Category: Medicare
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An Ohio hospital system told four Medicare Advantage insurers at once that their contracts end in December
Genesis HealthCare System in Zanesville, Ohio, sent a single notice this month naming four separate insurers at once: Aetna, UnitedHealthcare, Medical Mutual of Ohio and CareSource. All four Medicare Advantage contracts, plus a Medicaid managed-care agreement with CareSource, are set to end together unless new terms are reached before January 1, 2027. For any Genesis…
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Ohio State and NewYork-Presbyterian both go out of network with a Medicare Advantage insurer on October 1
Two nationally known hospital systems are on track to leave the same type of insurance network on the same date: October 1. In Columbus, Ohio State’s Wexner Medical Center loses in-network status with Humana for people who bought a Medicare Advantage plan on their own rather than through a former employer. In New York, NewYork-Presbyterian…
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Molina wrote off $93 million to leave the Medicare drug business for 2027
Molina Healthcare has confirmed, in its own securities filings, that it booked a $93 million impairment charge for a single decision: leaving its traditional Medicare Advantage Prescription Drug plans once the 2027 plan year begins. The company repeated the same exit plan three months later in its second-quarter earnings, when the discontinued drug product was…
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A cancelled Medicare Advantage plan opens 63 days when no insurer can refuse Medigap
Every fall, some Medicare Advantage enrollees learn that their plan is leaving Medicare altogether, pulling out of their county, or otherwise ending the coverage they signed up for. For a retiree relying on that plan to cap out-of-pocket costs, the notice arrives with almost no explanation of what protections follow it. Federal rules attach a…
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Medicare is ending the federal program that held drug plan premiums down, starting with the 2027 plan year
Millions of people enrolled in a stand-alone Medicare drug plan are about to lose a subsidy cushion many never knew was holding their premium down. The Centers for Medicare & Medicaid Services has confirmed it will let a two-year support program for those plans expire at the end of 2026, clearing the way for the…
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Social Security is checking 125,000 federal retirees’ pensions to find who qualifies for help with drug costs
Social Security has begun comparing pension records for about 125,000 retired federal employees against its own Medicare files, under a data-sharing agreement with the Office of Personnel Management that took effect this week. The goal is narrow: catch civil service annuitants whose reported income no longer lines up with what a low-income prescription drug subsidy…
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A Medicare Advantage cancellation letter opens a 63-day right to buy Medigap without a health review
A notice from a Medicare Advantage insurer announcing it is leaving a county rarely reads like good news. But under federal rules, that same cancellation letter opens a narrow right most recipients never learn about: for a set stretch of days, an insurance company selling Medigap policies in that state cannot turn the recipient down,…
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A Medicare plan that is not renewed gives members until the end of February to choose another
A Medicare Advantage, Part D, or Medicare Cost Plan insurer sometimes exits a market rather than renewing its contract with Medicare for the coming year, and the notice arrives by mail with little warning about what happens next. Members in that plan do not lose coverage overnight, but they do lose that plan once the…
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Medigap Plan G rate filings for 2026 ran from 12% to more than 26% at six large carriers
A batch of rate filings submitted to state insurance regulators at the start of 2026 shows how differently six of the largest sellers of Medicare Supplement insurance are pricing the same policy. On Plan G, the version most Medigap buyers choose, the smallest of the first-quarter increases ran just over 12 percent; the largest topped…
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Every Medicare drug plan must let enrollees spread out-of-pocket drug costs across monthly payments
A prescription that runs $600 at the pharmacy counter in January no longer has to be paid in one sitting under a federal requirement that now covers every Medicare drug plan in the country. The Medicare Prescription Payment Plan, first required by the Inflation Reduction Act for the 2025 plan year, lets a Part D…
