Eligibility Check

Agent
Emily Kinney
Agent
58m
Emily Kinney
Licensed Medicare Agent
Mar 21 2025 AT 11:58 PM
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For Facebook Reviewers and 3rd Party Fact Checkers, these are our references and sources explained:
*Medicare Advantage plans are funded by the federal government through a process called "capitation." Under this process, the government pays a set amount of money to the insurance company offering the Medicare Advantage plan for each enrollee in the plan. The amount of funding that the insurance company receives is based on a number of factors, including the health status and demographic characteristics of the enrollees in the plan, as well as the location of the plan.
Healthy Options Allowance. The new Healthy Options Allowance offers members with D-SNPs, and other qualifying members with chronic health conditions on some Medicare Advantage plans, the flexibility to spend their funds – up to $3,300 a year depending on the plan – where they need it most – whether that’s for groceries, rent and utilities, over-the-counter products, home supplies, non-medical transport, pest control, pet care supplies, disaster relief kits, and more through spending cards that get funded on a monthly basis.
The funding that insurance companies receive for Medicare Advantage plans comes from the Medicare trust fund, which is funded by payroll taxes, premiums paid by beneficiaries, and general revenues. The amount of funding that a Medicare Advantage plan receives from the government is adjusted annually based on a risk adjustment process, which is intended to account for differences in the health status of the plan's enrollees.
In addition to the capitation payments, some Medicare Advantage plans may also receive additional funding from the government in the form of quality bonuses or other incentives. These bonuses are intended to reward plans that provide high-quality care and achieve certain performance metrics, such as improving patient outcomes or reducing healthcare costs.