Special Enrollment Periods if you get “Extra Help.”

People who qualify for “Extra Help” paying for prescription drug coverage can join, drop, or switch Medicare prescription drug plans one time during each of these periods:

  • January – March
  • April – June
  • July – September

The fourth annual quarter is not included, but all Medicare beneficiaries can make changes to their plans during the AEP from October 15 to December 7.

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