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Compare Plans for Louisiana
|
Lagniappe Advantage (PPO I-SNP)
|
Original Medicare
|
|
|---|---|---|
On-Site Nurse Practitioner
|
Regular, personalized on-site visits
Direct member access |
No |
Care Ally
|
Direct member access to local Care Ally who helps with care coordination between providers and specialists, and offers support with benefit questions |
No |
PCP Visits
|
$0 copay*
for in-room and office primary care visits |
Yes, coinsurance or copay applies |
Dental
|
$0 copay*
for 2 preventive visits each year and $2,000 per year for preventative and comprehensive dental services |
Only if medically necessary, coinsurance applies |
Podiatry
|
$0 copay*
for 6 routine foot care visits per year |
Only if medically necessary, coinsurance applies |
Vision
|
$0 copay*
for annual eye exam |
Only if medically necessary, coinsurance applies |
Eyewear
|
$250 per year
for eyewear (frames, lenses, or contacts) |
No |
Hearing
|
$0 copay*
for annual hearing exam |
Only if medically necessary, coinsurance applies |
Hearing Aids
|
$1,500 per year
for hearing aids (both ears combined). Unlimited hearing aid fittings and evaluations |
No |
Over-the-Counter Items
|
$150 per quarter
for approved OTC items, including OTC hearing aids. You may purchase online or in any big box store. Funds rollover each quarter until the end of the year |
No |
Prescription Drug Coverage
|
Coverage includes pharmacy coordination and monitoring |
No |
Lab Services
|
$0 copay*
for lab services |
Yes, coinsurance and copay applies |
Mental Health Services
|
Reduced coinsurance |
Yes; limitations apply |
Skilled Nursing
|
No qualifying 3-day hospital stay required to utilize the member’s Part A benefit *Certain diagnoses apply |
Yes, with a prior 3-day qualifying hospital stay |
$32.90
Monthly Cost
Lagniappe Advantage (PPO I-SNP)
On-Site Nurse Practitioner
Regular, personalized on-site visits
Direct member access
Care Ally
Direct member access to local Care Ally who helps with care coordination between providers and specialists, and offers support with benefit questions
PCP Visits
$0 copay*
for in-room and office primary care visits
Dental
$0 copay*
for 2 preventive visits each year and
$2,000 per year for preventative and comprehensive dental services
$2,000 per year for preventative and comprehensive dental services
Podiatry
$0 copay*
for 6 routine foot care visits per year
Vision
$0 copay*
for annual eye exam
Eyewear
$250 per year
for eyewear (frames, lenses, or contacts)
Hearing
$0 copay*
for annual hearing exam
Hearing Aids
$1,500 per year
for hearing aids (both ears
combined). Unlimited hearing aid fittings and evaluations
combined). Unlimited hearing aid fittings and evaluations
Over-the-Counter Items
$150 per quarter
for approved OTC items, including OTC hearing aids. You may purchase online or in any big box store.
Funds rollover each quarter until the end of the year
Funds rollover each quarter until the end of the year
Prescription Drug Coverage
Coverage includes pharmacy coordination and
monitoring
monitoring
Lab Services
$0 copay*
for lab services
Mental Health Services
Reduced coinsurance
Skilled Nursing
No qualifying 3-day hospital stay required to utilize
the member’s Part A benefit *Certain diagnoses apply
the member’s Part A benefit *Certain diagnoses apply
$20
Monthly Cost
Original Medicare
On-Site Nurse Practitioner
No
Care Ally
No
PCP Visits
Yes, coinsurance or copay applies
Dental
Only if medically necessary, coinsurance applies
Podiatry
Only if medically necessary, coinsurance applies
Vision
Only if medically necessary, coinsurance applies
Eyewear
No
Hearing
Only if medically necessary, coinsurance applies
Hearing Aids
No
Over-the-Counter Items
No
Prescription Drug Coverage
No
Lab Services
Yes, coinsurance and copay applies
Mental Health Services
Yes; limitations apply
Skilled Nursing
Yes, with a prior 3-day qualifying hospital stay
*$0 copay for these extra benefits, up to the annual limit.
Contact UsFrequently Asked Questions
How much does Lagniappe Advantage cost per month?
A: The monthly plan premium for Lagniappe Advantage (PPO I-SNP) is $32.90 per month for 2026. You may qualify for Medicare’s Extra Help program, which can lower your monthly plan premium.
I already have an established health care plan I trust. Why would I enroll in Lagniappe Advantage?
A: We are so happy that you have a care team and plan you trust. Lagniappe Advantage will not replace your care team—we work with them to provide you additional care and support on your health journey.
Who is part of the Lagniappe Advantage care team?
A: As a member of Lagniappe Advantage, you’ll have access to our nurse practitioners and Care Allies. Our care team provides care services within your community and can support you in appointment planning, benefit usage, and more.
I have Original Medicare and a Medicare Supplement. What happens if I enroll in Lagniappe Advantage?
A: If you enroll in Lagniappe Advantage, we will become the primary payer of Medicare-covered services, including any prescription drugs you may take.
Do I get to keep Medicare Part B?
A: Yes! You must be enrolled in both Medicare Part A and Part B to be eligible to enroll in a Medicare Special Needs plan like Lagniappe Advantage. You will keep your Medicare Part B as a Lagniappe Advantage member and must continue to pay your Medicare Part B monthly premium to stay enrolled in Lagniappe Advantage.
Can I still visit my current primary care provider?
A: Lagniappe Advantage has a network of providers that are covered by the plan. If your provider is in-network, you can continue to visit them uninterrupted. If your provider is out-of-network, you may be responsible for the costs associated with receiving care from them.
Where can I check if my provider is in-network?
A: You can find a list of in-network providers by visiting our provider directory.
Will Lagniappe Advantage cover my prescriptions?
A: Lagniappe Advantage includes Part D prescription drug coverage for members. Coverage varies based on the type of drug prescribed. Each year, a list of covered drugs (called a “formulary”) will be published with information about covered prescriptions and more information about coverage rules and limitations.
Who can enroll in Lagniappe Advantage?
A: Future members must live in our covered service area and be enrolled in Medicare Part A and Part B. There may be additional requirements based on plan type. Schedule an appointment to learn more.
What is Lagniappe Advantage’s covered service area?
Lagniappe Advantage currently covers 7 parishes; Bossier, Caddo, Calcasieu, East Baton Rouge, Livingston, Rapides and St. Tammany
Questions? Our experts are here to help new members select the best plan.
Speak with a license agent with no commitment.
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CMS ID Number: H6566_Website,Last modified: March 20, 2026