Arkansas Medicare Advantage Plans: An Overview

If you live in Arkansas and need help finding a Medicare Advantage plan that fits your needs, call the expert health insurance agents at Buffalo Health Advisors. With so many options available, it can be hard to find a plan that’s the right fit. That’s where we come in. Learn more about your options for Arkansas Medicare plans, then give us a call.

Medicare Advantage Plans in Arkansas

A cousin to Original Medicare, Advantage plans, or MA plans, are offered as a supplementary option to Medicare beneficiaries. MA plans are regulated by the federal government but funded by private health insurance companies.

The four most common types of MA plans are:

Preferred Provider Organization (PPO) Plans

The main benefit of these Advantage plans is their overall flexibility. Granted, the premiums for PPO plans are typically slightly higher than a more affordable HMO plan. However, many people prefer the benefits of a PPO due to easier access to specialists and out of network coverage.

Call a licensed health insurance agent for help finding the right PPO plan for you!

Learn more about Medicare PPO Plans.

Health Maintenance Organization (HMO) Plans

Another popular option for Medicare beneficiaries, an HMO plan is a network of doctors, hospitals, and other providers who agree to give discounted medical care to subscribers. These plans are subsidized by the government.

Unlike PPO plans, however, HMO plans require you to select a PCP when you join a plan. Furthermore, if you want to see a specialist, you will need a referral from your PCP to make an appointment. Finally, if you have to receive medical care outside of your organization’s network, the plan will not usually offer coverage.

Private Fee-for-Service (PFFS) Plans

The main benefit of a PFFS plan is that it does not require subscribers to receive medical care within a certain network. As a result, you don’t have to select a PCP and you can “shop around” until you find a doctor you like. However, you should know that a medical provider must accept the terms of the plan before providing care.

Learn more about PFFS Plans

Special Needs Plans Medicare Plans in Arkansas

For people who require special medical care due to chronic or debilitating medical conditions, a Special Needs Medicare Advantage Plan may be the plan for you. In order to be eligible for an SNP, you will need to meet certain criteria.

  1. Be diagnosed with a chronic condition such as:
    1. Cancer
    2. End-Stage Renal Disease
    3. Chronic Heart Failure
  2. Have both Medicare and Medicaid
  3. Live in a nursing home or extended care facility

Alternatively, if you have one of the listed conditions or another qualifying condition and are not aged 65, you may still qualify for an SNP. So long as you are receiving long-term social security benefits due to a disabling medical condition, you could qualify.

Talk to one of our health insurance agents to learn more about Arkansas Special Needs Plans.

How Do I Sign Up for an Arkansas Medicare Advantage Plan?

In order to join an Arkansas Medicare advantage plan, you will need to first sign up for Original Medicare. An Original Medicare plan consists of a combination of Medicare Part A and Part B.

If you are about to age into Medicare, (e.g. turning 65 soon) you will need to sign up manually through the social security office. Our health insurance agents can also help you apply for Original Medicare, to help you streamline the application process.

However, if you are about to age into Medicare and have been receiving social security benefits, then you will automatically be enrolled in Original Medicare.

Arkansas Medicare Advantage Plans Qualifications

In general, the qualifications for Medicare beneficiaries include:

  • Having Original Medicare Coverage
  • Receiving Social Security Benefits
  • A Diagnosis for End-Stage Renal Disease (ESRD)
  • Receiving Care at a Long-Term or Residential Care Facility
  • Receiving Benefits from the Railroad Retirement Board
  • Are Age 65+

Get Help Finding Arkansas Medicare Advantage Plans

Call Buffalo Health Advisors to talk to a licensed health insurance agent. Finding health insurance coverage doesn’t need to be confusing. We make Medicare simple. Book an appointment to start evaluation your options today.