- Thread starter
- #21
We're direct.
Can you explain what you mean by "paying full on renewals"?
For example, business written for plan year 2014 was paid at $204 for the year, which equals $17.00 per month. This year, we are still getting paid $17.00 per month on those cases, which is $2.00 per month below 2019 fair market value of $20 per month. We're getting paid about 17.5% less per case than current fair market value.
For business we wrote with Aetna in plan year 2014, we were also paid $204 or $17.00 per month on renewals. This year, for those cases still on the books, we are paid $20.00 per month by Aetna, which equals current fair market value.
Your statement infers that you would be paid $20.00 per month in 2019 for business written in 2014 by both Humana and Aetna. Is that correct?
So they're paying 2014 renewal rates in 2019.
Have you spoken to other people who have Humana MAPD renewals? They're in the same situation?