Category: Medicare
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UnitedHealthcare is shrinking its Medicare Advantage rolls, dropping plans for about 20,000 members in 2027
Humana is not the only big insurer trimming Medicare Advantage plans for 2027. UnitedHealthcare, the largest player in the market, is preparing to pull out of dozens of counties, a move that would strip coverage from roughly 20,000 members. The company calls the list preliminary, but for anyone in an affected county the smart response…
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Humana’s Medicare Advantage non-renewal letters reach about 600,000 members this September
If you have a Humana Medicare Advantage plan, watch your mailbox this month. Humana is not renewing a batch of plans for 2027 that together cover roughly 600,000 members, and the notices telling people their coverage is ending go out in September. For an affected household, the letter is not junk mail to toss; it…
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Original Medicare caps nothing out of pocket, which is why many retirees add Medigap
Most people assume that once they are on Medicare, there is a ceiling on what a bad year of health can cost them. There is not. Original Medicare has no annual limit on out-of-pocket spending, which means a single serious illness can generate bills with no upper bound. That gap is the reason so many…
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Medicare covers a free yearly wellness visit that many enrollees never schedule
There is a doctor’s appointment that Medicare covers at no charge, once every year, and a large share of enrollees never book it. It is not a physical, and that is exactly why it gets overlooked. The yearly “Wellness” visit is a planning session for staying healthy, and skipping it means passing up a free…
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The QMB program can stop Medicare providers from billing you for copays and deductibles
Millions of older Americans on limited incomes pay Medicare bills they were never legally required to pay. A federal program built for exactly that situation quietly wipes out those charges, yet many people who qualify have never heard its name. It is called the Qualified Medicare Beneficiary program, and for a household counting every dollar…
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Presbyterian Health Plan is ending most Medicare Advantage plans for 2027, affecting about 30,000 members
In New Mexico, tens of thousands of older residents are about to lose the Medicare Advantage plan they have relied on. Presbyterian Healthcare Services, one of the state’s largest health systems, is ending most of its Medicare Advantage plans for 2027, a decision that affects roughly 30,000 members and comes paired with about 150 layoffs.…
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Ozempic is one of 15 drugs getting a lower Medicare-negotiated price in 2027
The most talked-about drug in America is about to get cheaper for the people who buy it through Medicare. Semaglutide — sold as Ozempic, Wegovy and Rybelsus — is one of 15 medicines that will carry a new, lower Medicare-negotiated price starting January 1, 2027. For a Part D household filling one of these prescriptions,…
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Medicare drug-plan premiums are set to rise for nearly half of enrollees next year as federal help ends
A temporary federal cushion that has quietly held down Medicare drug-plan premiums for two years is being pulled away, and the effect will show up in millions of monthly bills. Federal officials announced on July 28, 2026 that the program shielding stand-alone drug plans from premium swings will end after December 31, 2026. For 2027,…
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Humana is cutting Medicare Advantage plans that cover about 8% of its members for a second straight year
About 600,000 people are about to get a letter that changes their health coverage. That is roughly 8% of the 7.2 million members enrolled in Humana’s Medicare Advantage plans, and the company is walking away from their plans for 2027. It is the second year running that Humana has pruned its lineup, and for the…
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A letter saying your hospital left your Advantage plan can open a special window to switch — but you must ask
When a Medicare Advantage plan and a hospital system part ways, members get a letter in the mail. It is easy to skim that notice, feel annoyed, and file it away. But buried in that kind of letter can be the key to a rarely used escape hatch: a special window to switch plans outside…
