Understood Care
Coverage data 2026. Plan networks change - we confirm exactly what your plan covers before any work begins.
Michelle Rindfleisch Care Advocate From the first call, Michelle is the same person every time: no call center, no starting over, and no surprise bills.
Amanda Ledwich Care Advocate Amanda works one-to-one with Medicare members on bills, denials, appointments, and benefits, and stays on the case until it is resolved.
Liz Perez-Munasinghe Care Advocate One dedicated advocate with a direct phone and text line: Liz makes the calls and handles the paperwork so you do not have to.
Find free Mississippi SHIP counseling, Medicaid home care waivers that pay family caregivers, and 2026 Medicare Advantage options. Call 1-800-962-2785 today.
Across the Jackson metro, care runs through the University of Mississippi Medical Center, Mississippi Baptist Medical Center, St. Dominic-Jackson Memorial Hospital, Merit Health Central, and the G.V. (Sonny) Montgomery VA Medical Center in Jackson, Merit Health River Oaks in Flowood, and Merit Health Madison in Canton, so referrals, prior authorizations, and bills pile up fast from Jackson, Clinton, and Byram to Madison, Ridgeland, Canton, Pearl, Brandon, and Flowood. Understood Care is a virtual service: phone, video, and secure messaging. For Madison members that means no waiting room and no travel, whether the problem is a confusing hospital bill, a denied claim, a referral that went nowhere, or a parent in Madison County who needs someone watching their whole picture. Your advocate is the same person every time, follows up every 7 days while your case is active, and still checks in monthly after it is resolved. Many Jackson Metro families also use Mississippi's Elderly and Disabled Waiver and other home care programs alongside Medicare; we handle the Medicare side.
About 16.2% of Madison residents are 65+, close to Mississippi's statewide 16.8%. Original Medicare holds more ground in Madison County than statewide: 32.9% of 22,632 beneficiaries chose Medicare Advantage in 2025 (statewide it is 44.1%), so Medigap choices and Part B billing questions come up constantly. About 3,201 neighbors are dual-eligible for Medicare and Medicaid, the group Mississippi's Medicaid waivers and Medicare Savings Programs reach.
Of 5 Medicare-certified homes, 0 rate 4+ CMS stars and 1 rate just 1 star, a spread an advocate helps families navigate. Highest-rated nearby:
About 1,098 Madison households are a person 65+ living alone, and that is exactly who a dedicated advocate keeps from falling through the cracks. 2.4% of senior households here have no vehicle (about 64 households), which is why a fully virtual advocate, plus Medicare-covered ride benefits where plans include them, matters. Setting up home care, meal delivery, and transportation is core advocate work, covered by Medicare.
About 5.4% of Madison seniors live below the poverty line (Mississippi: 14.3%), and many more qualify for help they never claim: Extra Help with Part D costs and Mississippi's Medicare Savings Programs. Checking every one of those is standard advocate work. 25.5% of seniors here live with a disability, where equipment orders and prior authorizations pile up fastest. The federal government lists 3 primary-care shortage designations in Madison County, so appointment hunting is a real problem an advocate takes over. Specialized care nearby: 2 Medicare-certified dialysis facilities (avg 2/5 CMS stars) and 3 hospice providers.
Madison, Mississippi · Madison County · served virtually statewide
From CMS Care Compare. ER medians below are CMS-reported; Mississippi's statewide median is 125 minutes. Billing disputes, discharge planning, and referral follow-ups with these systems are everyday advocate work:
Mississippi has no resource test for its Medicare Savings Programs: the Division of Medicaid looks only at income for QMB, SLMB, and QI, so savings or a home do not disqualify you (apply at access.ms.gov or 1-800-421-2408). Many Madison seniors qualify, along with Extra Help for drug costs, and never claim it. On Medigap, Mississippi has no birthday rule, so switching supplements after your six-month open enrollment usually means health questions unless a federal guaranteed issue right applies; people under 65 on Medicare through a disability do get their own six-month open enrollment. Questions go to the Mississippi Insurance Department at 1-800-562-2957. Free, unbiased SHIP counseling is at 1-844-822-4622. The full, sourced rundown is on our Mississippi patient advocacy hub.
Mississippi's Elderly and Disabled Waiver pays for care at home for people 21 and older who qualify for a nursing facility level of care, with case management from the local Planning and Development District and a waiting list when slots fill. An adult child or other relative who is not legally responsible can be paid as a qualified provider; a spouse cannot. Meanwhile a parent's Medicare paperwork piles up. That split is exactly where an advocate fits: you handle the caregiving, we handle the Medicare side. See how the waiver, the Medicare Savings Programs, and Medicare fit together on our Mississippi hub.
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Three doors, all worth knowing. For free, unbiased counseling on plans and enrollment, Mississippi's State Health Insurance Assistance Program (SHIP), run by the Department of Human Services Division of Aging and Adult Services, at 1-844-822-4622. For local services such as meals, rides, caregiver support, and in-home help, the Area Agency on Aging at the Central Mississippi Planning and Development District, which serves Madison County, or the state's Mississippi Access to Care (MAC) Centers on the same 1-844-822-4622 line, or the national Eldercare Locator at 1-800-677-1116. And for one dedicated advocate who does the ongoing work with you, bills, denials, appointments, and benefits, Understood Care, covered by Medicare for most members and usually $0: call (646) 904-4027 or get started online.
Yes. Medicare has paid for professional healthcare navigation (Principal Illness Navigation and Community Health Integration services) since January 2024. Part B covers about 80% and a Medigap plan typically covers the rest, so most members in Madison County pay $0. We confirm your exact coverage before your first session, and there are no surprise bills.
Per CMS enrollment data for 2025, Madison County had 22,632 Medicare beneficiaries: 7,448 on Medicare Advantage plans (32.9%) and 15,183 on Original Medicare, with about 3,201 dual-eligible for both Medicare and Medicaid. Understood Care advocates work with both: Original Medicare members usually pay $0 through Part B plus a supplement, and we confirm Medicare Advantage coverage plan by plan before any work begins.
Per the US Census Bureau's American Community Survey, about 4,500 of Madison's 27,775 residents are 65 or older (16.2%), within a county of roughly 16,385 seniors (Madison County). Most become Medicare-eligible at 65, and every one of them has the same federal benefits an advocate helps put to work.
Per CMS Timely & Effective Care data (period ending 09/30/2025), the median ER visit at Merit Health Madison runs about 136 minutes; Mississippi's statewide median is 125 minutes. An advocate cannot shorten an ER line, but avoiding the ER for non-emergencies is advocate work: same-week appointments, urgent-care routing, and follow-up coordination.
No. Understood Care is fully virtual, delivered by phone, video, and secure messaging, so it works the same in Madison as anywhere else in Mississippi's 82 counties. Where the nearest specialist is a long drive away, an advocate you can reach without the trip is often the practical option; if leaving home is hard, that is exactly the situation the service is built for.
Advocates work virtually and are matched to you, not to a zip code. You get one dedicated advocate with their direct phone, email, and text (One Advocate, For Life), and they work with Mississippi's programs, free SHIP counseling through the Department of Human Services, the Medicare Savings Programs the Division of Medicaid decides, the Elderly and Disabled Waiver for care at home, and the local services that apply in Madison County.
Mississippi's main Medicaid path to care at home is the Elderly and Disabled Waiver, run by the Division of Medicaid, for people 21 and older who qualify for a nursing facility level of care. Case management comes from a nurse and social worker team at the local Planning and Development District (for Madison County, the Central Mississippi district), and when the year's slots fill, new applicants go on a waiting list. A relative who is not legally responsible for the member, such as an adult child, can be paid as a qualified provider; a spouse cannot be paid, and the waiver has no self-directed option. Mississippi has no PACE program. To apply for Medicaid, use access.ms.gov or call the Division of Medicaid at 1-800-421-2408; for meals, rides, and caregiver support in Madison County, contact the Area Agency on Aging at the Central Mississippi Planning and Development District or a Mississippi Access to Care (MAC) Center at 1-844-822-4622. Families we serve in Jackson Metro use these programs. Our advocacy is billed through Medicare, so for dual-eligible families the split works well: you run the caregiving, and your parent's advocate handles the Medicare side.
In Mississippi we are in-network for Original Medicare (traditional fee-for-service Medicare); UnitedHealthcare Medicare Advantage plans (~26% of Mississippi MA members). Together that covers roughly 65.2% of Mississippi's Medicare beneficiaries. Market-share data: 2026. Plan networks change, so we confirm exactly what your plan covers before any work begins - no surprise bills.
Local figures: US Census Bureau American Community Survey (2023, 5-year), CMS Medicare Monthly Enrollment (2025), and CMS Care Compare, retrieved 2026-10-14. Statewide program facts were last verified on 2026-10-14; sources are listed on the Mississippi hub, and the full county tables are on Mississippi Medicare by the numbers. Understood Care is an independent private advocacy service and is not affiliated with any government agency or any hospital named above.