Medical Loss Ratio (MLR)
Medicare Glossary
A federal requirement that Medicare Advantage and Part D plans must spend at least 85% of their premium revenue on healthcare services and quality improvement rather than administrative costs or profits.
Have Questions About Medicare?
Speak with an agent who can help you understand your coverage options - no cost, no obligation.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
Related Articles
Medicare and Durable Medical Equipment: What's Covered and What You Pay
Walkers, hospital beds, oxygen, and wheelchairs are covered under Part B — but only from the right supplier, and rental rules decide who ends up owning the equipment.
Read MoreMedicare Medical Savings Account (MSA) Plans Explained
An MSA pairs a high-deductible Medicare Advantage plan with a bank account Medicare funds each year. How the deposit, the deductible gap, and the tax rules work.
Read MoreDoes Medicare Cover Ozempic and Weight-Loss Drugs?
Find out which GLP-1 drugs like Ozempic, Wegovy, Mounjaro, and Zepbound Medicare covers, what conditions qualify, and what you may pay in 2026.
Read More