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Approximately half of all Medicare beneficiaries are now enrolled in Medicare Advantage plans. Why does this matter?
- Traditional insurers (for example, United & Blue Cross) run Medicare Advantage (MA) plans. The federal government pays the insurers. This is different from Traditional Medicare which the Federal Government both funds and runs.
- MA plans may include prescription drug, vision, and dental care. They also often include out-of-pocket caps.
- MA plans may limit flexibility in provider choice with in-network and out-of-network provisions.
- So far, MA costs the federal government more than traditional Medicare.
Intrigued? Learn more at https://www.nejm.org/doi/full/10.1056/NEJMhpr2302315 or https://www.kff.org/medicare/issue-brief/medicare-advantage-2024-spotlight-first-look/.