Healthy Mississippi (HMO)
Mississippi Medicare Advantage Plan (2025 Plan)
by Healthy Mississippi, Inc.
Additional Coverage
HearingVisionDental
Overall Government Star Rating
(coming soon)
Plan Name
Healthy Mississippi (HMO)
Insurance Carrier
Healthy Mississippi, Inc.
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Healthy Mississippi (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Mississippi and offered by the health insurance company Healthy Mississippi, Inc.. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Primary doctor visit
$0-20 copay per visit
Specialist visit
$0-35 copay per visit
ER visit
$110 copay per visit (always covered)
Healthy Mississippi (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Healthy Mississippi (HMO) are defined below.
Yes
Part D Prescription Drug Coverage
Healthy Mississippi (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Healthy Mississippi (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Healthy Mississippi (HMO) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Tests, labs, & imaging
Diagnostic tests & procedures
Diagnostic radiology services (like MRI)
$0-225 copay or 0-35% coinsurance
Outpatient x-rays
$0-15 copay or 0-20% coinsurance
Emergency care
$110 copay per visit (always covered)
Urgent care
$0-45 copay per visit (always covered)
Hospital Services
Inpatient hospital coverage
Tier 1
$0 copay per stay
Tier 2
$295 per day for days 1 through 6
$0 per day for days 7 through 90
Tier 3
$2,185 per stay
Outpatient hospital coverage
$0-225 copay or 0-35% coinsurance per visit
Skilled nursing facility
Skilled nursing facility
Tier 1
$0 copay per stay
Tier 2
Coming soon
Preventive services
Ambulance
Therapy services
Occupational therapy visit
Physical therapy & speech & language therapy visit
Mental health services
Outpatient group therapy with a psychiatrist
Outpatient individual therapy with a psychiatrist
Outpatient group therapy visit
Outpatient individual therapy visit
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
Prosthetics (like braces, artificial limbs)
Diabetes supplies
0-20% coinsurance per item
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Tiers | Initial coverage phase | Catastrophic coverage phase |
---|
Preferred Generic | $0.00 copay | $0 copay |
Generic | $10.00 copay | $0 copay |
Preferred Brand | $47.00 copay | $0 copay |
Non-Preferred Drug | $100.00 copay | $0 copay |
Specialty Tier | 33% coinsurance | $0 copay |
Part B Drugs
Hearing
Preventive Dental
Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed
In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics
In-network: $0 copay
Out-of-network: $0 copay
Implant services
In-network: $0 copay
Out-of-network: $0 copay
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
Adjunctive general services
In-network: $0 copay
Out-of-network: $0 copay
Vision
Eyeglasses (frames & lenses)
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