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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 31 of 694

IMHO  Now is a good time to bail from Plan F if you can.

 


@ChristineS148307 wrote:

Hi GaiL1-thanks for your informative replys.  You provide us with good stuff! 

 

I'm wondering what you think about whether the community rated plans (UHC Standard Plan F in California) will have their rates go crazy without the ability to add new members after january 1, 2020. 

 

Isn't the community rated plan based on "average age" of all in the  plan?  If so, seems to me that without newer, younger people joining the plan, that the rates will go sky high as we get older.  Or is it really only increased due to inflation?  wonder what "other factors" means......

🙂 


I do believe Plan F premiums will go into a death spiral. But even before considering that, compare Plan F vs Plan G premiums TODAY. In Illinois, Plan F annual premium run about $400-500 more then Plan G. Yet plan F only saves you a $200 deductible! You'll pay more in premiums then the Plan will save you in $

 

As I understand community rated.. everyone in the geographical area share all the plan's cost. Plan cost increases each year w/inflation but also increases as the number in the plan drop off. Give the cost of Plan F ain't worth it compared to G, I'm switching. I think many others will too. All of which will continue to drive Plan F prices through the roof

 

p.s. Also, be aware that, at least in Illinois, switching from AARP UHC Plan F to  Plan G requires medical underwriting! Meaning the sooner you switch plans the more likely you don't have to worry about not meeting underwriting criteria.

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 32 of 694

@ChristineS148307 wrote:

Hi GaiL1-thanks for your informative replys.  You provide us with good stuff! 

 

I'm wondering what you think about whether the community rated plans (UHC Standard Plan F in California) will have their rates go crazy without the ability to add new members after january 1, 2020. 

 

Isn't the community rated plan based on "average age" of all in the  plan?  If so, seems to me that without newer, younger people joining the plan, that the rates will go sky high as we get older.  Or is it really only increased due to inflation?  wonder what "other factors" means......

🙂 


Thanks for the compliment.

There is another poster here - somarco - that gives some good info too on this topic - he is probably real busy right now (open enrollment).    There maybe others too.

 

As to your question about community rating - the way I understand it, when you turn 65 and pick up a community rated plan, you get the premium that is currently running for everybody in that plan.

In CA, since ya'll have that birthday rule about switching, then I guess you also get the current rate in a community rated plan at switching. 

 

I am pretty sure that age has no bearing on a community rated plan but don't know.

 

It continues on with medical inflation adding to your premium - I am pretty sure this is BY PLAN.  So yes, I think that there will be some increase in premiums down the line because a community rated Plan F will not have any new blood (healthier blood) coming in to balance out the cost - But it may take a good while.

 

Also keep in mind that some AARP/UHC Medigap plans have a declining discount that will make premiums increase in addition to the medical inflation cost.  I guess that might be a "other factor".

 

Plan F still sold this year and there are still plenty who have it; lots of baby boomers, ya know.  I'd be more worried about medical inflation.  To date, I have not seen the Medicare Part B premium for 2020 announced, nor the deductible - this info is late but should be a good indication of how medical inflation is fairing -

 

Think you will need a crystal ball to answer your question about what will happen to Plan F premiums down the road cause that is gonna depend on who stays and who goes and their medical needs.  But you have the CA Birthday Rule that many other people do not have.

 

 

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 33 of 694

@TheodoreV321949 wrote:

Re:  Apples to apples

 

The company I switched policies to has the highest ranking given to insurers.   I switched to same EXACT coverage I had with UHC for $102.00 less per month!


Simply put, it's a shell game.   Please show me in any of AARP's editorials or emails where this is addressed.  One last question.  Why does AARP only offer UHC for Medigap policies?


When comparing apples to apples on a medigap plan between insurers, you not only have to look at the same plan (same coverage) but also what rating each of the insurers is using to compute your premiums.  I covered the three rating methods in my previous response.  Sometimes your state dept of insurance has this info available - the rating method of each insurer and any other state specific rules and regs.

 

Some other state defined differences might be  -

  • ease in or ability to switch a Medigap plan from one insurer to another at a specific specified time
  • underwriting
  • period of time a particular medical condition might have a period of exclusion when switching
  • whether or not a different insurer can deny you coverage when switching

Medigap plans have some rules made at the Federal level (Medicare) like plan design but other rules and regulations are made at the state level.

 

Federal rule:  You never want to cancel one Medigap plan until you have the other, in hand, with premiums calculated and you are satisfied with your decision even if you have to pay both premiums in a particular month and work it out later - you have a specific time period to switch back.      Medicare.gov - Switching Medigap policies 

 

You only have that 6-months when you 1st turn 65 (initial enrollment period) when you have 100% guarantee issue - meaning insurers cannot deny you because of your health or rate you higher.

 

AARP and UHC have an agreement by which UHC pays AARP a specific amount for each policy similar to a royalty agreement for using the AARP name.  This is a licensing or brand agreement done by AARP Services,Inc.  The profit making arm.

 

Did you think that ALL of this runs off of membership funds????

 

You have to be a member of AARP to buy a AARP/UHC branded Medigap plan.

You DO NOT have to be a member of AARP to buy an AARP/UHC branded Medicare Advantage plan.

 

 

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 34 of 694

Hi GaiL1-thanks for your informative replys.  You provide us with good stuff! 

 

I'm wondering what you think about whether the community rated plans (UHC Standard Plan F in California) will have their rates go crazy without the ability to add new members after january 1, 2020. 

 

Isn't the community rated plan based on "average age" of all in the  plan?  If so, seems to me that without newer, younger people joining the plan, that the rates will go sky high as we get older.  Or is it really only increased due to inflation?  wonder what "other factors" means......

🙂 

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Re: Silver Sneakers being droped by AARP recommended insurer

11,263 Views
Message 35 of 694

Re:  Apples to apples

 

The company I switched policies to has the highest ranking given to insurers.   I switched to same EXACT coverage I had with UHC for $102.00 less per month!


Simply put, it's a shell game.   Please show me in any of AARP's editorials or emails where this is addressed.  One last question.  Why does AARP only offer UHC for Medigap policies?

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 36 of 694

@TheodoreV321949 wrote:

. . . . . .  Members here are led to believe that UHC offers the best pricing on all plans.   They do not!  

 

 

. . . . . . I wish all of you the best in this frustrating Medigap world.  

 

 


The rates for any Medigap insurer are based on one of (3) methods -  To make a cost comparison, especially for the long-term, since Medigap plans are often hard to switch without added cost or exclusions, you must compare apples to apples.

 

So you statement above may or may not be correct depending on how the policies compare with their rating method.

 

Medicare.gov - Costs of Medigap Policies 

 

1.   Community Rating (Also known as NO Age Rated)

How it’s priced

Generally the same monthly premium is charged to everyone who has the Medigap policy, regardless of age.

What this pricing may mean for you

Your premium isn’t based on your age. Premiums may go up because of inflation and other factors, but not because of your age.

 

 

2.  Attained Age Rated

How it’s priced

The premium is based on your current age, so your premium goes up as you get older.

What this pricing may mean for you

Premiums are low for younger buyers, but go up as you get older. They may be the least expensive at first, but they can eventually become the most expensive. Premiums may also go up because of inflation and other factors.

 

 

3. Issue Age Rated

How it’s priced

The premium is based on the age you are when you buy the Medigap policy.

What this pricing may mean for you

Premiums are lower for people who buy at a younger age and won’t change as you get older. Premiums may go up because of inflation and other factors, but not because of your age.

 

 

 

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 37 of 694

Yes.  I did that last year.  AAA beat the home and auto insurance.  I also saved $25 a month by going with Humana who DOES have Silver Sneakers.  Dropped AARP membership too.

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 38 of 694

I dropped all my AARP sponsored UHC benefits.  Members here are led to believe that UHC offers the best pricing on all plans.   They do not!  

My suggestion to all who are unhappy about UHC dropping Silver Sneakers, shop around! There are companies offering this program at lower premiums. 

I also am droppIng my AARP membership.  You would think that a group with their lobbying power would have stood up to UHC; or at least notified their members of this change.  The reality is AARP receives a substantial amount of money from UHC.

 

I wish all of you the best in this frustrating Medigap world.  

 

 

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 39 of 694

I have been with the AARP/UHC plan for two years.  I talked to a UHC sales person today.  According to him, Renew Active is replacing Silver Sneakers.  That does not matter for my area though because AARP/UHC is not offering a "fitness" rider in my area anymore (Nor. California).   He could not give me a reason why...it just is. 

 

Needless to say, I am disappointed since I am in the gym 5 days plus a week keeping healthy so I do not have health problems.  You would think that would be a good goal.

 

Anyway, we had planned for my fiance to leave her current insurer and also get her moved from Kaisar to this plan......the loss of the fitness piece is a no go for us though.  She will stay where she is and I will drop this and go there since AARP/UHC is unable/unwilling to meet the needs of its customers. 

 

Bye...

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Re: Silver Sneakers being droped by AARP recommended insurer

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Message 40 of 694

Are you on an Advantage program?  I was told something different though I am on a supplemental plan.  Is there different proceedures for different medicare plans under United? 

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