This is the time of year to reexamine your Medicare insurance and make changes that will be in effect in 2025. For those of you who elected to enroll in the UHC Medicare Advantage plan, I urge you to look at the 2025 information you have received. Medicare Advantage plans are reducing benefits and drug coverage because they are making less money (off the federal government). Make sure you look at what has changed.
If you opted out of the IBM insurance and stayed in traditional Medicare with a separate part D plan, look at your part D plan to be sure it will still be the right plan for you in 2025. You can do that by looking on www.medicare.gov or by calling Medicare (1-800-633-4227).
The biggest change that happens in 2025 is the change to the structure of the drug coverage. All the phases and changes to copays as you move through the phases are GONE. The copay you pay for a drug (after you met the deductible) will be the same until your total out of pocket for all copays for all your drugs (and includes the deductible) is $2,000. At that point, there are no more copays for the rest of the year. As a result, the insurance companies are not making as much money on the providing of drugs. Therefore, they raised the drug insurance monthly premiums. The change in drug plan structure happens for MA plans too.
Some retirees believe, because IBM sponsored the UHC MA plan, IBM is giving UHC money to keep the benefits robust. I seriously doubt IBM gives UHC any money at all. If anything, UHC probably gives IBM money! Reminder, the federal government gives UHC a boat load of money every month for every Medicare Advantage policy holder. If the policy holder has few claims, UHC gets to keep a lot of government money. Your tax dollars at work. However, IBM did give UHC a huge gift when they pushed retirees to UHC. No need for UHC to spend money to advertise on TV to woo retirees to the plan, no need to pay insurance agents money for commissions, or if UHC does pay commissions, they pay it to IBM!!
I continue to hear horror stories about Medicare Advantage denial of coverage for policy holders which sometimes ended in a denial of life saving procedures. When something is too good to be true, it often isn't true.
Thank you for the worthwhile information.I'm in a medigap plan and this year has been rough. Fractured My hip then while doingPT fell and fractured a vertebrae in my neck. With Traditional Medicare and my medigap plan once my deductible was met the medigap plan has been paying the bills no questions. Still in a neck brace but not worrying about bills and between hospital and rehab centers it hasn't been cheap.
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