Medicare Advantage plans dropping meal benefits, in-home support

Fewer Medicare Advantage plans will offer nonmedical supplemental benefits like home modifications, adult day health services and therapeutic massage in 2024, according to an analysis from ATI Advisory published Oct. 30. 

Structural home modifications saw a 68% decrease from 2023, the largest of all the benefits ATI compared. Though several benefits are declining for 2024, benefits like food and produce and general support for living increased. 

Nonmedical benefits that are primarily health related can be offered to any MA beneficiary, while non-primarily health-related benefits such as pest control, meals and social needs benefits can only be offered to beneficiaries with chronic conditions. 

Here are the supplemental benefits fewer plans will offer in 2024: 

  1. Structural home modifications: 68% decrease
    Plans offering benefits in 2024: 18

  2. Adult day health services: 41% decrease
    Plans offering benefits in 2024: 142 

  1. Therapeutic massage 34% decrease
    Plans offering benefits in 2024: 311

  1. In-home support services: 34% decrease
    Plans offering benefits in 2024: 867 

  1. Social needs (benefits such as non-fitness club memberships, park passes and companion care): 33% decrease
    Plans offering benefits in 2024: 300 

  1. Complementary therapies (benefits such as non-traditional medicine): 29% decrease
    Plans offering benefits in 2024: 160 

  1. Meals: 27% decrease
    Plans offering benefits in 2024: 336 

  1. Indoor air quality services: 26% decrease
    Plans offering benefits in 2024: 236

  1. Services supporting self-directions (benefits such as financial literacy or technology classes): 19% decrease
    Plans offering benefits in 2024: 187

  1. Pest control: 17% decrease
    Plans offering benefits in 2024: 346

  1. Caregiver support: 5% decrease
    Plans offering benefits in 2024: 530

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