What role might private insurers play if Medicare expands to cover more preventive care?

Question

Yasmery Vargas · Accepted Answer

Medicare already provides a pretty significant list of preventative service covered under Medicare. If there is a plan you are looking at in specific, refer to your explanation of benefits for reference to specific preventative services you would like to see or know are covered.

Answered by Yasmery Vargas on April 29, 2025

Agent Licensed in PA

Answered by Yasmery Vargas Medicare Insurance Agent

Daniel Maisel · Answer

The purpose of preventive care is to keep a Medicare eligible person healthy.

This preemptive care illness and/ or catching the illness before it becomes extremely serious.

That is the basis of all Medicare Advantage plans. 

Keep patients healthy.

Sherah Beasley · Answer

Some Medicare Supplement carriers already offer perks or added benefits to “enhance” their plan offering for clients. They offer preventative perks like gym memberships, heart rate monitor watch devices or coverage for additional screenings. 

If you haven’t already, you should partner with a private insurer, for your health coverage, as the level of care and coordination will almost always be of higher quality than a public insurer or government entity.

Ali Crouch · Answer

Some companies are already anticipating the change and adding the options to add to the Supplements; however, this is included in a higher price.

Dana Dane · Answer

Quite a few preventative benefits are covered by Medicare.  See the Medicare link below.

https://www.medicare.gov/coverage/preventive-screening-services

Medicare Supplement and Medicare Advantage plans are offered by private insurers.  When Medicare mandates a benefit, the Medicare Supplement and Medicare Advantage plans must cover the benefit.

Gary Henderson · Answer

They would have to pay the 20% that Medicare does not if it's a Medicare supplement plan 
Medicare advantage plans are run by the insurance companies. They have their own rules

Steve Brauer · Answer

Private insurers will play a major role if Medicare expands its preventative care coverage, like offering many more "extra services" and benefits all centered around prevention. Currently almost all Medicare Advantage Plans and private insurers have some type of dental coverage, whether that be preventative checkups and maintenance to a more robust offering of basic and major services like fillings, crowns, deep cleanings, etc.

Answered by Steve Brauer on April 13, 2025

Broker Licensed in AZ & CA

Answered by Steve Brauer Medicare Insurance Agent

William Scott · Answer

Private insurers play a significant role in covering more preventive care. Most Private insurers offer preventive care at no cost to its members.

Eizel Mere · Answer

Medicare covers preventive care, there is a list of diagnostic procedures covered by Medicare. All Advantage plans and Supplements cover what Medicare covers.

Ron Gambles · Answer

More than likely private insurers will lobby to set limits on that expansion.  It will also probably result in cost increases somewhere in the plan.

Rachel Gauthier · Answer

Private insurers are already playing a signicant role in the prevention world of Medicare.  The Medicare Advantage space is managed care and has some extra benefits for those enrollements.