Saturday, 22 Jun 2024

Your 2024 Medicare Advantage Plans Explained

If you’re a senior citizen, you’re probably familiar with Medicare. It’s a federally funded program that provides health insurance coverage for people over the age of 65. But did you know that there’s a Medicare Advantage program that you can join? And starting in 2024, there will be some big changes that you need to be aware of. In this blog post, we’ll tell you everything you need to know about Medicare Advantage plans 2024.

First, let’s define what Medicare Advantage is. Essentially, it’s an alternative to traditional Medicare. Instead of receiving your healthcare benefits from the government, Medicare Advantage is provided by private insurance companies. These plans are required to offer all the same benefits as traditional Medicare, but they can also offer additional benefits like dental, vision, and hearing coverage.

So, what’s changing in 2024? Currently, Medicare Advantage plans are required to have a “medical loss ratio” of 85%. This means that they have to spend at least 85% of their revenue on medical care for their members. Starting in 2024, that ratio will increase to 88%. This might not seem like a big difference, but it could mean that some insurance companies will exit the Medicare Advantage market altogether.

Another change in 2024 is that there will be new rules around “value-based insurance design.” That’s a fancy way of saying that insurance companies will be able to offer different benefits to members based on their health conditions. For example, if you have diabetes, you might get extra coverage for insulin and glucose monitors. This is intended to help people with chronic illnesses get the care they need without having to pay out of pocket.

In 2024, there will also be some changes to the way Medicare Advantage plans are rated. Currently, plans are given star ratings based on factors like customer satisfaction and quality of care. Starting in 2024, there will be some new measurements added to the ratings. These will include things like how well a plan manages members’ medications and how much they spend on administrative costs.

One more thing to be aware of: Medicare Advantage plans will be required to include an out-of-pocket spending limit starting in 2024. This means that no matter what health services you need, you won’t have to pay more than a certain amount each year. Currently, there is no limit to how much you can spend on healthcare even if you’re in a Medicare Advantage plan.


In short, there are several changes coming to Medicare Advantage in 2024. The medical loss ratio will increase, insurance companies will have more flexibility in offering benefits, there will be changes to the way plans are rated, and there will be a cap on out-of-pocket spending. As always, it’s important to do your research and choose a plan that’s right for your health needs and budget. Talk to your doctor or a licensed insurance agent to learn more about your options and how these changes might affect you.