Millions of older Americans enrolled in Medicare Advantage plans have already seen popular extra benefits scaled back, with further cuts anticipated as insurers grapple with rising medical costs and tighter federal payments, according to experts.

While core benefits such as dental, vision and hearing coverage remain widely available, a growing number of plans are reducing or eliminating supplemental perks that have attracted seniors to Medicare Advantage. These include over-the-counter allowances, meal benefits, transportation assistance and fitness programs.  ARTICLE