KFF June 21, 2021
Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, Tricia Neuman

Medicare beneficiaries have the option of receiving their Part A and Part B Medicare benefits through a private Medicare Advantage plan. Since 2011, the federal government has required Medicare Advantage plans to cap out-of-pocket spending, and these plans may provide additional benefits or reduced cost sharing compared to traditional Medicare. They are also permitted to limit provider networks, may require prior authorization for certain services, and sometimes carry an additional premium on top of the monthly Part B premium all Medicare beneficiaries pay. This brief provides current information about Medicare Advantage premiums, cost sharing, out-of-pocket limits, and supplemental benefits, as well as trends over time. Two companion analyses examine trends in Medicare Advantage enrollment and Medicare Advantage plans’ star ratings...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider, Survey / Study, Trends
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