How Medicare extra benefits can help when choosing a plan

Dental, vision, hearing and over-the-counter benefits can be helpful features in a Medicare Advantage plan. They may support routine care, help with everyday health expenses and make a plan feel more complete.

Still, extra benefits are only one part of choosing a Medicare plan. Before you enroll, it is important to understand how those benefits work and compare them with the plan details that affect your care and costs throughout the year.

What are Medicare extra benefits?

Some Medicare Advantage plans include benefits beyond Original Medicare. These are often called extra benefits, supplemental benefits or added benefits. They vary by plan and may include dental, vision, hearing, fitness programs, transportation support or an allowance for eligible over-the-counter health items.

Because benefits can differ from one plan to another, it is important to look at the details. A plan may include a benefit, but there may be limits, networks, allowances, copays or rules about how and where it can be used.

Why extra benefits can be useful

Extra benefits can add practical value, especially if they help pay for services or products you already use. For example, dental coverage may help with routine cleanings, vision benefits may help with eyewear and an OTC allowance may help cover eligible health and wellness items.

They can also make it easier to keep up with routine care. If you expect to use certain benefits during the year, include them in your comparison and review how much support the plan provides.

Why it’s important to compare the whole plan

A Medicare plan still needs to fit your overall health care needs. A plan with appealing extra benefits may not be the best choice if your doctors are out of network, your prescriptions cost more than expected or your medical costs are higher than you are comfortable with.

Think of extra benefits as helpful additions. They can make a strong plan more attractive, but they should be weighed alongside coverage, costs, provider access and prescription drug needs.

Common extra benefits to review

Dental benefits

Dental benefits may help cover preventive care, such as exams, cleanings or X-rays. Some plans may also include coverage for additional services. Check what is covered, whether there is an annual limit and whether you need to use an in-network dentist.

Hearing benefits

Hearing benefits may help with routine hearing exams or hearing aids. Look for details about covered providers, hearing aid options, copays and any limits on how often the benefit can be used.

Vision benefits

Vision benefits may help cover routine eye exams, glasses or contact lenses. Review the allowance amount, how often it renews and whether your preferred eye care provider or eyewear retailer participates.

Over-the-counter benefits

An over-the-counter benefit may provide an allowance for eligible health and wellness products. Check the allowance amount, how often it is available, where it can be used and whether unused funds expire.

What to compare before you choose a plan

After reviewing extra benefits, look at the plan details that may have the biggest impact on your care and total yearly costs.

  • Monthly premium
  • Primary care and specialist copays
  • Prescription drug coverage and pharmacy network
  • Provider and hospital network
  • Maximum out-of-pocket cost
  • Travel coverage or out-of-area care needs
  • Extra benefits you are likely to use

This can help you understand whether the plan works for your care first, and how the extra benefits may add value after that.

Questions to ask while comparing plans

  • Are my doctors, specialists and hospitals in-network?
  • Are my prescriptions covered, and what will they cost?
  • What will I pay for routine care, urgent care or specialist visits?
  • What is the maximum I could pay out of pocket in a year?
  • Which extra benefits do I expect to use?
  • Are there rules, limits or networks for the benefits I care about most?

The bottom line

Medicare extra benefits can be useful, especially when they support routine care or help with costs you already expect. But they work best as part of a plan that also fits your doctors, prescriptions, budget and health needs. As you compare options, look at the whole plan first. Then consider which extra benefits may make the right plan even more helpful for your everyday life.

Frequently asked questions

No. Medicare Advantage plans can include extra benefits, but coverage varies by plan. Review each plan’s materials to understand what is included, how the benefit works and whether there are rules or limits.

They can be. Extra benefits may help with routine care or everyday health expenses, especially if you use them during the year. They are worth reviewing as part of your plan comparison.

No. Extra benefits can add value, but the plan should also fit your doctors, prescriptions, medical costs and budget. A plan with appealing benefits may not be the best fit if the rest of the coverage does not meet your needs.

Look at what is covered, how much the plan pays, how often the benefit can be used and whether you need to use certain providers, pharmacies, stores or online ordering options.

Start with the plan details that affect your regular care and costs, such as provider network, prescription drug coverage, copays, premiums and maximum out-of-pocket costs. Then compare extra benefits as added support.

Priority Health Medicare extras

Learn more about Medicare extras that may come with a Priority Health Medicare Advantage plan.

Get healthy extras with Priority Health

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