Some Medicare Advantage Plans Add Home And Community-Based Long Term Care Benefits

Medicare Advantage plan issuers seem to be taking a quiet, careful approach to adding home- and community-based long-term care (LTC) benefits for 2019.

About 1.5 million of the 2019 enrollees, or 7.5% of Medicare Advantage plan enrollees, may have access either to support services in the home or community, or to extra benefits designed to help enrollees cope with the burden of diabetes or other chronic conditions, according to officials at the Centers for Medicare and Medicaid Services (CMS).

But CMS officials have not given an estimate of how many enrollees might have access solely to the new home- or community-based services.

It’s not easy to tell, for someone looking at CMS 2019 plan information or the plan issuers’ own benefits summary sheets, which plans will take advantage of the new CMS chronic care and “social determinants of health” benefits flexibility.

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