What shift has been observed in Medicare spending, particularly regarding Medicare Advantage plans?

Answered by 6 licensed agents

Some plans which were in place in 2023 and 2024 have had their Maximum Out Of Pocket (MOOP) increase in 2025.

Answered by Christopher Boyd on March 4, 2025

Agent Licensed in IN, KY, MI, OH, PA & TN

Answered by Christopher Boyd Medicare Insurance Agent
Many people with very limited incomes have enjoyed the opportunity to use OTC cards to help pay for over-the-counter drugs and utilities. There is considerable debate about whether this should continue in the future and whether it should be withdrawn from the Medicare system and transferred to the Medicaid system. Medicare Advantage plans are very beneficial in many ways, but they do come with their pros and cons and should be carefully analyzed before making a decision to go down that path.

Answered by Larry Dalton on March 26, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent
Medicare spending crossed the $1 trillion threshold, with a significant 52% of this now going towards Medicare Advantage plans, up from 39% in 2019, indicating a shift in how care delivery and financing are evolving.

Answered by Brian Moore on February 16, 2025

Broker Licensed in OH

Answered by Brian Moore Medicare Insurance Agent
The biggest changes I've seen in Medicare advantage plans is with the extra benefits. Dental, vision, OTC, fitness benefits have expanded or been added over the years.

Answered by Mary Turner on March 28, 2025

Broker Licensed in FL

Answered by Mary Turner Medicare Insurance Agent
A notable shift in Medicare spending has been the increasing enrollment in Medicare Advantage plans, which typically showcase a trend of higher spending per beneficiary compared to Original Medicare. This growth reflects a preference among many beneficiaries for the additional benefits, such as vision and dental coverage, that Medicare Advantage plans often offer. Additionally, while Medicare Advantage plans may initially seem cost-effective due to lower premiums, the overall spending on healthcare services, including potential out-of-pocket costs, has been rising. This shift highlights the need for continuous evaluation of how these plans align with beneficiaries healthcare needs and financial situations.

Answered by Sean Davis on March 26, 2025

Broker Licensed in NY, LA, MD & 6 other states

Answered by Sean Davis Medicare Insurance Agent
Medicare Advantage plans have evolved over the last several years. Most of them are now PPOs, which means you can go to doctors not in the network. They’ve added benefits that Medicare does not cover like dental coverage, eyeglass coverage, over-the-counter items, even hearing aids. And majority of the seniors or people on Medicare now has this type of coverage

Answered by Walt Smith on March 25, 2025

Agent Licensed in NJ, PA & VA

Answered by Walt Smith Medicare Insurance Agent

Tags: Agent Interview Medicare Advantage The Medicare System

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