Medicare Advantage Value-Based Insurance Design Model Calendar Year 2025 Model Participation

The Centers for Medicare & Medicaid Services (CMS) is announcing the Calendar Year (CY) 2025 participants in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model.

As part of the VBID Model, MA plans offer additional supplemental benefits and/or reduced cost sharing (in some cases to zero). MA plans participating in the VBID Model may also use reward and incentive programs.

CY 2025 VBID Model Participation

For CY 2025, the VBID Model has 62 participating Medicare Advantage Organizations (MAOs) testing the model in 48 states, D.C., and Puerto Rico through 967 plan benefit packages (PBPs).

All 62 participating MAOs prepared Health Equity Plans on how they will address potential inequities and disparities in access, outcomes, and/or enrollee experience of care as it relates to their participation in the VBID Model. Additionally, for CY 2025, the model introduces additional reporting and requirements for MAOs, such as a requirement to offer benefits that address enrollees’ health-related social needs (HRSNs), as well as the ability for participating MAOs to target supplemental benefits to enrollees living in the most underserved area deprivation index (ADI) areas.

The following MAOs are participant partners in the VBID Model for CY 2025:

For information on the VBID Model for CY 2025, please click here.