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HIV and Enteropathy
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Mississippi State Insurance Exchange
Exchange:
 
The Mississippi Insurance Exchange (Marketplace) is the Federally-Facilitated Marketplace.
The Federally-facilitated Marketplace is administered by the federal government, under the Department of Health and Human Services (HHS).
General information about the Federally-facilitated Marketplace can be found at: https://www.healthcare.gov/marketplace/individual/#state=mississippi.

Learn more:
Background
 
Patients:
 
The Federally-facilitated Marketplace is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
HIV Providers:
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the Federally-facilitated Marketplace.
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Federally-facilitated Marketplace, and information about contacting them.
As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.

Learn More
: Health Reform & My Practice
 
Reporting Problems:
The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office:

1001 Woolfolk State Office Building
501 North West Street
Jackson, MS 39201

800-562-2957 

www.mid.ms.gov/
Complaints: https://www.mid.ms.gov/consumer/request_assistance_file_complaint.aspx?tab=1

Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies.

Qualified Health Plans Participating In the Exchange:

 

 Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Federally-facilitated Marketplace.
 
Mississippi has established Blue Cross Blue Shield as the “benchmark” plan.
 
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.
 
Ambetter from Magnolia Health Plan
 
Humana Insurance Company
Plan Website: https://www.humana.com/individual-and-family/products-and-services/medical-plans/
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