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Contributor ⭐⭐
May 2, 2025

United Health Raising Rates Mid Year

  • May 2, 2025
  • 39 replies
  • 14335 views

How is United Healthcare allowed to raise their rates mid year?  People budget on the number they're given when deciding on plans.  They should not be allowed to raise mid year. How does AARP allow that to go through and not negotiate for it's members?  

39 replies

GailL1
Community Champion ⭐⭐⭐
May 2, 2025

Most all Medigap insurers are raising their rates in 2025 because of the increase in their cost of coverage - the number and amount of claims - and then for some, added risk, when state law allows people to pick up or change plans without underwriting.

 

Most of them raise their rates in the summer but with a UHC Medigap you may actually get (2) raises if you have a declining premium discount plan which goes up, I believe, on your anniversary date with the plan.

 

AARP has no authority over UHC Medigap premium rates - like any other insurer ace company, the premiums are based on the coverage, the use, the rating method, and state law.  

 

Read your contract / EOB

IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
Contributor ⭐
July 7, 2025

Except during open enrollment (and California "birthday rule") if you change medigap plans they can evaluate you based on your medical history and refuse your application.  AARP needs to change their agreement with UHC.  Apparently we get a "discount" upon initial enrollemnt which DECREASES 3% each year for being a loyal customer. This in essence a 3% increase on every anniversary date.  Furthermore, UHC sets rates in Califonria from June to May.  So during open enrollemnt you have no idea what the future rate will be so it is impossible to compare plans.
 I understand the need to cover expenses, but I believe up front pricing is needed and not mid-year surprises.

Community Champion ⭐
July 8, 2025

@glow141 wrote:

Except during open enrollment (and California "birthday rule") if you change medigap plans they can evaluate you based on your medical history and refuse your application.  


 

There is no nationwide open enrollment period for supplements.  Everybody can get a supplement without medical underwriting when they're first eligible for Medicare, but after that, it depends on what state someone is in.  In a few states, there are guaranteed issue periods (like California's birthday rule or New York's year-round guaranteed-issue period, among others) during which a person can change Medigap supplements, but in a majority of states, there is no general guaranteed- issue period or "open enrollment" period that allows anyone to switch supplements without undergoing medical underwriting.

 

If you're thinking of the "open enrollment" period at the end of every year, it has nothing to do with supplements.  

 

 


@glow141 wrote:

Apparently we get a "discount" upon initial enrollemnt which DECREASES 3% each year for being a loyal customer. This in essence a 3% increase on every anniversary date.  

 

 

Actually, no it's not.  A 3% decrease in a discount is not equal to a 3% increase in the premium on which the discount is applied.  (And for the record, the discount is decreased by 3 percentage points, not 3%--they're not the same thing.) 

 

Basically, the increase due to the declining discount will start at 5% and will go down until a person reaches the age where the discount zeroes out (probably around age 81), and during that time the increase due to the declining discount will never be below 3%.

 

I posted about this a couple of months ago, showing how the math works:

community.aarp.org/t5/Medicare-Insurance/Declining-discount-of-3-on-supplements-actually-equals-5/m-p/2611018 

 

 

 

 

SummerOnTheWay1
Community Champion ⭐⭐⭐
May 2, 2025

📎  Lorraine @LorraineC792260 , you are so right about our budgets. And add "fixed" income. Take care, Nicole  👵

 


➡️[*** Lorraine wrote on Friday 5/2/25: How is United Healthcare allowed to raise their rates mid year?  People budget on the number they're given when deciding on plans.  They should not be allowed to raise mid year. How does AARP allow that to go through and not negotiate for it's members?  ***]
Community Champion ⭐
May 4, 2025

@SummerOnTheWay1 wrote:

you are so right about our budgets. And add "fixed" income. 



 

Fixed income isn't necessarily low income.  A retiree with a pension or an annuity that pays $200,000 a year has a fixed income--but it's not a low income.  A retiree whose retirement is funded by withdrawals from a 401k or IRA doesn't have a fixed income--and whether he's low income or high income would depend on the amount of the 401k or IRA he's withdrawing from.

SummerOnTheWay1
Community Champion ⭐⭐⭐
May 4, 2025

📎@TRL1111 , my comment to Lorraine @LorraineC792260 had ZERO to do with the "label" of LOW INCOME. Our discussion was about increasing rates mid year./lol 🤣😂

 

➡️[*** YOU SAID: Fixed income isn't necessarily low income. A retiree with a pension or an annuity that pays $200,000 a year has a fixed income--but it's not a low income. A retiree whose retirement is funded by withdrawals from a 401k or IRA doesn't have a fixed income--and whether he's low income or high income would depend on the amount of the 401k or IRA he's withdrawing from.

Contributor ⭐
May 2, 2025
 
Egregious Rate Hikes announced by AARP-UnitedHealthcare 2025 Premiums for Supplemental Plans
I subscribe to Plan F and have received two notices of monthly rate increases:
(1) For the eleven months prior to April/2025, my monthly premium was $252.36.
      As from April/2025, my premium rose to $298.12, and INCREASE of 18.13%.
(2) I was then advised by UHC of a second rate increase, effective June 1st, 2025.
      My premium is to go up again, to $330.93, an increase of 11% more.
Effectively, my 2025 premium has increased by 31.13% over 2024 rates.
This is both egregious and outrageous.
-- How can AARP stand-by and offer NO push-back to UHC for these unsustainable increases?
-- Where is the voice of AARP, rallying members?
-- Why is AARP not seeking partnerships with other heathcare insurance providers of Medicare Supplemental Plans? 
-- Why is AARP sticking with UHC and these out-of-control rate increases?
-- Shouldn't AARP Leadership be speaking out on this, on our behalf?
Contributor ⭐⭐
May 7, 2025

Makes me wonder how much AARP actually advocates for members. I have UHC supplement insurance and there are always two rate increases a year. In June they have their adjusting rate each year which my rate went up 14%. So, I had a rate increase on January 1 and my total rate increase for 2025 is over 30%. I have yet to see anything from AARP that shows they are trying to help with increased insurance costs. They are more focused on other issues which in my mind are a much lower priority than health insurance costs.

GailL1
Community Champion ⭐⭐⭐
May 7, 2025

@MarkH983192 

I am curious as to what you think AARP can do to stop or slow premium increases since these are based on things outside of their control like USAGE, medical inflation, your specific state laws and how these affect premiums or in the case of AARP UHC Medigap the declining discount.

 

The question to AARP in this matter is even broader - WHAT CAN AARP DO ABOUT USAGE and MEDICAL INFLATION for the Medicare beneficiary group as a whole?  

 

As Medicare expands it’s coverage of mammoth diseases like Alzheimer’, as Traditional Medicare fails to rein in excessive medical use like where a service is rendered or fails to enforce or adopt any managed care philosophies, then we are all gonna be paying more for anything connected to Medicare - Part A, Part B, Part C, Part D and Medigap - depending upon one’s choices.  

 

I spoke to the son of a 85 year old yesterday - Nebraska - he was trying to find out what his mom could do about her medigap premiums - Plan F - which is NOT an AARP UHC plan - her current premiums are a few dollars shy of $ 700 a month.  

 

Everything is working against her -

  • she is in an ATTAINED AGE rated policy,
  • the Center of Medicare and Medicaid Services (CMS) under their authority has CLOSED BOOK on Plan F so it is no longer sold to new beneficiaries thus those in her group are getting older and older, perhaps sicker and sicker.
  • and he is doubtful that his Mom can pass underwriting.  

BUT she may have to try because at her current rate of which will continue to go up, AARP UHC maybe a good option for her since it is usually community rated which may bring down her premiums IF she can pass underwriting, even allowing for perhaps some underwriting up-cost.

 

On the other hand, to whatever plan she can switch to, if at all possible, to reduce her premiums, she will bring her age and her health condition to the new policy - and then those in this new policy will have to allow for her, perhaps raising their premiums since her useage might be great.  

 

She may be able to go to a High Deductible Plan F - with a 2025 deductible of $ 2870 - under some insurer that offers if.  The jury is still out but her son is trying to find out all her options from the Nebraska SHIP and local independent Medigap insurance brokers.

 

I really would like to know how those here with a AARP/UHC Medigap policy that is increasing in premiums thinks AARP can control their premiums?  Maybe put out a bulletin - “DO NOT USE MEDICARE so that you do NOT use your AARP/UHC medigap - to save premium cost.  That will go over like a lead ballon.  

IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
Contributor ⭐
June 7, 2025

I expect AARP to stop promoting United Healthcare plans and get their name off of the plans.  I feel like this was a bait and switch con job.  I'll be switching from UHC to another provider and stopping my membership in AARP.  This is the only voice I have.