CMS pauses MA supplemental benefit notification rule

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CMS is delaying a Medicare Advantage supplement benefits notification rule that was slated to start in 2026. The pause affects MA organizations that would have sent annual notifications between June 30 and July 31 to enrollees about unused benefits, according to a Sept. 8 CMS notice to insurers.

Some MA organizations had requested further guidance from CMS on implementation of the policy, which was included in the 2025 MA final rule. These concerns prompted a temporary pause, effective immediately.

A study from early 2025 found only 54% of MA beneficiaries knew they had dental and vision coverage, prompting concerns as to why these enrollees were not using their supplemental benefits.

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