Primewell Reliance (HMO-POS)

Mississippi Medicare Advantage Plan (2025 Plan)

Monthly Premium

Your Cost

$47

by Primewell Health Services

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

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Plan Name

Primewell Reliance (HMO-POS)

Insurance Carrier

Primewell Health Services

Plan Type

Medicare Advantage Plan With Part D Prescription Drug Coverage

Network Type

HMO

Primewell Reliance (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, 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

$500 Out-of-network

Max Out-of-Pocket

$3,900

Primary doctor visit

$0 copay

Specialist visit

$25 copay per visit

ER visit

$125 copay per visit (always covered)

Ambulance

$250 copay

Primewell Reliance (HMO-POS) has a monthly premium cost of $47 per month, with an annual deductible of $500 Out-of-network and a maximum out of pocket cost sharing of $3,900 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 Reliance (HMO-POS) are defined below.

Yes

Part D Prescription Drug Coverage

Yes

Dental

Yes

Vision

Yes

Hearing

Primewell Reliance (HMO-POS) 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 Reliance (HMO-POS) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Primewell Reliance (HMO-POS) 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

$500 Out-of-network

Health Plan Max Out-of-Pocket

$3,900 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 copay
Out-of-network: 50% coinsurance per visit

Specialist visit

In-network: $25 copay per visit
Out-of-network: 50% coinsurance per visit

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: $0-30 copay
Out-of-network: 50% coinsurance

Lab services

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

Diagnostic radiology services (like MRI)

In-network: $0-100 copay
Out-of-network: 50% coinsurance

Outpatient x-rays

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

Emergency care

$125 copay per visit (always covered)

Urgent care

$40 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

In-network: $205 per day for days 1 through 10
$0 per day for days 11 through 90
Out-of-network: 50% per stay

Outpatient hospital coverage

In-network: $0-250 copay per visit
Out-of-network: 50% coinsurance per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$165 per day for days 21 through 100
Out-of-network: 50% per stay

Preventive services

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

Ambulance

Ground ambulance

In-network: $250 copay
Out-of-network: $250 copay

Therapy services

Occupational therapy visit

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

Physical therapy & speech & language therapy visit

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

Mental health services

Outpatient group therapy with a psychiatrist

In-network: $30 copay
Out-of-network: 50% coinsurance

Outpatient individual therapy with a psychiatrist

In-network: $30 copay
Out-of-network: 50% coinsurance

Outpatient group therapy visit

In-network: $30 copay
Out-of-network: 50% coinsurance

Outpatient individual therapy visit

In-network: $30 copay
Out-of-network: 50% coinsurance

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

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

Prosthetics (like braces, artificial limbs)

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

Diabetes supplies

In-network: $0 copay
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	$5.00 copay	$0 copay
Generic	$14.00 copay	$0 copay
Preferred Brand	$47.00 copay	$0 copay
Non-Preferred Drug	50% coinsurance	$0 copay
Specialty Tier	33% coinsurance	$0 copay

Part B Drugs

Chemotherapy drugs

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

Other Part B drugs

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