A non-government entity
American Health Advantage of Mississippi (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for American Health Advantage of Mississippi (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on American Health Advantage of Mississippi (HMO I-SNP) in 2026, please refer to our full plan details page.
American Health Advantage of Mississippi (HMO I-SNP) is a HMO I-SNP plan offered by Mitchell Family Office available for enrollment in 2025 to people living in Mississippi. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that American Health Advantage of Mississippi (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
American Health Advantage of Mississippi (HMO I-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about American Health Advantage of Mississippi (HMO I-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For American Health Advantage of Mississippi (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The American Health Advantage of Mississippi (HMO I-SNP) prescription drug coverage includes an annual drug deductible of $615. This means you will pay the full cost of your prescription medications up to this amount before the plan begins to pay its share. Specific details regarding drug coverage tiers, copayments, and coinsurance amounts are currently unavailable for this Medicare plan. To fully understand your potential out-of-pocket costs, you may want to verify how your specific medications are covered under this plan's formulary.
Additional Benefits
The American Health Advantage of Mississippi (HMO I-SNP) provides comprehensive coverage for core medical services, often with no copayments. Inpatient hospital stays, primary care visits, home health services, and skilled nursing facility care for the first 100 days are covered with no copay and no coinsurance. For outpatient care, emergency services, and specialist visits, members can expect no copay but will typically pay a 20% coinsurance. Specialty benefits under this plan are partially covered, featuring no copays for Medicare-covered dental, routine vision exams, and prescription hearing aids, though a 20% coinsurance generally applies. Durable medical equipment and dialysis also require a 20% coinsurance with no copay, while diabetic supplies are available with no copay and no coinsurance. Notably, this plan does not cover routine dental care, transportation services, or over-the-counter items.
Inpatient Hospital See details
American Health Advantage of Mississippi (HMO I-SNP) covers inpatient acute and psychiatric hospital services with no copay and no coinsurance, although prior authorization and Medicare-defined cost sharing apply. This benefit is partially covered because upgrades, additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
American Health Advantage of Mississippi (HMO I-SNP) covers outpatient services with no copayments, though a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, outpatient substance abuse, and blood services. Prior authorization is required for outpatient hospital, observation, and ambulatory surgical center services, and the deductible is waived for the first three pints of blood.
Partial Hospitalization See details
Partial hospitalization is covered by American Health Advantage of Mississippi (HMO I-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by American Health Advantage of Mississippi (HMO I-SNP), with Medicare-covered ground and air ambulance services requiring prior authorization and carrying a 20% coinsurance with no copay. Transportation services to plan-approved or any other health-related locations are not covered under this plan.
Emergency Services See details
Emergency and urgently needed services are covered by American Health Advantage of Mississippi (HMO I-SNP) with a 20% coinsurance and no copay, which counts toward the plan-level deductible unless waived upon hospital admission within one day. Worldwide emergency, urgent, and transportation services are not covered.
Primary Care See details
American Health Advantage of Mississippi (HMO I-SNP) offers primary care physician services, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, mental health sessions, and physical, occupational, and speech therapies are covered with no copay and 0% to 20% coinsurance, while podiatry and chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by American Health Advantage of Mississippi (HMO I-SNP) with no copay and no coinsurance, though a referral is required for in-home support. Services such as an annual physical exam, fitness benefits, health education, alternative therapies, and home safety modifications are not covered.
Hearing Services See details
Hearing services under the American Health Advantage of Mississippi (HMO I-SNP) are partially covered, offering fitting and evaluation exams as well as prescription hearing aids with no copay and no coinsurance, while routine hearing exams require a 20% coinsurance. Covered prescription hearing aids are limited to $500 per ear annually, but OTC hearing aids alongside inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered by American Health Advantage of Mississippi (HMO I-SNP), which offers one annual routine eye exam with no copay and 20% coinsurance, while other eye exam services are not covered. Eyewear is covered up to a $300 annual limit with no copay, featuring no coinsurance for eyeglasses, frames, and upgrades, and a 20% coinsurance for contact lenses.
Dental Services See details
Dental services are partially covered by American Health Advantage of Mississippi (HMO I-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance. Routine and comprehensive dental services—including oral exams, cleanings, x-rays, fluoride treatments, restorative care, and orthodontics—are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by American Health Advantage of Mississippi (HMO I-SNP) with no copay, although prior authorization is required. Medicare Part B chemotherapy, radiation, and other Part B drugs have no copay and 0% to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance.
Dialysis Services See details
American Health Advantage of Mississippi (HMO I-SNP) covers Dialysis Services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by American Health Advantage of Mississippi (HMO I-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic equipment, supplies, and therapeutic shoes are also covered with no copay and no coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
American Health Advantage of Mississippi (HMO I-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, lab services have no copay, and radiological services—including X-rays—require a 20% coinsurance and no copay.
Home Health Services See details
American Health Advantage of Mississippi (HMO I-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by American Health Advantage of Mississippi (HMO I-SNP) with no copay, but only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
American Health Advantage of Mississippi (HMO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance, requiring prior authorization but no prior three-day hospital stay. Additional days beyond the standard Medicare-covered 100 days are not covered.
Other Services See details
American Health Advantage of Mississippi (HMO I-SNP) does not cover other supplemental services, meaning there is no coverage for acupuncture, over-the-counter (OTC) items, or meal benefits under this plan.
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