Primewell Dual Plus (HMO-POS D-SNP)

Mississippi Medicare-Medicaid Dual Eligible D-SNP Plan (2025 Plan)

Monthly Premium

Your Cost

$47

by Primewell Health Services

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

Ready to Enroll Online?

Plan Name

Primewell Dual Plus (HMO-POS D-SNP)

Insurance Carrier

Primewell Health Services

Plan Type

Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)

Network Type

HMO

Primewell Dual Plus (HMO-POS D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Mississippi and offered by the health insurance company Primewell Health Services. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium

$47

Annual Deductible

$0 or $500 Out-of-network

Max Out-of-Pocket

$9,350

Primary doctor visit

0% or 20% coinsurance per visit

Specialist visit

0% or 20% coinsurance per visit

ER visit

0% or 20% coinsurance per visit (always covered)

Ambulance

0% or 20% coinsurance

Primewell Dual Plus (HMO-POS D-SNP) has a monthly premium cost of $47 per month, with an annual deductible of $0 or $500 Out-of-network and a maximum out of pocket cost sharing of $9,350 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 Primewell Dual Plus (HMO-POS D-SNP) are defined below.

Yes

Part D Prescription Drug Coverage

Yes

Dental

Yes

Vision

Yes

Hearing

Primewell Dual Plus (HMO-POS D-SNP) 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. Primewell Dual Plus (HMO-POS D-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Primewell Dual Plus (HMO-POS D-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Limited coverage

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Not covered

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Monthly Premium

$47

Health Portion of Premium

Drug Portion of Premium

$47

Health Plan Deductible

$0 or $500 Out-of-network

Health Plan Max Out-of-Pocket

$9,350 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

http://www.Primewellhealth.com

Plan Link

http://www.Primewellhealth.com

Doctor Services

Primary doctor visit

In-network: 0% or 20% coinsurance per visit
Out-of-network: 50% coinsurance per visit

Specialist visit

In-network: 0% or 20% coinsurance per visit
Out-of-network: 50% coinsurance per visit

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Lab services

In-network: $0 copay
Out-of-network: 50% coinsurance

Diagnostic radiology services (like MRI)

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Outpatient x-rays

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Emergency care

0% or 20% coinsurance per visit (always covered)

Urgent care

0% or 20% coinsurance per visit (always covered)

Hospital Services

Inpatient hospital coverage

In-network: Coming soon
Out-of-network: 50% per stay

Outpatient hospital coverage

In-network: 0% or 20% coinsurance per visit
Out-of-network: 50% coinsurance per visit

Skilled nursing facility

In-network: Coming soon
Out-of-network: 50% per stay

Preventive services

In-network: $0 copay
Out-of-network: 50% coinsurance

Ambulance

Ground ambulance

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Therapy services

Occupational therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Physical therapy & speech & language therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Outpatient individual therapy with a psychiatrist

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Outpatient group therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Outpatient individual therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 50% coinsurance

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 0% or 20% coinsurance per item
Out-of-network: 50% coinsurance per item

Prosthetics (like braces, artificial limbs)

In-network: 0% or 20% coinsurance per item
Out-of-network: 50% coinsurance per item

Diabetes supplies

In-network: 0% or 20% coinsurance per item
Out-of-network: 50% 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	25% coinsurance	$0 copay
Preferred Brand	25% coinsurance	$0 copay
Non-Preferred Drug	50% coinsurance	$0 copay
Specialty Tier	25% coinsurance	$0 copay

Part B Drugs

Chemotherapy drugs

In-network: 0% or 0-20% coinsurance
Out-of-network: $35 copay or 0-50% coinsurance

Other Part B drugs

In-network: 0% or 0-20% coinsurance
Out-of-network: $35 copay or 0-50% coinsurance