Important Medicare Advantage updates for 2024

Medicare Advantage (Part C) plans offer comprehensive coverage through private insurers like Wellpoint. Here, we’ll share some changes planned for Medicare Part C in 2024.

What are 2024 changes for Medicare Advantage (Part C) plans?


The Centers for Medicare & Medicaid Services (CMS) recently issued rulings to improve health care access and quality for Medicare Advantage (Part C) beneficiaries. Medicare Advantage plans include Original Medicare (Parts A and B) coverage, plus benefits like out-of-pocket maximums and prescription drug coverage.


Based on these rulings, starting in 2024 Medicare Part C plans must:

 Give prior authorizations to cover an entire course of treatment. This also covers a 90-day transition period when switching to or between Medicare plans mid-treatment.

 Comply with Original Medicare’s general coverage and benefit criteria.

 Include behavioral health care as part of care coordination and networks.

 Promote digital health literacy and understanding of digital benefits like telehealth services.

 Provide support for different cultural and language needs.

Why should I choose a Medicare Advantage (Part C) plan?


Medicare Part C plans cover everything included in Original Medicare. They may also include:


 Routine dental care (X-rays, exams, and dentures)

 Vision care (glasses and contacts)

 Hearing care, including testing and hearing aids

 Prescription drug coverage (Part D)

 Wellness programs and fitness memberships

 Over-the-counter (OTC) health products

 Rides to health-related appointments

Am I eligible for a Medicare Advantage plan?


If you’re enrolled in Medicare Parts A and B, you can apply for a Medicare Advantage plan.

Wellpoint and Carelon Health plans are Medicare Advantage plans with Medicare contracts. Wellpoint and Carelon Health plans are SNP plans with a Medicare contract and a contract with the state Medicaid program. Enrollment in Wellpoint or Carelon Health depends on contract renewal.