Supplemental, Enhanced and SSBCI Benefits
Demystifying Medicare Advantage
A Whitepaper series by HealthWorksAI
April 1, 2021 Whitepaper
Supplemental, Enhanced and SSBCI Benefit Trends
Analyze YoY trends of various benefit and sub-benefit categories at the national and state levels for non-SNP. This interactive format allows readers to alter the filters for each section and dive deeper for the most relevant insights.
Cost Structure Breakdown of Trending Benefits
Examine the YoY variations in cost structure design for the top six trending benefits at the national level. Similar to the Benefit Trends whitepaper, readers can select the appropriate filters for a custom look into their markets of choice.
Key-Highlights from 'Supplemental, Enhanced and SSBCI Benefits Trends'
- Comprehensive Dental, OTC, Meals, Podiatry and Transport benefits have seen the highest inclusion increase coupled with a linear growth in enrollments.
- Some benefits, such as Acupuncture, have grown in inclusion but not in enrollment indicating that they may be used more as an enhancement or value-ad to consumers.
- Most Enhanced Benefits have seen fluctuation in inclusion over the past five years with PERS being the only that has seen a continuous increase in inclusion with a linear growth in enrollment.
- SSBCI Benefits have seen strong growth in enrollments after only two years, irrespective of their minimal increase in inclusion, indicating the benefits are primarily contained to large plans.
Key-Highlights from 'Cost Structure Breakdown of Trending Benefits'
- Irrespective of benefit type, most coverage limits are increasing and the number of plans that offer no limit has grown.
- While no two benefits can be compared in terms of their preference for copayment or coinsurance, YoY trends for each benefit provides clear indication on their respective ideal design.
- Hearing Aid Benefits have displayed a consistent trend toward covering all sub-benefits rather than a single or a combination of sub-benefits which were historically preferred.
