KFF: A Dozen Facts About Medicare Advantage in 2020

1. Enrollment in Medicare Advantage has doubled over the past decade
2. The share of Medicare beneficiaries in Medicare Advantage plans across the United States ranges from 1% to over 40%
3. The share of Medicare beneficiaries in Medicare Advantage plans varies across counties from less than 1% to more than 60%
4. Most Medicare Advantage enrollees are in plans operated by UnitedHealthcare, Humana, or BlueCross BlueShield (BCBS) affiliates in 2020
5. Half of all Medicare Advantage enrollees would incur higher costs than beneficiaries in traditional Medicare for a 5-day hospital stay
6. Nearly two-thirds of Medicare Advantage enrollees pay no premium (other than the Part B premium) in 2020
7. Premiums paid by Medicare Advantage enrollees have slowly declined since 2015
8. For Medicare Advantage enrollees, the average out-of-pocket limit is $4,925 for in-network services and $8,828 for both in-network and out-of-network services (PPOs)
9. Most Medicare Advantage enrollees have access to some benefits not covered by traditional Medicare in 2020
10. Nearly all Medicare Advantage enrollees are in plans that require prior authorization for some services
11. The majority (78%) of Medicare Advantage enrollees are in plans that receive high quality ratings (4 or more stars) and related bonus payments
12. More than 3 million Medicare beneficiaries are enrolled in Special Needs Plans in 2020

Source: KFF: A Dozen Facts About Medicare Advantage in 2020
Source URL: https://www.kff.org/medicare/issue-brief/a-dozen-facts-about...

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