Surge in 2021 Medicare Advantage Plans Offering In-Home Care Benefits

• by Christian Worstell
• October 5, 2020

Published October 5, 2020

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2021 brings a sizable expansion of Medicare Advantage (Medicare Part C) plans offering supplemental benefit programs for non-medical home care. 

According to data released by the Centers for Medicare & Medicaid Services (CMS), there will be a significant increase in the number of Medicare Advantage plans that cover some home health care benefits, which fall into two categories.  

• Primarily health related benefits can include in-home supportive services, caregiver support, home-based palliative care, adult day care and therapeutic massage. 
  
  
• Special Supplemental Benefits for the Chronically Ill, or SSBCI, include in-home supportive services and things like transportation help, nutrition assistance, home cleaning services, meal delivery and anything else that can help beneficiaries with chronic illnesses receive care in their home instead of a hospital. 

These types of non-medical home care services are not covered by Original Medicare (Medicare Part A and Part B) and were not covered by any type of Medicare plan until being approved for the Medicare Advantage market in 2018 and 2019. 

How many Medicare Advantage plans cover home health care?

The CMS data shows that 730 Medicare Advantage plans will offer the primarily health-related supplemental benefits in 2021, a 46 percent increase from the 500 plans to do so in 2020. 

Meanwhile, the number of plans to offer SSBCI benefits will increase from just 245 plans in 2020 to 920 plans in 2021. Those plans will reach close to 4.3 million Medicare Advantage beneficiaries. 

Other notable aspects of the report include:

• More than 440 Medicare Advantage plans will participate in the Medicare Advantage Value-Based Insurance Design (VBID) Model in 2021, which provides healthy foods, transportation support, reduced cost-sharing and more. This is an increase from the number of plans that participated in 2020 and represents nearly 20 times the number of plans that participated in the model in 2019.
  
  
• Over 94 percent of Medicare Advantage plans will offer additional telehealth benefits, up from 58 percent of plans offering such services in 2020.
  
  
• Around 500 plans will introduce lower copayments or additional benefits to those with certain conditions such as diabetes or congestive heart failure.

The Medicare Annual Enrollment Period (AEP, also called the fall Medicare Open Enrollment period) runs from Oct. 15 to Dec. 7 and offers an opportunity for beneficiaries to enroll in a plan that may offer some of the benefits outlined above. 

You can compare Medicare prescription drug plans and Medicare Advantage plans with drug coverage by calling to speak with a licensed insurance agent or by comparing plans online. You’ll be able to find out what types of plans are available near you, their cost, the drugs they cover and more.

If you’re eligible to enroll, you may be able to enroll in a plan online or over the phone.

Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

 

 

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