Medicare Advantage in Arkansas

Looking for Arkansas Medicare Advantage Plans? Enter your ZIP below to compare affordable or $0 premium plans in your area.

Arkansas state

Information about Medicare Advantage Plans in Arkansas

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25 percent of Medicare beneficiaries in Arkansas were enrolled in a Medicare Advantage (Medicare Part C) plan in 2019.1

There are 1,093 different Arkansas Medicare Advantage plans in 2019.1 Not every plan is available in each county, so it's important to find out which ones are offered where you live.

A licensed insurance agent can help you compare the availability, benefits and costs of Medicare Advantage plans in your area of Arkansas. Read below to learn more about Medicare in your state.

You can also learn more about other types of Medicare plans:

Average costs of Medicare Advantage in Arkansas

The average monthly premium paid by a Medicare Advantage enrollee in Arkansas in 2019 was $8 per month.

That average was affected by the 463 available plans that featured $0 monthly premiums.

  • Average monthly premium cost in 2019 (weighted): $8
  • Average in-network out-of-pocket spending limit: $5,897
  • Average deductible in 2019 (weighted): $92.981

Individual plan premiums, deductibles and out-of-pocket costs may vary greatly depending on where you live and the plan you have.

You can view the 2019 average Arkansas Medicare Advantage plan monthly premiums by county listed below in this guide.

A licensed insurance agent can help you compare Medicare Advantage plan costs in your area.

Compare Arkansas Medicare Advantage plan costs

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Medicare Eligibility & Enrollment

If you want to enroll in Medicare Advantage in Arkansas, you must first be enrolled in Medicare Part A and Part B, often referred to as Original Medicare.

To be eligible for Original Medicare at age 65, you must meet the following requirements:

  • You must be a U.S. citizen or permanent legal resident who has lived in the U.S. for five continuous years.

  • You or your spouse must have worked long enough to be eligible for Social Security or Railroad Retirement benefits.

  • You or your spouse must be government employees or retirees who have not paid into Social Security but have paid Medicare payroll taxes.

You may also be eligible for Medicare benefits under 65 if:

  • You have been receiving Social Security disability benefits or certain Railroad Retirement Board disability benefits for at least 24 months.

  • You have ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).

  • You have End-Stage Renal Disease (ESRD), and you or your spouse have paid Social Security taxes for a certain length of time.

It’s important to note that if you have ESRD, you may not qualify for most Medicare Advantage plans. If you have ESRD, you may be able to enroll in a Arkansas Medicare Special Needs Plan (SNP) that is specifically designed to help meet your health care needs.

How to sign up for a Medicare Advantage Plan in Arkansas

The first time you may be able to enroll in a Arkansas Medicare Part C plan is during your Medicare Initial Enrollment Period (IEP).

Medicare Initial Enrollment Period graphic

Your Medicare IEP starts three months before your 65th birthday. It includes the month of your 65th birthday and then continues for another three months after your birthday.

Additional times at which you may sign up for a Medicare Advantage plan include:

Medicare Advantage Open Enrollment Period graphic

Medicare Advantage Open Enrollment Period: January 1 – March 31

If you're already enrolled in a Part C plan, from January 1 to March 31 every year, you may switch Medicare Advantage plans or drop your Medicare Advantage plan and return to Original Medicare.

If you return to Original Medicare during this period, you'll be able to join a Medicare standalone prescription drug plan (Medicare Part D).

Medicare AEP graphic

Medicare Annual Enrollment Period (AEP): October 15 – December 7

From October 15 to December 7 every year, you may enroll in a Medicare Advantage plan or switch from one Medicare Advantage plan to another.

You may also drop your existing Medicare Advantage plan and return to Original Medicare.

During AEP, you may also join, switch or drop a Medicare Part D plan. 

Medicare Special Enrollment Periods (SEP)

You may potentially be granted a Medicare Special Enrollment Period (SEP) at any time throughout the year for qualifying circumstances.

A licensed insurance agent can help you find out if you qualify for a Medicare Special Enrollment Period.

Find a Arkansas Medicare Advantage plan

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Top-rated Medicare Advantage Plans in Arkansas 2019

Each year, the Centers for Medicare & Medicaid Services (CMS) issues Star Ratings for all Medicare Advantage plans using a system of one to five stars.2

In order for a Medicare Advantage plan to be considered a top-rated plan, it must have four or more stars out of five stars.

There are 288 top-rated 2019 Medicare Advantage plans in Arkansas that are rated four stars or higher.

Medicare Star Ratings
Star Ratings

★★★★★

Excellent

★★★★

Above Average

★★★

Average

★★

Below Average

Poor

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, problems receiving services and member retention
  • Customer service

The information for the star ratings is gathered from information that is submitted to Medicare, Medicare’s regular monitoring activities and member surveys.

List of Medicare Advantage Plans Available in Arkansas in 2019

To view a list of plans offered in your area within Arkansas, use our plan comparison tool.

Find a Arkansas Medicare Advantage plan

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Private insurance companies offer Medicare Advantage plans in Arkansas

Multiple insurance carriers may offer Medicare Advantage plans in Arkansas, depending on where you live.

Private insurance companies offer Medicare Advantage plans that may be unique to the plan area they serve.

Call to speak with a licensed insurance agent who can help you compare the Medicare Advantage plans that are sold by insurance companies in your area.

When you’re shopping for Medicare Advantage plans in Arkansas, you can compare plans from several different carriers by using some of the following information:

  • The Medicare Star Ratings can give you an idea of a plan’s overall quality.

  • Agencies like A.M. Best, Moody’s and Standard & Poor’s can provide information about an insurance company’s credit rating and financial standing.

  • Websites such as the Better Business Bureau and Consumer Reports can teach you about a company’s reputation among its customers.

  • You can read through Medicare Advantage plan reviews and testimonials from customers.

Arkansas Medicare Advantage plans by county

The chart below provides some more information about 2019 Arkansas Medicare Advantage plans by county.1

  • Carroll County had 12 $0 premium plans in 2019, which was the most for any county in Arkansas.

  • There were 7 top-rated Medicare Advantage plans (4 stars or higher) in Baxter, Poinsett, Hot Spring, Carroll, Prairie, Greene, Polk and Grant Counties in 2019, which was the most in the state.
2019 AR Medicare Advantage by County
County Total of County MA Enrollees % of Medicare Beneficiaries Enrolled in MA Number of Plans Available Number of $0 Premium Plans Available % Enrolled in a $0 Premium Plan
Arkansas 716 16% 10 4 29.7%
Ashley 734 14% 9 4 43.2%
Baxter 4723 29% 20 8 33.7%
Benton 15467 34% 20 10 95.8%
Boone 2762 25% 17 8 91.0%
Bradley 401 15% 8 4 31.5%
Calhoun 268 20% 8 4 31.0%
Carroll 2607 33% 24 12 95.0%
Chicot 582 20% 8 4 33.0%
Clark 1177 24% 16 7 24.9%
Clay 727 17% 8 4 54.3%
Cleburne 1521 18% 21 8 49.0%
Cleveland 348 17% 8 4 48.5%
Columbia 889 16% 4 2 50.0%
Conway 1193 22% 22 9 69.5%
Craighead 4250 21% 20 8 32.2%
Crawford 5631 38% 19 9 92.8%
Crittenden 2312 24% 14 6 50.7%
Cross 958 23% 12 5 72.1%
Dallas 552 27% 16 6 63.5%
Desha 620 20% 8 4 33.8%
Drew 690 17% 4 2 50.0%
Faulkner 3503 17% 19 8 76.7%
Franklin 1420 31% 19 9 95.0%
Fulton 973 25% 17 6 45.2%
Garland 8197 26% 22 9 60.9%
Grant 798 19% 17 7 63.6%
Greene 2346 23% 20 7 38.3%
Hempstead 1227 25% 6 2 33.3%
Hot Spring 1980 24% 22 8 39.3%
Howard 597 18% 6 2 33.3%
Independence 1330 15% 10 4 39.6%
Izard 906 21% 16 6 52.6%
Jackson 711 17% 10 4 36.1%
Jefferson 4352 26% 16 6 79.9%
Johnson 1750 29% 17 7 84.8%
Lafayette 300 16% 4 2 50.0%
Lawrence 1088 23% 13 5 48.2%
Lee 694 32% 16 6 56.5%
Lincoln 498 19% 8 4 50.0%
Little River 720 21% 6 2 33.3%
Logan 1723 28% 17 8 98.7%
Lonoke 3035 21% 20 9 49.2%
Madison 1509 36% 17 9 95.2%
Marion 1773 30% 20 8 52.5%
Miller 2074 22% 6 2 33.3%
Mississippi 2313 25% 9 5 46.0%
Monroe 476 22% 10 5 56.5%
Montgomery 595 21% 15 6 69.7%
Nevada 524 23% 14 5 47.2%
Newton 647 24% 17 7 84.4%
Ouachita 1893 29% 12 5 56.3%
Perry 632 21% 20 9 70.0%
Phillips 1285 28% 15 7 67.3%
Pike 571 19% 14 5 31.7%
Poinsett 1738 28% 19 7 51.0%
Polk 1017 18% 14 5 94.2%
Pope 3438 26% 19 9 81.9%
Prairie 422 19% 18 7 52.0%
Pulaski 19336 24% 24 11 62.5%
Randolph 1320 27% 16 6 59.1%
Saline 5847 21% 23 10 44.0%
Scott 819 29% 16 7 97.5%
Searcy 718 26% 15 6 38.1%
Sebastian 9060 32% 19 9 93.6%
Sevier 520 16% 6 2 33.3%
Sharp 1379 21% 16 6 51.6%
St. Francis 1414 26% 16 6 59.8%
Stone 705 15% 9 4 41.4%
Union 1944 19% 15 5 38.9%
Van Buren 1289 23% 21 8 62.6%
Washington 9483 26% 20 10 95.8%
White 3475 20% 12 6 34.7%
Woodruff 395 20% 12 5 32.6%
Yell 1164 23% 17 8 81.5%

AR Medicare Advantage enrollees by plan type

The chart below illustrates the percentage of 2019 Arkansas Medicare Advantage enrollees that are enrolled in each primary type of Medicare Advantage plan.1

Plan type Percentage of Arkansas enrollees (2019)
HMO 65%
Local PPO 33.7%
Regional PPO 0.6%
PFFS <1%
Other Plans <1%

The major types of Medicare Advantage plans include:

  • HMO
    Health Maintenance Organization (HMO) usually requires patients to use health care providers and pharmacies that are part of the plan’s network (except in the case of emergencies) while also typically requiring a referral from a primary care doctor in order to see a specialist.

  • PPO
    Medicare Advantage beneficiaries in a Preferred Provider Organization (PPO) are able to see providers outside of their plan’s network, often at a higher cost.

    Beneficiaries in this type of plan typically pay less out of pocket if they choose to receive medical services from providers within their plan’s network.

    PPO plans typically do not require patients to acquire a referral before visiting with a specialist.

  • PFFS
    A Private Fee-For-Service (PFFS) plan determines how much it will pay to health care providers and how much the patient will pay when care is received.

    With a PFFS plan, you can typically receive care from any doctor, hospital or health care provider that accepts your plan’s terms. Not all providers will accept these terms, however.

  • SNP
    A Special Needs Plan (SNP) is a type of Medicare Advantage plan limited to people with certain chronic conditions and other specific characteristics.

    Typically, you must receive care from health care providers and hospitals within your SNP network, except for in cases when you need emergency or urgent care and when someone who has End-Stage Renal Disease (ESRD) needs out-of-area kidney dialysis.

Not all of these types of plans may be available in your area. A licensed insurance agent can help you compare the types of 2019 Arkansas Medicare Advantage plans that are available where you live.

Local health insurance resources in Arkansas

  • The Senior Health Insurance Information Program (SHIIP) of Arkansas offers free counseling, education and information to Medicare beneficiaries across the state.

    You may contact the organization at 800-224-6330 or 501-371-2782 with any questions about your Medicare coverage, supplemental insurance, long-term care insurance, Medicare Advantage plans, Medicaid, referral services, prescription drug coverage or retiree health plan coverage.  

  • You can also explore more information about the insurance industry in Arkansas by visiting the state’s Department of Insurance website.

  • Arkansas Prescription Drug Assistance Programs
    The state of Arkansas has a number of programs designed to help with the cost of prescription drugs. There are programs for both Medicare beneficiaries and non-Medicare beneficiaries alike that can cover the cost of premiums and cost-sharing or even lower the cost of the drugs themselves.