Goodsurance

Medicare Advantage

Medicare Advantage Supplemental Benefit Cards Must Verify Purchases Electronically at Checkout Starting in 2027

A finalized CMS rule requires that Medicare Advantage debit cards for over-the-counter and food benefits be restricted electronically to plan-covered items at the point of sale, with unused balances no longer rolling over to the next year.

By the Goodsurance editorial teamAugust 14, 2026

Starting January 1, 2027, Medicare Advantage plans that issue debit cards for supplemental benefits, including over-the-counter allowances and healthy food credits, must connect those cards to a real-time electronic verification system that confirms at checkout whether an item is covered by the plan. CMS finalized this requirement as part of the Contract Year 2027 Medicare Advantage and Part D final rule, issued April 2, 2026.

Under the new requirement, cards may only be used for items and services covered under the specific plan, verified electronically at the time of purchase. Cards are also limited to the plan year in which they are issued, meaning unused balances will not carry over to the following year.

Starting in 2027, Medicare Advantage OTC and food benefit cards must be electronically verified at the point of sale so the card only pays for plan-covered items.

Plans are required to provide enrollees with clear instructions on how to use the updated card, offer customer support for questions, and maintain an alternative reimbursement process for situations where the electronic system cannot complete a transaction at a given location.

CMS said the changes are intended to ensure that enrollees receive the benefits their plan actually promises, increase transparency for consumers, and reduce fraud by preventing cards from being used for non-covered purchases.

The rule takes effect as millions of Medicare Advantage enrollees enter the 2027 open enrollment period, which runs October 15 through December 7, 2026, for coverage beginning January 1, 2027. Enrollees reviewing their plan's Annual Notice of Change in September should check whether their current or prospective plan offers a supplemental benefit card and confirm which product categories will be eligible under the new electronic system.

In plain words

If your Medicare Advantage plan gives you a debit card for extra benefits like vitamins or groceries, that card will work differently starting in 2027. Plans must now connect the card to a computer system that checks at the store whether each item is covered. The card will only pay for covered items. Any balance left on the card at the end of the year will not carry over. Your plan must give you instructions on how to use the card and offer a backup way to get reimbursed if the card does not work somewhere. This change is meant to reduce fraud and confusion.

Understand the basics first

Source: CMS
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