PDP Premiums

[Duaine]

Clients looking at their ANOC'S

 

[Russ]

in florida UHC is paying and consolidating their plans into 2 plans - Saver and Preferred.

Saver will be $112.60 and Preferred will be $92.20

They expect the Preferred to be very competitive.
Even though its the cheaper plan, it will have the larger formulary, bigger network of pharmacies, lower copays and no deductible

Saver plan not worth it. Preferred is only option. Glad the rates came down on it.

 

[LostDollar]

Clients looking at their ANOC'S
View attachment 14541

Since you said clients, where's the possible smiley face one for clients looking at a no price change WellCare one?

 

[axeman462]

Saver plan not worth it. Preferred is only option. Glad the rates came down on it.

my guess is their intent is to sunset the saver plan over the next few years

 

[Yagents]

Who the hell would pay $100/mo for a PDP plan ($1200/year), and still have a $2k OOP? There will be cheaper plans with same OOP, and a formulary to match their meds.

 

[Yagents]

Who the hell would pay $100/mo for a PDP plan ($1200/year), and still have a $2k OOP? There will be cheaper plans with same OOP, and a formulary to match their meds.

The only way it would make sense to pay a $100 premium is if the copay is low, but the "manufacturer discounted drug price" is the amount that goes towards the TROOP. Meaning they pay $40 copay, but $700 goes towards TROOP. Yes, that's happening.

It will all be determined by the famous Rx calculators on Oct 1st. 90% chance the info will not be accurate the 1st 2 weeks.

 

[Special Agent]

Who the hell would pay $100/mo for a PDP plan ($1200/year), and still have a $2k OOP? There will be cheaper plans with same OOP, and a formulary to match their meds.

1. people who have been on the aarp preferred plan for a long time and are happy with it
2.people who are very loyal to the aarp name
3.people who have the the aarp medicare supplement and are anal about their medicare supplement and part d card being color cordinated and from the same carrier.
4. people who need a robust formulary and don't like the thoughts of deductibles -especially the plan f and plan j folks

I have some clients on the UHC preferred plan since 2005 when it was Pacific Care/SecureHorizons.I have had bad experience with taking someone off the preferred plan to save them money on a deductible plan only to have them call to curse me in january because they forgot about the deductible i told them about that saves them money.

 

[Yagents]

1. people who have been on the aarp preferred plan for a long time and are happy with it
2.people who are very loyal to the aarp name
3.people who have the the aarp medicare supplement and are anal about their medicare supplement and part d card being color cordinated and from the same carrier.
4. people who need a robust formulary and don't like the thoughts of deductibles -especially the plan f and plan j folks

Never comes across any of these scenarios, my clients prefer to save $$

 

[axeman462]

Never comes across any of these scenarios, my clients prefer to save $$

Well, we'll see just how competitive it is in a few weeks. The UHC market manager here is optimistic for the Preferred plan in 2025

 

[Yagents]

Well, we'll see just how competitive it is in a few weeks. The UHC market manager here is optimistic for the Preferred plan in 2025

Funny. Tell him that "optimistic" and "2025 pdps" are not allowed in same sentence