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Use Them or Lose Them: Medicare Advantage Beneficiaries Face Uncertainty as Unused Benefits Loom

As millions of Medicare Advantage beneficiaries prepare for their annual enrollment period, a pressing concern has emerged. The Centers for Medicare and Medicaid Services (CMS) has proposed vacating a rule that would have alerted beneficiaries about their unused benefits. This move has left many wondering how to make the most of the extras they’ve already paid for.

The proposed rule change, which has sparked debate among industry experts, would effectively repeal a requirement for Medicare Advantage plans to notify beneficiaries about their unused benefits. This means that many people may be unaware of the services they can still access before their benefits expire at the end of the year.

Medicare Advantage plans typically offer a range of extra benefits, including dental, vision, and gym memberships, as well as wellness programs and transportation services. These benefits are designed to complement traditional Medicare coverage and provide added value to beneficiaries. However, if beneficiaries fail to use these services before their benefits expire, they risk losing access to them for the remainder of the year.

So, what can Medicare Advantage beneficiaries do to make the most of their unused benefits? Here are some steps to take:

Review Your Plan’s Benefits

Take a close look at your Medicare Advantage plan’s benefits and services. Identify the extras you’ve paid for and determine which ones you still need to use. Make a list of the services you want to take advantage of before year’s end.

Check with Your Plan Provider

Contact your Medicare Advantage plan provider to confirm the specifics of their benefits and any deadlines for using them. Ask about any additional resources or support they offer to help beneficiaries make the most of their benefits.

Prioritize Your Needs

Prioritize the services you need to use before year’s end. Focus on the most critical benefits, such as dental or vision care, and schedule appointments or procedures accordingly.

Take Advantage of Preventive Care

Many Medicare Advantage plans offer preventive care services, such as flu shots, mammograms, and colonoscopies. Take advantage of these services to stay healthy and avoid potential medical costs down the line.

Explore Additional Resources

Look into additional resources, such as community clinics or online platforms, that may offer discounted or free services that align with your Medicare Advantage plan’s benefits.

Stay Informed

Stay up-to-date on any changes to the proposed rule and its potential impact on Medicare Advantage beneficiaries. Visit the CMS website or consult with a licensed insurance professional for the latest information.

What to Watch Next

The proposed rule change is still under consideration, and its outcome is uncertain. Keep a close eye on developments and be prepared to adapt your strategy as needed. In the meantime, take proactive steps to make the most of your Medicare Advantage benefits and avoid losing access to the extras you’ve already paid for.

In conclusion, Medicare Advantage beneficiaries must be proactive in making the most of their unused benefits. By reviewing their plan’s benefits, checking with their provider, prioritizing their needs, taking advantage of preventive care, exploring additional resources, and staying informed, they can avoid losing access to the extras they’ve already paid for. As the proposed rule change continues to unfold, beneficiaries must be prepared to adapt and take control of their healthcare coverage.

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