Medicare Blog

why do many medicare advantage plans offer silversneakers but not the supplemental ones

by Prof. Josh Johnson II Published 2 years ago Updated 1 year ago

Medicare does not cover the costs of fitness programs and gym memberships. Thus, Original Medicare does not cover the cost of SilverSneakers. Medicare Advantage plans can offer additional benefits that are not available through Original Medicare. Often, these plans include some type of gym membership or wellness programs.

Full Answer

What are Medicare Advantage plans cover Silver Sneakers?

Oct 12, 2021 · Many Medicare Advantage plans offer SilverSneakers at no extra cost to their members. Some Medicare Supplement plans offer SilverSneakers as well. Although supplement plans generally do not offer additional benefits on top of what Medicare Part A and Part B cover, SilverSneakers is a benefit that some Medigap plans are able to add to your existing Medicare …

Which insurance plans include Silver Sneakers?

Even though Original Medicare coverage does not include fitness programs like Silver Sneakers for Medicare beneficiaries, many Medicare Advantage (Part C) plans do cover this wellness program. If being active is a priority for you, and Silver Sneakers sounds like a great option, make sure to find a Medicare Advantage plan that includes free coverage.

What is Medicare Advantage plan?

Mar 01, 2022 · Its important to know that Medicare Advantage plans are much different than Medicare supplement plans and you cannot have both at the same time. While Silver Sneakers is a nice perk, it may not be reason enough to choose one policy over the other. Its a good idea to discuss the differences with an independent agent before enrolling.

Does Medicare provide Silver Sneakers?

Feb 25, 2020 · Cigna Medicare Supplements don't come with SilverSneakers®. Like Aetna, many of the Cigna Medicare Advantage plans do come with SilverSneakers® fitness benefits. If you're interested in SilverSneakers® benefits, contact us to find out what's available and approved in your state! Call us at 833-801-7999 to get started.

Do Medicare supplemental plans cover Silver Sneakers?

SilverSneakers is included in many Medicare plans, including both Medicare Advantage and Medicare Supplement insurance. Medicare Advantage and Medicare Supplement carriers have different benefits in different states and counties, which means that not every plan in every state offers SilverSneakers.Sep 22, 2021

Is Silver Sneakers being discontinued?

Some of these include AARP Silver Sneakers (also known as United Healthcare), but they have discontinued this relationship in several states. Many Medicare supplement and Medicare Advantage insurance plans include this benefit at no extra cost.

Do Aetna Medicare Supplement plans offer Silver Sneakers?

The SilverSneakers benefit is part of Aetna Medicare Advantage plans at no added cost (if applicable); it's included in your monthly plan premium. You won't pay an extra fee to SilverSneakers or to the gyms and exercise centers you visit.

Do Medicare Supplement plans cover gym memberships?

Unlike Medicare Advantage plans, Medicare Supplement insurance plans do not typically include gym memberships. Medicare Supplement insurance plans may cover most of your Medicare Part A and Part B coinsurance and copayments, as well foreign travel emergencies.

Is AARP dropping silver sneakers?

AARP Medicare plans no longer cover SilverSneakers as a benefit, but plan members may now take advantage of the Renew Active program.Jan 20, 2022

Why is AARP dropping silver sneakers?

When AARP/UHC cancelled the free Silver Sneakers program, what they did was to DISCOURAGE seniors exercising, as many seniors could no longer afford a gym membership.

Does Plan G include Silver Sneakers?

0:004:05Does Medicare Supplement Plan G cover Silver Sneakers - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd Advantage plans are including silver sneakers as part of their benefit offering as a way to tryMoreAnd Advantage plans are including silver sneakers as part of their benefit offering as a way to try to get people to choose that carrier over another one.

What is Aetna plan G?

Aetna Medicare Supplement Plan G This plan is perfect for those looking for great coverage that won't break the bank with monthly premium costs. On Medigap Plan G, you pay the Medicare Part B deductible yourself, and then Medigap Plan G covers the rest.Feb 9, 2022

Does Aetna Medicare have a flex card?

Aetna Medicare Payment Card: Aetna is partnering with PayFlex® to offer a new debit card containing funds to use towards copayments for in-network primary and specialist care, and other medical and diagnostic services. Qualifying members will receive $100 per quarter with a $400 per year maximum.Oct 1, 2021

What exercise programs are covered by Medicare?

The takeawayOriginal Medicare doesn't cover the cost of gym memberships or fitness programs.Most Medicare Advantage plans offer participation in national fitness programs like SilverSneakers or offer members an allowance for fitness program reimbursement.Medigap plans sometimes cover fitness benefits.More items...•Sep 28, 2020

Does AARP pay for gym membership?

It includes: A free gym membership. Access to our nationwide gym network of gyms and fitness locations—the largest of all Medicare fitness programs. View thousands of on-demand workout videos and live streaming fitness classes.

Does Medicaid cover YMCA membership?

According to federal guidelines, a gym membership isn't a benefit that must be provided by Medicaid, and in most states, it's not included.Jan 20, 2022

What are the problems with Medicare Advantage?

In 2012, Dr. Brent Schillinger, former president of the Palm Beach County Medical Society, pointed out a host of potential problems he encountered with Medicare Advantage Plans as a physician. Here's how he describes them: 1 Care can actually end up costing more, to the patient and the federal budget, than it would under original Medicare, particularly if one suffers from a very serious medical problem. 2 Some private plans are not financially stable and may suddenly cease coverage. This happened in Florida in 2014 when a popular MA plan called Physicians United Plan was declared insolvent, and doctors canceled appointments. 3 3 One may have difficulty getting emergency or urgent care due to rationing. 4 The plans only cover certain doctors, and often drop providers without cause, breaking the continuity of care. 5 Members have to follow plan rules to get covered care. 6 There are always restrictions when choosing doctors, hospitals, and other providers, which is another form of rationing that keeps profits up for the insurance company but limits patient choice. 7 It can be difficult to get care away from home. 8 The extra benefits offered can turn out to be less than promised. 9 Plans that include coverage for Part D prescription drug costs may ration certain high-cost medications. 4

What is Medicare Advantage Plan?

A Medicare Advantage Plan is intended to be an all-in-one alternative to Original Medicare. These plans are offered by private insurance companies that contract with Medicare to provide Part A and Part B benefits, and sometimes Part D (prescriptions). Most plans cover benefits that Original Medicare doesn't offer, such as vision, hearing, ...

What is Medicare Part A?

Original Medicare. Original Medicare includes Part A (hospital insurance) and Part B (medical insurance). To help pay for things that aren't covered by Medicare, you can opt to buy supplemental insurance known as Medigap (or Medicare Supplement Insurance). These policies are offered by private insurers and cover things that Medicare doesn't, ...

Who is Dr. Brent Schillinger?

In 2012, Dr. Brent Schillinger, former president of the Palm Beach County Medical Society, pointed out a host of potential problems he encountered with Medicare Advantage Plans as a physician. Here's how he describes them:

Does Medicare automatically apply to Social Security?

It doesn't happen automatically. However, if you already get Social Security benefits, you'll get Medicare Part A and Part B automatically when you first become eligible (you don't need to sign up). 4. There are two main ways to get Medicare coverage: Original Medicare. A Medicare Advantage Plan.

What is the Cares Act?

On March 27, 2020, President Trump signed a $2 trillion coronavirus emergency stimulus package, called the CARES (Coronavirus Aid, Relief, and Economic Security) Act, into law. It expands Medicare's ability to cover treatment and services for those affected by COVID-19.

Does Medicare cover vision?

Most plans cover benefits that Original Medicare doesn't offer, such as vision, hearing, and dental. You have to sign up for Medicare Part A and Part B before you can enroll in Medicare Advantage Plan.

What Benefits Are Provided?

SilverSneakers is a program that helps adults over the age of 65 stay physically active through a network of more than 17,000 gyms, community centers and fitness facilities in the United States.

Which Medicare Advantage Plans Offer This Benefit?

Medicare Advantage is available through private insurance companies. Typically, these health plans cover all of the services provided by Original Medicare and additional benefits such as dental, vision, hearing and wellness.

How to Confirm a Health Plan Offers a SilverSneakers Benefit

Because Medicare Advantage plans vary, those who want a SilverSneakers membership should confirm directly with the insurance company that the benefit is included before enrolling. The SilverSneakers website also provides a search tool to connect seniors to participating health plans.

What is a Silversneaker?

SilverSneakers, a popular exercise program for older adults, offers memberships to qualifying seniors who are enrolled in participating Medicare Advantage plans. Before you choose your Medicare health plan, consider the SilverSneakers program and whether it’s something you’d like included in your plan’s benefits.

How old do you have to be to get Silversneakers?

In order to be eligible for the SilverSneakers Fitness program, you must be: 65 or older, or eligible for Medicare because of a disability. Living in the U.S. Enrolled in a private Medicare plan that offers the SilverSneakers benefit.

Who is Christian Worstell?

Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareAdvantage.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options. .. Read full bio

Does Medicare Advantage include Silversneakers?

Some of the health insurance companies that offer Medicare Advantage plans offer at least one plan that includes SilverSneakers membership. Plan availability and specific plan benefits may vary depending on where you live and the type of plan you have.

Can you add Silversneakers to Medicare?

Your plan either offers SilverSneakers or it doesn’t — you can’t add it on separately. If you’re interested in joining a Medicare Advantage plan in your area that does include SilverSneakers, one of our licensed insurance agents can help you explore your options.

Where does Christian Christian live?

Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. He currently lives in Raleigh, NC.

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