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Medicare Advantage · Extra Benefits

What Medicare Advantage Plans Cover Beyond the Basics

Many Medicare Advantage plans bundle in benefits Original Medicare doesn't cover at all: routine dental, vision, and hearing exams, over-the-counter allowances, and sometimes gym memberships or transportation to appointments. Which of these a specific plan actually includes, and how generous the benefit is, varies significantly by plan and by carrier.

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Common Extras

What to Look For in a Plan

Dental & Vision

Routine cleanings, eye exams and sometimes an allowance toward glasses or dentures. Coverage limits vary widely between plans.

OTC Allowance

A quarterly or monthly credit toward over-the-counter items like pain relievers, vitamins and first-aid supplies, usable through a plan-specific catalog or card.

Fitness & Transportation

Gym membership programs (like SilverSneakers) and non-emergency rides to medical appointments are common on many plans, especially those targeting active seniors.

Read the Fine Print

Don't Assume Every Plan Includes Every Extra

These extra benefits are a major reason people choose Medicare Advantage, but they're not standardized. One plan's dental benefit might cover a cleaning and nothing else; another's might include a meaningful allowance toward major work. The marketing often leads with these extras without spelling out the limits.

Guy walks through the actual plan documents, not just the brochure, so you know what a specific plan really covers before you enroll.

Common Questions

Frequently Asked Questions

Does Original Medicare cover dental and vision?

No. Original Medicare doesn't cover routine dental, vision or hearing care. This is one of the main reasons people choose a Medicare Advantage plan or a standalone dental/vision policy.

How much is the typical OTC allowance?

It varies by plan, commonly somewhere between $25 and $100 per quarter, though some plans offer more or none at all. The exact amount and the list of eligible items is specific to each plan.

Are extra benefits the same cost every year?

No. Medicare Advantage plans can change their benefits, including extras like dental and OTC allowances, each year during Annual Enrollment. It's worth reviewing your plan's benefits annually rather than assuming they stayed the same.

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