Medicare Advantage in Arkansas

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Arkansas Medicare Advantage plan enrollment by the numbers

There were more than 130,000 residents of Arkansas enrolled in a Medicare Advantage plan as of 2017.¹

There are several major types of Medicare Advantage plans. In the state of Arkansas, there are 38 different Medicare Advantage plans available as of 2018.² Not every plan is available in each county, so it's important to find out which ones are offered where you live.

Arkansas displays a diverse plan enrollment, with around 40 percent of Medicare Advantage beneficiaries belonging to an HMO, 30 percent enrolled in a regional PPO and with local PPOs and Private-Fee-For-Service plans having strong representation as well. The major types of Medicare Advantage plans include:


A Health Maintenance Organization 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.


Medicare Advantage beneficiaries in a Preferred Provider Organization 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.


A Private Fee-For-Service 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.


A Special Needs Plan 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.

Medicare Cost Plans, Medical Savings Accounts (MSA) and HMO Point-of-Service (HMO POS) plans are 3 additional types of Medicare Advantage plans. These plans make up less than 1 percent of all MA plans sold in Arkansas.

Total number of Medicare Advantage enrollees in Arkansas: 130,465 as of 2017¹

AR Medicare Advantage enrollees by plan type:

Plan type Percentage of Arkansas enrollees (2017)
HMO 41%
Local PPO 16%
Regional PPO 30%
PPFS 13%
Cost Plans 0%
Other Plans <1%

Data reflects Medicare Advantage enrollment in the state of Arkansas as of 2017, as obtained from the Kaiser Family Foundation Medicare Advantage 2017 Spotlight: Enrollment Market Update¹

Arkansas Senior Health Insurance Information Program (SHIIP)

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.


¹Kaiser Family Foundation. Medicare Advantage 2017 Spotlight: Enrollment Market Update. Retrieved from

²Kaiser Family Foundation. State Health Facts: Medicare Advantage Plans. Retrieved from,%22sort%22:%22asc%22%7D.

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TZ Insurance Solutions LLC and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. This website does not contain a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877) 486-2048), 24 hours a day / 7 days a week or consult

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.

Medicare has neither reviewed nor endorsed this information.

Last Updated: 4/24/2018