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Archive for September 27th, 2008

This came in 3 parts. . .I’m linking all three together.  This is a lot!

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Big increase effective 11/10/08.  25% across all plans. Here is the announcement:  rna_ok_rateincrease_2008

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Here is the whole article.  This was done on a “weighted average” based on enrollment.  Also assumes that members stay in their existing plans.  Also, according to CMS, 97% of Medicare beneficiaries will be able to find the same or lower premiums in 2009 versus 2008 (but that would mean switching plans). CMS came out [...]

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UPDATE (10/9/2008) – CMS has proposed their own model form.  SEE THIS NEWER POST I’m not a lawyer and I’m in the process of having this reviewed by a compliance officer at a Medicare Advantage Plan, but in the meantime, I’m recommending that you use this form for EACH AND EVERY medicare advantage presentation you [...]

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I’ve been getting a number of calls from Insurance Agents who are concerned that they cannot call their clients to review their Medicare Coverages for 2009 due to the new regulations from CMS. HERE IS A LINK TO THE MARKETING REGS.  mippa_marketing_regs_2009 If you refer to page 17 of the regs (Organizations CAN do the [...]

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This will affect approximately 4,400 members in the AmeriHealth 65 Basic plan (a Dually-Eligible Special Needs Plan) in the following counties:  Berks, Lancaster, Lehigh, Northampton and York.  These members will have options for other Special Needs Plans in these counties for 2009, including Geisinger Health Plan, Health America and Aetna (not all plans are available [...]

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Unicare has made the difficult decision not to renew the following plans for 2009: Medicare Advantage Enhanced Private Fee for Service Medicare Advantage Enhanced Plus Private Fee for Service Save Well Medical Savings Account Unicare will be focusing on other products in it’s Medicare Suite (see our Unicare Products page, we will post more information [...]

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