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- Re: UHC Medigap rate increase history
UHC Medigap rate increase history
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UHC Medigap rate increase history
On average how much has your medigap policy increased each year? I am planning to use Plan G, but trying to decide who has lower increases overall. The UHC community plan or an attained age plan such as Aetna or Cigna. It looks like with UHC I'll get a 3% increase each year because of the initial enrollment discount plus an inflation or any type of increase each year?
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mine has too. Jusr got a notice that my current premium of $244. Is goin up to $275. In July. That is $31.00 increase a month. Then in October 2024 goss up again . They use the excuse of high medical care costs. That is baloney. All insurances have contracted rates nowadays. And as a Secondary to Medicare they are only paying a small co-insurance amout . I worked in the Medical claims field for 20+ years, these rate increases are unwarranted.
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The same thing here - I have an increase on June 1 and then again on September 1. I was told it was because of medical costs increasing and that the state of Virginia where I live authorized the June 1 increase. I told the customer service rep I would be shopping for my same supplemental plan through another carrier. I'm disgusted.
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This site may give you some insights as to approved Medigap policy premium increase:
https://lp.newhorizonsmktg.com/medicare-supplement-rate-changes
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It looks like a 7% increase in your UHC premium... This may be the 3% decrease in the "discount" (if there is a discount in Georgia) coupled with an approximate 4% increase in the actual premium.
It seems insane that we pay $165 in 2023 for Medicare which covers 80% of our medical expenses and then a significantly larger premium (in your case $610) to UHC to basically cover some portion of the remaining 20% of our medical expenses.
What is AARP doing about controlling these increasing premiums?
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@seamanjg wrote
What is AARP doing about controlling these increasing premiums?
=================
WHAT?
Why would AARP do anything?
Medicare Supplemental coverage or MediGAP isn’t something that HAS TO BE purchased at all. It is a choice as to whether or not to get a MediGAP policy - it is a GAP insurance product NOT health insurance.
Plus a Traditional Medicare beneficiary does not have to buy a MediGAP policy from UHC - there are probably many insurers in your area that offer MediGAP coverage and ALL of the alphabet type coverage under these type plans are ALL IDENTICAL in coverage because how each of these alphabet plans is covered is Federally regulated by CMS.
Medicare.gov Compare MediGAP Plan Benefits
Perhaps shop for the one of your choice that has a lower premium - but avoid underwriting if you can - don’t cancel the old one until you have the new one in hand. Being able to change plans without medical underwriting and when or being uprated is a function of State Insurance Depts. so know the rules of your state.
Medicare.gov Fine A MediGAP Policy That Works For You
To be able to get an AARP/UHC MediGAP plan, the Medicare beneficiary HAS TO BE A member of AARP - so that also adds to the cost of this insurer. You DO NOT have to be a member of AARP for a AARP/UHC Medicare Advantage plan. Go figure ?
You have lots of options for YOUR choice.
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Hi, Gail and others ~ I had quite a surprise when I enrolled in GAP insurance. Social Security informed me that I had a pay a "penalty fee" monthly for each year that I was not enrolled in a Medicare Advantage program. I did not know this. So a word of caution to those of us that didn't/don't have a GAP plan, you ARE accumulating penalty fee's that NEVER GO AWAY and are added to your premiums FOREVER. Just what we all need, huh?
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Andrea, whoever told you that you had to pay a penalty for each year that you were not enrolled in a Medicare Advantage program either didn't know what they were talking about or you didn't fully understand what they told you. You do need to be enrolled in Original Medicare (the Red, White and Blue card) or you'll incur a penalty, but a Medicare Advantage plan is NOT required. Medicare Advantage plans (Part C) are an alterative to Original Medicare, but you have to already be enrolled in Medicare Part A & B to be able to switch to a Medicare Advantage (Part C). A Medicare MediGap Plan (such as Plan F, G or N) is supplemental to Original Medicare Part A & B and pays what Original Medicare doesn't pay on an approved claim.
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Sounds like to me that you need to understand the program of Medicare a bit better.
Late sign up penalties are only assessed under certain conditions.
- When you don’t sign up for Medicare (Parts A, B) at age 65 and HAVE NO OTHER coverage that is sanctioned by Medicare.
- When you are LATE signing up for Medicare Part B -LATE as defined by Medicare (CMS) on the various defined enrollment periods.
- When you fail to sign up for a Medicare Prescription Drug plan and have no other credible coverage as defined by CMS.
Traditional Medicare or a Medicare Advantage plan are ONLY a choice that each Medicare beneficiary has to make on how to receive ones benefits.
A Medigap policy is a choice - you do not have to have a Medigap policy. A Medigap plan only works with Traditional Medicare. The ONLY function of a Medigap plan is to financially protect a Medicare beneficiary that has chosen Traditional Medicare as the manner they want to get their benefits.
EVERY Medicare Beneficiary has to have Medicare Part A, Medicare Part B and Medicare Part D (or an acceptable/creditable Prescription Drug [Part D] plan that meets Medicare (CMS) standards
Read Medicare and You - the official guidebook to Medicare and all its various Parts. It will help you to understand the program better.
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If we are all paying the same AARP membership fee, then why are some people receiving a "discount" and others are not? AARP and UHC are partners in the AARP-UHC Medicare Supplement Plans and, like the AARP-UHC Medicare Advantage Plans, AARP profits from this Medicare Supplemental Plans partnership. People, including myself, joined the AARP-UHC Medicare Supplemental plan because we trusted AARP to look out for us and because the premiums were lower that other private insurers. Once one loses that discount however, the premiums become the similar to other private insurers.
AARP-UHC Medicare Supplemental Plan is a SECONDARY HEALTH INSURANCE program regulated by each state's Board of Insurance. It pays a portion of medical expenses that one's primary plan (Medicare) does not cover. Check with your own state's Board of Insurance. Each state's Board of Insurance then regulates premium increased. I do not see the state Board of Insurance playing any role with the "discount" that some AARP members are receiving while others are not.
The purpose of joining AARP was for group representation and protection for the elderly community. IMO, AARP has failed in its purpose repeatedly. (For example, 20 years ago when I joined AARP, we knew that Social Security was in financial trouble and here we are still facing the same issue. I would say that is a failure on the part of AARP!)
Your responses are not helpful unless you can tell me how much AARP earns from the AARP-UHC Medicare Supplemental program and why some members are not receiving the discount. It is clearly documented that AARP earned $4 BILLION dollars teaming up with UHC on the Medicare Advantage program.
Thank you.
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Correct. UHC will offer discounts in order to attract business in certain markets. In states where attained age polices are prevalent a community rated plan is simply not attractive without discounts. In other markets community rated may be just as appealing and therefore no need to provide discounts.
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From what I've read, UHC pays a "royalty" to AARP of approximately 5% of premiums paid by members for the use of AARP "intellectual property" which seems to mean co-branding and access to the members. The latest financial statements available to AARP show $1.1 billion in royalty income in 2022 (so money that we paid within our premiums that came back to the organization. No wonder they can keep membership so inexpensive; every one of us who buys insurance is essentially giving the organization at least five times as much as our dues through this arrangement.
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Do you have a source for the 5% royalty amount?
Also AARP royalties come from anything commercial to which the branded name is attached and negotiated between the entity and AARP Services, Inc., who is the AARP arm that sets up these services -
It might be interesting to see the balance sheet or tax return of this profit-making arm of AARP - AARP Services, Inc.
but because this is not a public company / non-profit then it is not available to the public.
I also THINK that part of the earnings from these royalty deals goes to many other non-profits which the organization deems worthy - last time I looked, these were also listed on their 990 nonprofit reporting form.
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The 5% comes from https://kffhealthnews.org/news/article/aarp-health-marketing-partnerships-medicare-medigap/
According to the AARP form 990 https://www.aarp.org/content/dam/aarp/about_aarp/annual_reports/2023/2022-aarp-form-990-public-discl..., some $39 million was the total of grants made by AARP. Sure, royalties could have covered that (it's only 3.9% of royalties) as could unrestricted contributions and grants, membership dues, or even earnings on the organization's more than $1 billion in investments..
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@seamanjg wrote:
If we are all paying the same AARP membership fee, then why are some people receiving a "discount" and others are not?
++++++++++++++++++++++++++++
All healthcare cost are local
States control the actual rules of how MediGAP plans work in their state -
As to why
- the [declining] discount % is available in some states and not others
- why premiums are higher in some states than others and why premium cost may go UP if a beneficiary moves to another state
A wild guess, since I am not an agent -
In some states - like CA, MISSOURI, NY, to name a few, state regulations allow Medicare beneficiaries with MediGAP policies to change their policies without underwriting at specific times during the year - this condition makes the cost of the policies increase just because of the risk adjustment; thus these policies in these states usually don't have the declining discount offered in other states - and premium cost are much higher because of this [switching with no underwriting] ability the state has given their MediGAP policy holders.
Missouri calls this their "anniverary rule", CA calls it their "birthday rule"
MISSOURI MEDIGAP SHOPPING GUIDE
[see page 10]
There are other differences from state to state as to what other benefits that could be offered - like some states allow disabled adults less than 65 to buy a MediGAP policy - other's don't. OR there could be auxilliary benefits in specific plans and not others -
AARP and UHC are NOT partners at all with MediGAP or MAPD plans - It is a sales deal - that's it - a royalty deal.
From AARP
AARP® MEDICARE SUPPLEMENT FROM
[from the link] DISCLOSURE
AARP commercial member benefits are provided by third parties, not by AARP or its affiliates. Providers pay a royalty fee to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. Some provider offers are subject to change and may have restrictions.
FROM UHC:
AARP UHC Medicare Supplemental Ins.
UnitedHealthcare pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. AARP does not employ or endorse agents, brokers or producers.
I am sorry you were under the wrong impression about AARP's role with UHC and Medicare plans that bear their [branded] name.
Medigap plans are very expensive over the lifetime - as we age, we use more healthcare for this and that, healthcare cost continue to go up and just because of what these plans cover - The GAP escalates. But hey, you are protected financially based on the MediGAP plan you picked; isn't that why you picked a MediGAP plan?
I gave links to my info from the subject sources as well as state government (Missouri). Where are your links to your reputable info?
Again, MediGAP plans are NOT health insurance - they are a secondary insurance that protects the policy holder from financial ruin in case of a catastrophic financial injury or illness. That's it -
The amount of royalties that AARP received in TY 2021 was :
5 Royalties........... | 1,062,683,603 |
I don't have time to see if I could break it down by vendor - that's all of their royalty income.
If you can digest this tax reporting [990], you can see what the AARP actually does and where the money comes from and also where it goes.
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Hi there! We certainly understand your concern regarding your rate increase with UHC. Unfortunately, AARP does not have control over this. Rate increases are happening industry wide and the rate of the premium increase is regulated by the Department of Insurance.
We apologize for any inconvenience this issue may have caused. Thank you for you valued membership with AARP.
Sincerely,
Mariama A.
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I would like AARP to explain the "discount"; I assume that this discount comes from AARP. Why did one person (@h90215h - refer below) told that they lost their discount when they moved to Florida and why I was I told that there was no discount in Missouri when I moved from Virginia? Why are our AARP membership benefits less than other members? I do not need another "PR" reply - I would appreciate some actual information.
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The discount does not come from AARP. It is a discount UHC elects to offer when you first sign up. The discount can and often is lost if you move. If you are in your forever home an AARP/UHC medigap plan can be cost effective. If you tend to move an attained age policy might be a better choice.
Your AARP benefits are not less than others. Your UHC benefits maybe more expensive. The plan truly is a UHC plan. It is commonplace for it to be called a AARP plan, mostly by providers but AARP do not administer plans or make payments on policies sold by UHC. AARP is a business partner with UHC. UHC benefit from the AARP marketing exposure and pays AARP in return for that benefit..
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LOL... II did speak to UHC; there seems to be a special contact resource for the AARP-UHC Medicare Supplemental Plan. The person I spoke to could not... or would not... discuss the discount issue. The rep merely said that there was no discount in Missouri.
I am quite confident that AARP makes money from the AARP-UHC Medicare Supplemental Plans just as it does from the AARP Medicare Advantage Plan. AARP made S4 BILLION dollars from that program.
Based on the information available online, it appears that AARP has a lot of involvement in these plans although, IMO, AARP seems to want to hide their role. Actually speaking to someone at AARP instead of these "contributors" is quite challenging.
The purpose of AARP is to help protect the senior community - not make big profits based on this community's needs. I paid the same membership fee as anyone else in AARP so why do some people receive a "discount" while others do not?
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I spoke to United Healthcare, and I believe if they offer the discount at all in a state, they offer it to everyone. The discount decreases 3% each year, which actually has the same effect as "attained age" rating, as Roseanna describes below. (UHC claims to have "community based" rating.) So, when they tell you -- as they just told me -- that for the past 4 years the "base rate" has increased an average of 1.3%, you have to add the 3% onto it to see what the real rate increase is. Sneaky, if you ask me. I would be interested in finding out about the person in this thread who said the increase was 7% or more.... I'm trying to find out the historical rate increases of several companies for comparison, but the data is buried.
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The data is published by Telos actuarial. It's intended for companies like brokers in the insurance industry and the report costs a pretty penny. It's not made freely available to the public. Telos put a lot of work into digging up the data they have to charge for the reports.
Its sad the government do not make this data available to enable consumers to make more informed decisions.
Telos do publish stories that provide a little data, these stories are sales documents to sell the full blown report. Some of the data they do give freely is interesting.
"I downloaded AARP Perks to assist in staying connected and never missing out on a discount!" -LeeshaD341679