LOUISIANA MEDICARE PLANS
Choosing the right Medicare plan is important.
We’re here to help.
Want some guidance?
We provide free, unbiased advice, education and enrollment assistance – always abiding by our strict code of ethics.
You can call us anytime at 1-888-966-8579 (TTY:711), or use our form to schedule a remote or in-person appointment with a licensed agent (depending on where you live).
Prefer to shop on your own?
Our online enrollment tools makes it easy to compare your Medicare options.
When you click the button below, you’ll see two options: You can either enter your ZIP code to view the plans available in your area, or use our plan-finder tool to receive helpful guidance.
WANT HELP COMPARING HEALTH PLANS IN LOUISIANA?
O’Neal Insurance Group is your go-to broker guide for you Medicare health plan enrollment process. With more than 30 years of expertise, we can streamline your application process and help you choose the best healthcare plan available in your service area.
A GLANCE AT MEDICARE HEALTH INSURANCE PLANS AND COVERAGE IN LOUISIANA.
Medicare is the leading health insurance plan available in Louisiana. The federally approved health coverage is designed to help senior citizens and disabled individuals receive affordable healthcare in this country. The health plans cover a diverse range of medical expenses and offer multiple resources to those in need.
Stats show that over 843,951 beneficiaries in Louisiana were enrolled in Medicare Health Plans by the year 2018. The figure has since then multiplied and continues to increase every year.
Let’s look at more stats associated with Medicare health plans in the state:
- Since 2018, the residents of Louisiana have access to 54 Medicare Advantage Plans and 21 standalone Medicare Prescription Drug Plans, depending on their location
- By 2018, 75% of Medicare beneficiaries had enrolled in a Part D Health Plans (standalone plans or as an extension of Part C coverage)
ENROLLMENT ELIGIBILITY REQUIREMENTS FOR MEDICARE PART C, IN LOUISIANA
Are you eligible for Medicare?
The eligibility of Medicare Health Plans is dependent on your age, citizenship, and medical condition.
- Every US citizen residing in Louisiana is eligible for this health insurance plan. The federal laws allow immigrants with at least five years of legal permanent residency to apply for the health plan too.
- Most enrollees must be 65 or older when they sign up for the medical coverage.
- Residents who have paid Medicare taxes for at least ten years don’t have to pay for premiums for Part A.
- Individuals with prolonged disability are eligible for Medicare Plan before they turn 65. They should, however, receive Social Security Disability for at least two years before registration.
- Patients with stage five of CKD (chronic kidney disease) can also enroll in the Original Medicare Health Plan before they turn 65.
- Enrollees who have applied for the Original Medicare Health Plan are eligible for other Medicare health plans.
In short, if you are over 65 or have an eligible disability, then you can enroll in a Medicare Health Plan. The only condition is that your chosen health plan must be available in your service area. Otherwise, you will have to apply for extra medical coverage from your insurance company.
Hint: Medicare disability refers to permanent physical and mental impairment that requires lifelong medical support
PART C MEDICARE ADVANTAGE PLANS: A CLOSER LOOK
Make the most of your medical coverage with the perfect Medicare Advantage plan.
You have the right to select additional medical coverage with the assistance of an affiliated healthcare insurance provider. The medical plan includes basic coverage from the Original Medicare Plan, along with extra benefits. These include everything from dental appointments to fitness classes, and more.
Apart from receiving extra medical coverage, you may have to pay a lower cost on deductibles, copayments, and coinsurance associated with the medical services. For this reason, this type of health insurance plan is called a budget-friendly option for the residents of Louisiana.
Here are the primary Medicare Advantage Plans in Louisiana:
Health Maintenance Organization (HMO)
Beneficiaries of this health plan are provided with a list of healthcare providers and facilities. They get discounted rates and medical coverage when they receive treatments from this network of healthcare providers. The enrollees are also required to choose a primary care provider, who can refer them to specialists whenever required.
The advantages of this healthcare plan include lower premiums, access to licensed healthcare providers, and great rates and full coverage.
Despite its many benefits, many people find the rules and regulations of this health plan restrictive. That’s especially true for individuals who’re forced to pay the full medical bill if they get treated outside the network. This can be costly for people who are receiving care from specialists not available in their health insurance company’s list.
Preferred Provider Organization (PPO)
The PPO is a flexible rendition of the previous health plan. The only difference is that beneficiaries in this plan can get coverage for the chosen healthcare provider (even if they aren’t in the network).
The recipients will, however, have to pay a higher amount of copayments, deductibles, and coinsurance. The premium costs depend on the terms and conditions of their healthcare insurance policy.
The advantages of this healthcare plan include flexible offerings and more options, no need for referrals and additional steps, and access to licensed healthcare providers.
If you’re interested in more versatility, then you can sign up for the Private Fee-for-Service (PFFS) plan. The plan gives you a chance to choose out-of-network healthcare providers with minimum restrictions. The healthcare provider must, however, comply with a few insurance guidelines if you want proper medical coverage.
Apart from this, residents of Louisiana have access to the Special Needs Plan (SNP). The hybrid healthcare plan is for beneficiaries who require specific medical services to treat disabilities, chronic illnesses, or other critical conditions.
The best idea is to consult your primary care provider before you make the final decision.
WHEN SHOULD YOU APPLY FOR MEDICARE IN LOUISIANA?
SIGN UP FOR MEDICARE COVERAGE BEFORE IT’S TOO LATE!
Residents of Louisiana have several opportunities to register for Medicare Original and Medicare Advantage health plans. If you receive Social Security, then your enrollment to Original Medicare is automatic. Others have to seek assistance from Social Security headquarters in the state to enroll in both federal programs.
The three enrollment periods to sign up for Medicare are as follows:
It’s the first chance for eligible candidates to join the Medicare health plan. The seven-month enrollment period begins there months before your 65th birthday and lasts three months after your birthday.
For instance, if you are born in March then your initial enrollment will start in Dec and end in June.
If you’re registered with group coverage or receive group health benefits through a spouse, then you can enroll in the Medicare Health Plan after that coverage expires.
The delayed enrollment period lasts for eight months after the prior coverage ends.
All eligible beneficiaries can register for Medicare health plans at the start of each year. The general enrollment period lasts from Jan to March.
Disclaimer: Residents who don’t sign up for Part B during their initial enrollment are penalized for the delay. The penalty fee varies according to the date of their registration. It’s generally 10% of their premium, and it lasts throughout their Medicare coverage.
HOW CAN WE HELP?
O’Neal Insurance Group offers free consultation services to the residents of Louisiana. Our specialists guide you through the enrollment process and answer your queries. We also nudge you in the right direction if you’re considering a supplemental plan. Contact us to get started.