An Early Look at 2021 Medicare Advantage Benefits: Part II |

An Early Look at 2021 Medicare Advantage Benefits: Part II | Faegre Drinker Biddle & Reath LLP


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Plans may either choose to offer condition-specific benefits in either the form of reduced cost-sharing or additional supplemental benefits. Furthermore, reduced cost-sharing benefits can be for either Medicare-covered benefits or non-Medicare supplemental benefits. We found that MA plans are more likely to reduce cost-sharing for Medicare-covered benefits. In total, MA plans are offering 97 different types of condition-specific benefits. No single benefit type comprises greater than 10% of the total — showing an immature market still undergoing considerable experimentation.
The benefits offered for members with these particular conditions ranged considerably from reduced cost-sharing on covered services (e.g., physician services, podiatry, lab services) to expansions of widely available supplemental benefits (e.g., OTC, transportation, meals) to newer benefits offered for chronic and disabling conditions (such as in-home support). In Figure 2 below, we list the most common condition-specific benefits in 2021.

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