Medical Coverage in Arkansas: Options, Qualifications, and Supportive Services
In the state of Arkansas, over 673,546 residents are enrolled in Medicare, a federal health insurance programme for individuals aged 65 and above, as well as those with certain disabilities.
For those eligible for Medicare in Arkansas, the primary option is Original Medicare, which consists of Part A (hospital insurance) and Part B (medical insurance). Part B coverage includes outpatient care, lab and imaging tests, durable medical equipment, and preventive services. Part A coverage includes inpatient hospital care, skilled nursing facility care, hospice care, and limited home healthcare.
When seeking additional coverage, individuals can explore Medigap plans to supplement their Original Medicare. To find Medigap options, one can visit the Medicare website and enter their ZIP code. Notable organisations offering Medigap plans in Arkansas include Ace Property and Casualty, AFLAC, Allstate, Cigna, LifeShield, Medico, Mutual of Omaha, United American, USAA, and Wellcare.
In 2025, Medicare Advantage plans in Arkansas received an overall star rating of 4.5 out of 5 from some insurance companies like Aetna, Cigna, and Essence Medicare. Some organisations offering Medicare Advantage plans in Arkansas include Aetna Medicare, Arkansas Blue Medicare, Cigna Healthcare, Humana, Primewell Health Services, Tribute Health Plans, UnitedHealthcare, and Wellcare.
During the Open enrollment period, from October 15 to December 7, people can switch plans or add coverage. Additionally, Medicare Advantage open enrollment allows people enrolled in Medicare Advantage plans to switch plans or return to Original Medicare from January 1 to March 31.
It's essential to consider factors such as cost, choice, coverage, and special health concerns when selecting a plan. For those with specific health conditions, tailored insurance plans like special needs plans (SNPs) for individuals with diabetes or HIV may be necessary.
For assistance, people can reach out to Medicare, the Social Security Administration, or Arkansas SHIIP. Enrollment can be done online through Medicare.gov, signing up through the SSA website, contacting the plan via phone or the web, calling Medicare at 800-633-4227 (TTY: 877-486-2048), or contacting Medicare directly.
The average Part D premium cost for plans in Arkansas was $36.88 in 2024. The exact plans offered to a person will depend on their county. In Arkansas, there are 16 Part D plans available to residents.
It's important to note that the General enrollment period is for anyone who misses initial enrollment. The Initial enrollment period lasts for 7 months starting 3 months before a person's 65th birthday.
In 2025, there are 90 Medicare Advantage plans available in Arkansas, compared to 93 the previous year. The average monthly premium for a Medicare Advantage plan in Arkansas in 2025 is $7.74.
Special enrollment periods can be triggered by life events that affect someone's health insurance status. Roughly 31.8% of people enrolled in a stand-alone Part D plan in Arkansas get Extra Help.
In conclusion, understanding Medicare options in Arkansas is crucial for those eligible for the programme. By considering factors such as cost, choice, coverage, and special health concerns, individuals can make informed decisions about their healthcare coverage.
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