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MEDICARE ADVANTAGE EXPANSION

By JD Supra – April 15, 2019

The CMS’s recent announcement of increased flexibility for Medicare Advantage plans to offer supplemental benefits (benefits not covered under Parts A or B) are complicated. Beginning in 2020, M/A plans may offer chronically ill enrollees supplemental benefits not necessarily health-related but reasonably expected to improve or maintain health and function. CMS provided the following examples of supplemental benefits that would qualify as primarily health related:

  • Compression garments as part of an over-the-counter benefit;
  • Cooking classes as part of a nutritional/dietary benefit;
  • Fall prevention kits as part of home and bathroom safety devices;
  • Implantable hearing aids, such as middle ear implants.

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2020 Medicare Advantage Supplemental Benefits