Home Healthcare Report: The Common Medicare Beneficiary Will Select From 43 MA Plans in 2024

Report: The Common Medicare Beneficiary Will Select From 43 MA Plans in 2024

Report: The Common Medicare Beneficiary Will Select From 43 MA Plans in 2024


The typical Medicare beneficiary can have 43 Medicare Benefit plans to select from in 2024, in accordance with a brand new report from KFF. Whereas this is similar quantity as in 2023, it’s greater than double what was accessible in 2018.

“Medicare Benefit plans might be enticing to beneficiaries as a result of they usually provide additional advantages, corresponding to dental, imaginative and prescient and listening to, typically for no extra premium, with the trade-off of extra restrictive supplier networks and larger use of value administration instruments, corresponding to prior authorization,” KFF mentioned. “The sheer variety of plans presents each alternatives (to buy higher protection) and challenges (to decipher doubtlessly essential variations throughout plans) though a minority of Medicare Benefit enrollees examine plans through the open enrollment interval.”

KFF relied on knowledge recordsdata from the Facilities for Medicare and Medicaid Providers for the report, which was printed Wednesday. It comes as Medicare Benefit has risen in recognition over the past decade. Greater than half of eligible Medicare beneficiaries are enrolled in MA.

The researchers discovered that in whole, there are 3,959 MA plans being provided for particular person enrollment in 2024, a 1% lower from 2023. About 56% of those MA plans are well being upkeep organizations (HMOs) and 42% are native most popular supplier organizations (PPOs). Nevertheless, the share of HMOs has been reducing over the past a number of years, whereas the share of native PPOs has been growing. In 2017, HMOs accounted for 71% of MA plans and native PPOs accounted for twenty-four%.

A couple of third, or 33%, of Medicare beneficiaries stay in a county the place they’ll select from greater than 50 MA plans in 2024. In the meantime, lower than 1% of Medicare beneficiaries stay in a county the place they’ve fewer than 4 MA plans to select from.

As well as, the everyday Medicare beneficiary can decide from plans supplied by eight companies in 2024 (one fewer agency from 2023), in accordance with KFF. Though many beneficiaries have choices within the companies they’ll decide a plan from, “enrollment is concentrated” in UnitedHealthcare and Humana plans, the researchers mentioned. About 47% of MA enrollment is with UnitedHealthcare or Humana.

A lot of the main insurers are increasing into new counties. CVS Well being has the most important enlargement for 2024, with a rise of 249 counties in comparison with 2023.

Further findings from the report embody:

  • There will likely be 1,333 particular wants plans in 2024, which is a 4% enhance from 2023. Nearly two-thirds of those plans will likely be for people who find themselves dually eligible for Medicare and Medicaid.
  • About 89% of MA plans for particular person enrollment will embody prescription drug protection. Of the MA plans with prescription drug protection, 66% gained’t cost a premium moreover the Half B premium in 2024.
  • About 19% of MA plans will present some discount within the Half B premium in 2024.
  • The overwhelming majority of MA plans provide imaginative and prescient, health, listening to or dental advantages.

Photograph: zimmytws, Getty Photographs



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