Data on Medicare Advantage Supplemental Benefits Limited for CMS

KEY TAKEAWAYS

GAO analyzed plan benefit data for nearly 4,000 MA plans to gauge how much information on enrollees’ utilization of supplemental benefits was available to CMS in 2022.

The findings revealed that all but one plan offered at least one supplemental benefit, with vision (98%) and hearing (94%) coverage the most common.

Reasons for limited encounter data was a lack of clarity on if supplemental benefits data is required for MA plans to submit and challenges relating to submission of data.