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JackieMF
Contributor ⭐
September 21, 2025

Huge UHC medigap increase in past year

  • September 21, 2025
  • 12 replies
  • 6646 views

September 2024 my premium was $223.60. In Oct 2025 it will be $271.87. Plus, as I live in the DC area, I will lose access to Johns Hopkins drs and hospitals. Although based in Baltimore, they run two major hospitals near DC and have the strongest network of doctors. Johns Hopkins dropped UHC due to poor coverage. 

    12 replies

    T
    TRL1111
    Community Champion ⭐
    September 21, 2025
    @JackieMF wrote:

    Plus, as I live in the DC area, I will lose access to Johns Hopkins drs and hospitals. 

     

    No you won't.

     

     

     

     

      GailL1
      GailL1
      Community Champion ⭐⭐⭐
      September 22, 2025

      Arrrrrr 🤯

      IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
      GailL1
      GailL1
      Community Champion ⭐⭐⭐
      September 22, 2025

      @JackieMF wrote . . . . Plus, as I live in the DC area, I will lose access to Johns Hopkins drs and hospitals

      ===========================

       

      as @TRL1111 said

       NO, YOU WILL NOT - John’s Hopkins and UHC MEDICARE ADVANTAGE and Dual Eligible Medicare and Medicaid Advantage PLANS are the ones that they have not come to an agreement with -

      Traditional Medicare (including your Medicare supplemental - Medigap ) is continuing.  They will not terminate doing business with Traditional Medicare like you have.  You do know the difference, right?.

       

      I posted a link about this just the other day on this same forum.

      AARP Medicare & Insurance Board - Johns Hopkins, United Healthcare are Parting Ways - Includes Medicare and Medicaid Advantage plans 

       

       

      As to your Medigap rate increase = happening all over with all kinds of plans.  Beneficiaries are using their Medicare benefits - especially Part B - BIG TIME. 

       

      DC Medigap plans are regulated by the District of Columbia Department of Insurance, Securities & Banking - (DISB) - that DC body is in charge of approving the rate increases from the insurers on Medigap plan.  

       

      I do not think you have any special guaranteed issue rights in DC to switch plans but do not know for sure - You can read over this Medicare Guide to see if there are any special Medigap rights available to you in DC as far as changing plans or insurers. 

      Medicare Guide- Medicare Supplement Plans in the District of Columbia UPDATED 08/25/2025 

       

      IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
      A
      asafchuk
      Contributor ⭐
      September 22, 2025

      Where was the link posted? There is no real clarity in this. 

      GailL1
      GailL1
      Community Champion ⭐⭐⭐
      September 22, 2025

      @asafchuk wrote . . . . . Where was the link posted? There is no real clarity in this

      ===========================

      From the post that I made the other day on this same AARP board entitled:  

      Johns Hopkins, United Healthcare are Parting Ways - Includes Medicare and Medicaid Advantage plans

      Fierce Healthcare.com 09/17/2025 - Johns Hopkins, UnitedHealthcare officially end talks after failin... 

       

      Negotiations went nowhere so they are ending it -

      from the link [copy paste]

       

      Hopkins providers have been out of UnitedHealthcare’s network for an estimated 60,000 patients, mostly in Maryland, but also in Washington, D.C., and Virginia, since Aug. 25, the Baltimore Banner reported.

       

      Those 60,000 patients will have to find new providers or pay higher out-of-pocket costs to continue to see their doctors and get care at Johns Hopkins hospitals. 

      Johns Hopkins Medicine spans more than 50 total care locations, including six hospitals, and serves patients in Maryland, Virginia, Washington, D.C. and Florida.

       

      Both parties are warning patients that Johns Hopkins’ hospitals and other facilities are now out of network for enrollees in UHC’s employer-sponsored commercial plans, Individual Family Plan, Medicaid and Medicare Advantage plans, including Dual Special Needs Plan and Group Retiree. Johns Hopkins physicians, who only participated in UHC’s employer-sponsored commercial plans, are also now out of network. 

      Johns Hopkins All Children’s Hospital, in Florida, remains in network. 

       

      Any UnitedHealthcare member that was already approved for transplant services at Johns Hopkins at the time they went out of network will continue to have in-network access for those services at Johns Hopkins, UHC said.

       

      Patients in active or ongoing treatment for a serious or complex condition with a Johns Hopkins provider at the time it left the UHC network are eligible to continue care for a period of time at in-network costs. Continuity of care allows patients to continue accessing care with their provider at in-network rates for a minimum of 90 days, though it could be longer depending on the course of their treatment, the insurer said.

       

      Conditions that would be eligible for continuity of care include people in active treatment for cancer and women who are pregnant

       

      end copy / paste 

      is that what you needed?

      IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
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