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Medicare Advantage Plan Profiles

Compare prior authorization burden, DME coverage requirements, and PA Burden Scores across Medicare Advantage plans.

Look Up a Specific Plan

Find your Contract ID and Plan ID on your Medicare Advantage card or at medicare.gov/plan-compare.

What is a PA Burden Score?

The PA Burden Score (0–100) measures how restrictive a Medicare Advantage carrier is about requiring prior authorization for care. A higher score means more denials and more hoops to jump through.

0–24
LOW
Minimal restrictions
25–49
MODERATE
Some PA required
50–74
HIGH
Frequent PA needed
75–100
SEVERE
Very restrictive