Best Health Insurance Plans in Mississippi

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Curious about health care in the Magnolia State? According to a study by US News, Mississippi has the worst health care ranking in the country. That study looks at access, quality, and good public health. But there are still options for Mississippians seeking health care.

Health Care Choices in Mississippi

According to the MS Insurance Department, there are several ways for residents to access health care.

  1. Employer-provided
    1. From your employer
    2. Through your spouse's employer
    3. Through COBRA
  2. Individual or family plans
    1. Through HealthCare.gov
    2. Directly from a health insurance company
  3. Government-assisted
    1. Medicare
    2. Medicaid
    3. MississippiCAN

Where do most Mississippi residents get their health insurance coverage?

Mississippi Health Insurance Sources
Sources Percent
Employer-Provided 42%
Individual or family 5%
Medicaid 24%
Medicare 14%
Other Public Care 3%
Uninsured 12%
Source: Kaiser Family Foundation, Health Insurance Coverage of the Total Population

12 percent of MS residents are uninsured, more than the national average. That could be a setback for policyholders, as a high number of uninsured residents can raise prices for insured people.

Mississippi Health Insurance Costs and Rate Factors

MS residents spend an average of $7,646 per year on health care expenditures, a few hundred less than the national average. What influences your health care prices in your state? Rates vary person to person, but depend primarily on these factors:

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Body Mass Index

According to the CDC, a high body mass can lead to several serious health conditions. That’s why health insurance companies analyze your BMI. A high BMI often means higher health insurance rates.

In 2016, MS had a 37.3 percent obesity rate, the second highest in the country. Out of the many state residents who used QuoteWizard to compare health insurance plans, 44 percent of shoppers had a BMI in the obese range.

Tobacco Use

Smokers often pay more for health insurance because of the serious risks from tobacco use. About 22.7 percent of MS residents are smokers, the fourth highest rate in the country.

Age

Health care can cost up to three times more for older people compared to younger people. State residents who used QuoteWizard to shop for health insurance are, on average, 40 years old.

Plan Type

Marketplace plans come in metal tiers: bronze, silver, gold, and platinum. The more health care coverage you want, the higher you’ll pay in monthly premiums.

How much should you expect to pay for coverage in MS? These are the average monthly premiums for a middle-aged state resident in 2018:

Mississippi Martketplace Plan Rates
Bronze Silver Gold
$464 $479 $648
Source: Kaiser Family Foundation, Change in Average Marketplace Premiums by Metal Tier

A gold plan costs about 40 percent more than a bronze plan. That price jump is because gold plans cover 80 percent of medical costs, whereas bronze plans cover 60 percent of medical costs.

You may qualify for a catastrophic plan, the lowest level of coverage available. These plans come with a $7,150 yearly deductible. Even with higher monthly rates, you may save money with a bronze or silver plan when you need to use your health insurance. In Mississippi, it makes sense to consider a silver plan instead of a bronze plan, since the rates are so close.

Location

Many people don’t know that their zip code plays a big role in how much they’ll pay monthly. But it’s a crucial factor. That’s because every state has different rules, regulations, and providers surrounding the marketplace.

Also, companies use community-rating to partly determine your costs. That means that rates are based on the combined claims that everyone files. So, if your state files an abnormally high number of claims, your rates could rise.

Living in a health-conscious state could influence your prices. Unfortunately, according to America’s Health Rankings, MS is the least healthy state in the country.

Mississippi Health Insurance Companies

There are a few options for MS residents when it comes to health care companies in the state. These health care providers offer individual and family plans:

Mississippi Health Insurance Laws

The Affordable Care Act mandates what insurance companies cannot consider while pricing your policy.

There’s a limit to how much you’ll pay out-of-pocket for a marketplace plan. In 2018, the out-of-pocket maximum is $7,350 for an individual plan and $14,700 for a family plan.

MS law requires health insurance companies to offer at least some coverage for the following services:

  • Mental illness
  • Alcoholism
  • Diabetes
  • Newborn coverage hospital stays
  • Dental anesthesia
  • Child immunizations

There are additional services that health care companies need to provide. Check cms.gov for the full list.

Medicare and Medicaid in Mississippi

Medicare and Medicaid are both government-funded programs accessible to MS residents. Medicare aids seniors and Medicare helps low-income families and children.

Medicare

Medicare is an affordable health care program for people 65 and older. There are plenty of coverage options within the program. These programs include parts A, B, C, D, and supplemental coverage plans. You may also qualify for one of these Medicare Savings Programs:

Qualified Medicare Beneficiaries (QMB):

  • Single person with a monthly income below $1,062.
  • Couple with a monthly income below $1,422.

Specified Low-Income Medicare Beneficiary (SLMB):

  • Single person with a monthly income below $1,264.
  • Couple with a monthly income below $1,696.

Qualifying Individual (QI):

  • Single person with a monthly income below $1,416.
  • Couple with a monthly income below $1,902.

Medicaid

Medicaid aids low-income families and children. It also encompasses a state-specific care program called MississippiCAN. These are the state’s Medicaid financial requirements:

Mississippi Medicaid Financial Requirements
Household Size Maximum Yearly Income
1 $16,146
2 $21,892
3 $27,637
4 $33,383
5 $39,129
6 $44,874
7 $50,620
8 $56,365

Mississippi Insurance Department

Website:
Homepage
Insurance Commissioner:
Mike Chaney
Insurance Hotline:
(800) 562 – 2957
Office Hours:
Monday - Friday
8:00 am to 5:00 pm
File a Consumer Insurance Complaint
Complaint Page

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