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Medicare Advantage has become an attractive alternative to original Medicare. New members are drawn to its benefits that go beyond original Medicare (Parts A and B).

Private insurers provide Medicare Advantage, also called Medicare Part C. Medicare Advantage plans added more than 2 million beneficiaries for this 2022 coverage year, boosting the program to 45% of all Medicare enrollment, according to a study conducted earlier this year by The Chartis Group. The program now boasts 28 million participants, according to the healthcare consultant, which represents 45% of all Medicare beneficiaries.

Medicare Advantage plans often offer prescription drug benefits, vision, hearing and chiropractic services. This year, the federal government is letting insurers expand benefits even further.

Insurers can now reimburse for meal delivery, gym membership, home safety, service dog coverage, rides to doctor appointments and enhanced preventative care.

Other Medicare Advantage plans offer specialized benefits related to a person’s health.

Cathryn Donaldson, director, Communications & Public Affairs, America's Health Insurance Plans (AHIP), said Medicare Advantage benefits and coverage vary by insurer, plan and local market.

"For instance, if an insurance provider is serving a market that is considered a food desert, they may work with a local organization to organize a meal delivery service for their members. Additionally, when you're talking about disease-specific plans, many plans are offering new benefits for those with chronic conditions, such as diabetes. For instance, an insurance provider may connect a member diagnosed with Type 2 diabetes with a nutritionist,” Donaldson said.

Bonnie Whalen, a senior services consultant for EHD Insurance in Lancaster, Pennsylvania, said she finds Medicare Advantage members appreciate the add-ons, including dental, vision and hearing aids.

"(Original) Medicare does not cover hearing aids, so having an allowance for hearing aids is definitely appealing to members. The Advantage plans do not cover the total cost, but they have an allowance for hearing aids, which is very helpful since hearing aids are extremely expensive,” Whalen said.

Medicare advantage’s additional benefits

Let’s take a look at some of Medicare Advantage’s additional benefits.

Vision care

Original Medicare only covers "necessary care" as it relates to vision. That means it only corresponds to serious situations, such as vision-related illness.

Medicare Advantage plans often go beyond that. Most offer eye exam and eyewear benefits.

Transportation services

Several Medicare Advantage insurance companies offer free "on-demand" transportation to doctor appointments. These services usually work by providing an allotment to use for Uber or Lyft.

Alignment, Blue Shield of California, Humana and Anthem Blue Cross & Blue Shield are companies with this transportation benefit. Amerigroup provides its Medicare Advantage plan participants up to 60 one-way trips per year to health-related appointments or to obtain a service covered by the health plan. Anthem, too, boasts "services to help members get to doctor appointments and other healthcare visits."

Grocery benefits

Several healthcare companies added benefits to address food insecurity.

Alignment Healthcare is among the Medicare Advantage healthcare companies with this add-on. The option gives qualifying members a $10 to $20 per month grocery benefit to use at participating stores, such as CVS, Walgreens and Walmart.

Healthy food deliveries

A growing problem for many Americans is access to healthy food. Some Medicare Advantage insurers may include food deliveries in their plans.

Anthem said that its wellness services options include a prescribed meal plan of two meals per day for 90 days delivered to the home. It is "based on qualifying clinical criteria, health plan consumer receives a prescription for meals and periodic appointments with a registered dietitian."

Amerigroup announced that it'll add up to 16 delivered meals four times each calendar year to support members who are either discharged from an overnight stay at a hospital, have a Body Mass Index (BMI) more than 25 or less than 18 or has an A1C level more than 9.0.

Whalen said this benefit can especially help people who live alone.

Chiropractic services

Original Medicare doesn’t usually cover this holistic application to healing. However, some Medicare Advantage plans offer visits to the chiropractor as one of its additional benefits.

SCAN Health’s plan, as an example, covers routine visits to the chiropractor through American Specialty Health MA option.

Social visits/help from the younger generation

Many Medicare Advantage plans are introducing coverage for a service that connects youth with those who would benefit from social interaction.

"Grandkids On-Demand" from Alignment is one such Medicare Advantage added benefit "to help solve the growing loneliness epidemic.” The program offers "companion care benefit on certain plans that connects college students with qualifying members who need assistance with non-medical services, such as light housekeeping, technology lessons and general companionship."

Vibra Health Plan is adding a similar Medicare Advantage plan benefit called "Papa Pals." The program connects college students with members who need assistance with light household chores and errands.

Dental care

Similar to vision care, dental coverage has been a long-standing added benefit in Medicare Advantage plans. Original Medicare usually doesn’t offer dental care coverage.

This Medicare Advantage benefit varies greatly. Many Advantage plans include some level of dental care. Some may cover cleanings, oral exams, X-rays, root canals, extractions, fillings, crowns, bridges, implants and dentures.

SilverSneakers

Physical activity and exercise is a key component to Medicare Advantage benefits. It is specifically addressed with the SilverSneakers benefit.

SilverSneakers promotes exercise. It often offers no-cost gym memberships, fitness classes and a fitness app.

"They will actually pay for your gym membership as long as your fitness center participates and is contracted with the Advantage plan," explained Whalen.

Prescription drugs

Most Medicare Advantage Plans include prescription drug coverage.

Alignment Healthcare reports that it offers nearly 500 commonly used generic drugs at no copay for most plans.

"One of the real perks to having an Advantage plan is that most plans wrap the prescription drug benefit with the medical benefits," said Whalen, "so the member is able to have a ‘one-stop-shop.’ The member is only required to carry one card, which provides them with their medical coverage and prescription drug coverage housed with the same carrier."

Personal home helper and house calls

Many Medicare Advantage insurers are adding a benefit of a "personal home helper.” Anthem Blue Cross and Blue Shield in Connecticut is adding, "up to 124 hours of an in-home personal care aide for assistance with activities of daily living, such as dressing, grooming and bathing."

A similar benefit included in several Medicare Advantage plans is one that provides wellness visits. Several top plans offer programs such as this, which may help to make it easier for enrollees to get needed care, tests and treatment.

Compare Medicare Advantage plans

No matter what Medicare Advantage plan you choose, make sure you shop and compare before signing up.

Medicare Advantage plans vary widely in their coverage for additional benefits. While we provided 10 popular added benefits, there are dozens of others, including coverage for:

  • Service dog support
  • Smoking cessation programs
  • Over-the-counter ordering and delivery
  • Air conditioning
  • Pest control
  • Alternative medicine coverage, such as acupuncture or therapeutic massage

Medicare open enrollment runs from October 15 to December 7. You can shop and compare Medicare and Medicare Advantage plans at Plan Compare or call 800-Medicare.

Sources:

  1. Forbes. “Despite Scrutiny, Health Insurers Already Looking To Expand Medicare Advantage For 2023.” Accessed August 2022.
  2. The Chartis Group. 2022 Medicare Advantage Competitive Enrollment Report

Disclaimer:
Insurance.com is not affiliated with or endorsed by the government or Federal Medicare program. Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day/7 days a week, to get information on all of your options. Not all plans offer all of these benefits. Benefits and availability may vary by carrier and location. Limitations and exclusions may apply. Every year, Medicare evaluates plans based on a 5-star rating system. Part B Premium give-back is not available with all plans. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

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