To enroll in a Blue Advantage plan, you must have both Medicare Parts A and B and reside in the parishes of Acadia, Ascension, Assumption, East Baton Rouge, East Feliciana, Evangeline, Iberia, Iberville, Jefferson, Lafayette, Lafourche, Livingston, Orleans, Plaquemines, Pointe Coupee, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Terrebonne, Vermilion, Washington, West Baton Rouge or West Feliciana parishes.
Is HMO Louisiana Medicare?
Both are independent licensees of the Blue Cross and Blue Shield Association. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract.
Does Blue Cross Blue Shield work in Louisiana?
Blue Cross and Blue Shield Multi-State Plan is a full-coverage plan using the biggest network of doctors and hospitals in Louisiana.
How many members does BCBS of Louisiana have?
1.1 million membersWe're Louisiana's oldest and largest health insurer. We serve more than 1.1 million members. We're a mutual company, which means we are owned by our policyholders – not shareholders. Our company is totally Louisiana-owned and -operated.
What is the prefix for BCBS of Louisiana?
LZBAlpha Prefix: LZB or LXS This benefit plan utilizes our Blue Connect (LZB) or Community Blue (LXS) provider network.
Does Blue Cross Louisiana work in other states?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
Does Blue Cross Blue Shield of Louisiana cover out of state?
Members have access to Emergency and Non-Emergency care outside Louisiana and around the world. The Member's ID card offers convenient access to Covered Services through Blue Cross and Blue Shield Providers throughout the United States and in more than 200 countries worldwide.
What is the alpha prefix for Florida Blue?
PXNThe alpha prefix PXN is displayed in front of the member identification number and copay information shows on the front of the card. A sample Publix ID card is provided below. For questions or additional information, call the Florida Blue Publix Dedicated Customer Service Unit at (866) 782-5495.
What to know when choosing a Medicare Advantage plan in Louisiana?
One key thing that you will want to know when choosing a Medicare Advantage plan in Louisiana is that there may be network restrictions. It’s important to understand these restrictions before purchasing a Medicare Advantage plan. This is a quick guide to help you better understand these restrictions:
What is the Medicare Advantage payment increase in Louisiana?
The Centers for Medicare and Medicaid Services approved a 2.53% payment increase to Medicare insurers that offer Medicare Advantage plans in Louisiana.
How many Medicare beneficiaries are there in Louisiana?
There were 867,826 Medicare beneficiaries in Louisiana in 2018. 294,948 of Medicare beneficiaries in Louisiana were enrolled in Medicare Advantage in 2018.
What is a PPO in Louisiana?
PPO Preferred Provider Organization Plans (PPO) in Louisiana. Includes a network. You aren’t required to see a doctor or go to a hospital in your provider’s network. Costs are lower when you see in-network providers. Referrals aren’t needed.
Does Medicare Advantage cover out of network?
Unlike HMO policies, PPO Medicare Advantage plans cover both in-network and out-of-network care, but your out-of-pocket expenses are higher when you see out-of-network providers. Traveling With Plan: Both preferred provider organization PPO plans and health maintenance organization HMO plans, you can enjoy peace of mind in knowing ...
Does Medicare cover prescription drugs?
Prescription drug coverage is not included with Medicare Part A and Medicare Part B or any of the Medicare Supplement plans. However, many Medicare Advantage plans in LA do include Medicare Advantage prescription drug plans. These costs are included in your rates, so when you compare rates, you might notice that plans that include prescription drug ...
Is there an HMO in Louisiana?
HMO Health Maintenance Organization Plans (HMO) in Louisiana. $0 premium options are sometimes available. Even when monthly premiums must be paid, they are typically cheaper for these plans than others. Must choose in-network providers, except in emergency situations.
How to contact Medicare Advantage in Louisiana?
TTY: 800-325-0778. 7 a.m. to 7 p.m., Monday - Friday. www.ssa.gov. Medicare Advantage (Part C) If eligible, you can enroll online or call to have a Medicare expert guide you through the enrollment process, meet you in person or send a kit to enroll by mail. Available in 30 parishes in South Louisiana.
What is Blue Advantage?
Blue Advantage (HMO) Plan. Medicare Supplement. Also called Medigap, these plans are offered by private health insurance companies for a separate premium. They help pay some of the healthcare costs that Original Medicare doesn't cover, such as copayments, coinsurance and deductibles.
What is the Medicare Part A and B?
Original Medicare. When you first enroll in Medicare, you have Original Medicare, which includes Part A and Part B, which is managed by the federal government. Most people must have Medicare Parts A and B to enroll in Medicare Advantage, Medicare Prescription Drug Plans and Medicare Supplement plans. Part A.
What happens if you don't sign up for Blue Advantage?
If you sign up for a Blue Advantage (HMO) plan when you are eligible, your Part D prescription drug benefits are included. If you don’t sign up for Part D coverage when you are first eligible, you may have to pay a late-enrollment penalty that is added to your monthly Part D premium even if the premium is zero.
What is MA plan?
Also called MA plans or Part C, these plans are offered by private insurance companies that include all of the benefits and services that Original Medicare covers and extra benefits. Enrollees may pay a premium for their MA plan in addition to their Part B premiums.
When do you enroll in Medicare Advantage?
Medicare Advantage (Part C) You're first eligible to enroll in Medicare Advantage during your Initial Coverage Election Period (ICEP). For most people, this period occurs at the same time as their initial Enrollment Period for Original Medicare, Part A and Part B. 3. Three months before you turn 65. 1.
When is the Blue Advantage enrollment period?
Blue Advantage (HMO) includes prescription drug coverage. Oct . 15 - Dec. 7. Special Enrollment Period. This is a period where you can make changes to your Medicare Advantage and prescription drug coverage depending on certain situations such as those listed below.
How many Medicare Advantage plans are there in Louisiana?
There are 881 different Louisiana Medicare Advantage plans in 2019. 1. A licensed insurance agent can help you compare the availability, benefits and costs of Medicare Advantage plans in your area of Louisiana, because not every plan is available in each county. Read below to learn more about Medicare in your state.
Which parish has the highest Medicare premium?
Orleans Parish, Ascension Parish and Jefferson Parish each had the highest number of $0 premium plans available, with 11 such plans in each parish in 2019. Jefferson County had by far the highest number of Medicare Advantage plan enrollees in 2019, with 99.9 percent of Medicare Advantage beneficiaries in the county belonging to a $0 premium plan.
How much does Medicare cost in Louisiana?
Average costs of Medicare Advantage in Louisiana. The average Medicare Advantage plan premium in Louisiana in 2019 was $4 per month. That’s due partly to the fact that 387 of the state’s 51 available plans offer $0 premiums, and 88 percent of the state’s beneficiaries were enrolled in a $0 premium plan. Average monthly premium cost in 2019 ...
What are the five categories of Medicare Advantage plans?
Medicare Advantage plans are rated in the following five categories: Preventive care and health maintenance (screenings, tests, vaccines, etc.) Management of chronic conditions. Member experiences and ratings of the plan. Member complaints, member retention and plan performance. Customer service.
What is a SEP in Louisiana?
Medicare Special Enrollment Periods (SEP) A Medicare Special Enrollment Period (SEP) could potentially be granted to you at any time throughout the year if you have a specific qualifying circumstance. A licensed Louisiana insurance agent can help you find out if you qualify for a Medicare Special Enrollment Period.
When does Medicare open enrollment end?
Medicare Advantage open enrollment lasts from January 1 to March 31 every year. During this period, you may switch Medicare Advantage plans or drop your Medicare Advantage plan and return to Original Medicare.
Does Louisiana have Medicare Advantage?
Private insurance companies offer Medicare Advantage plans in Louisiana. There are multiple insurance carriers that may offer Medicare Advantage plans in Louisiana, though they may not offer plans where you live. Private insurance companies offer Medicare Advantage plans that may be unique to the plan area they serve.
What is the average Medicare Advantage rating in Louisiana?
The average Star Rating for Medicare Advantage plans in Louisiana is between 4 and 4.5. However, people in most counties are enrolled in 3- or 3.5-star plans. There are no 5-star plans in Louisiana. 6
How much does Medicare cost in Louisiana?
But the average monthly premium for a Medicare Advantage plan in Louisiana is less than $45.
What are the two options for Medicare?
If you’re eligible for Medicare, you have two options for receiving your benefits: Original Medicare and Medicare Advantage. Enrolling in Medicare Advantage allows you to receive your benefits in one comprehensive plan, much like health plans that employers sponsor for their employees.
Does Louisiana have Medicare Advantage?
Medicare Advantage plans cover everything Original Medicare (Parts A and B) covers, but many Medicare Advantage plans in Louisiana pay for a lot more. These are a few of the most common extra benefits covered by Medicare Advantage plans: 4
How many Medicare Advantage Plans are there in Louisiana?
In 2019, there were 51 Medicare Advantage Plans available in Louisiana. 34% of the total Medicare population in Louisiana was enrolled in Medicare Advantage Plans as of 2018. In 2018, Original Medicare spent an average of $11,932 per beneficiary in Louisiana, which is 18% higher than the national average. Available Medicare Advantage Plans range ...
What is senior health insurance in Louisiana?
Louisiana’s Senior Health Insurance Information Program ensures that residents have access to reliable, unbiased information regarding their health insurance options. If you aren’t sure whether to enroll in Original Medicare or Medicare Advantage, or you don’t know whether you can buy Medicare Part D or a Medigap supplement with your current plan, contact SHIIP to speak with a trained counselor. SHIIP partners with agencies across the state to ensure older adults have access to its services.
How old do you have to be to qualify for Medicare Advantage?
You may qualify for Medicare Advantage if all of the following apply: You’re eligible for Medicare Part A and Part B. You’re at least 65 years old, or you’ve been receiving disability benefits for at least two years. You’re not enrolled in a Medigap plan. You live in the service area of the plan you want to join.
What states have Medicare patrols?
Louisiana, Mississippi, and Georgia residents share a regional Senior Medicare Patrol program, which is funded by a grant from the Administration for Community Living and sponsored by eQHealth AdviseWell. The program is designed to help older adults and their loved ones prevent Medicare fraud and identify fraud quickly if it does occur. Counselors are on hand to help you understand your Medicare statements and teach you how to reduce your risk of identity theft. SMP also has webinars on topics of interest to Medicare-eligible individuals.
What is original Medicare?
Original Medicare covers hospitalization, durable medical equipment, preventive services, and treatments for a variety of injuries and illnesses. Because Original Medicare is a government-run program, it provides a rather basic level of coverage. If you're looking for something with more flexibility, ...
When is Medicare open enrollment?
Medicare Advantage open enrollment: From January 1st to March 31st, you can switch Medicare Advantage Plans or disenroll from Medicare Advantage and sign up for Original Medicare. You may qualify for a special enrollment period if any of the following apply: You lose your previous health coverage.
What is the New Orleans Council on Aging?
The New Orleans Council on Aging protects the rights of older adults living in Orleans Parish and helps local residents maintain their independence. It does this by coordinating a variety of services for seniors and their caregivers.