Slight Delay in PDP Premium Projections . . .

somarco

GA Medicare Expert
5000 Post Club
37,210
Atlanta
However, for the first time since 2006, the Centers for Medicare and Medicaid Services (CMS) did not release the projected Medicare Part D premium for 2025.

Instead, on July 29th, CMS introduced the Voluntary Part D Premium Stabilization Demonstration whereby stand-alone Medicare Part D PDPs (not MAPDs) were encouraged to voluntarily lower the plan’s 2025 premiums by August 5th with Medicare providing additional financial support against plan losses possibly incurred with the Inflation Reductions Act’s expanded drug plan benefits. CMS explained that:

"[2025 Medicare plan] premium information will be impacted by participation in the [Voluntary Part D Premium Stabilization Demonstration for stand-alone Medicare Part D plans]. Therefore, CMS must wait until [stand-alone Part D] plans inform CMS of their intent to participate in the demonstration by August 5, 2024. CMS will then work to calculate preliminary average premiums.

Once offerings are finalized, [CMS] will release final Part D premiums at the individual plan level in [late] September, consistent with past years, via the 2025 MA and Part landscape after Part D sponsors have completed all steps necessary to finalize their 2025 bids."


Wow! Didn't see this coming . . . NOT!
 
However, for the first time since 2006, the Centers for Medicare and Medicaid Services (CMS) did not release the projected Medicare Part D premium for 2025.

Instead, on July 29th, CMS introduced the Voluntary Part D Premium Stabilization Demonstration whereby stand-alone Medicare Part D PDPs (not MAPDs) were encouraged to voluntarily lower the plan’s 2025 premiums by August 5th with Medicare providing additional financial support against plan losses possibly incurred with the Inflation Reductions Act’s expanded drug plan benefits. CMS explained that:

"[2025 Medicare plan] premium information will be impacted by participation in the [Voluntary Part D Premium Stabilization Demonstration for stand-alone Medicare Part D plans]. Therefore, CMS must wait until [stand-alone Part D] plans inform CMS of their intent to participate in the demonstration by August 5, 2024. CMS will then work to calculate preliminary average premiums.

Once offerings are finalized, [CMS] will release final Part D premiums at the individual plan level in [late] September, consistent with past years, via the 2025 MA and Part landscape after Part D sponsors have completed all steps necessary to finalize their 2025 bids."


Wow! Didn't see this coming . . . NOT!

Party in power - "Holy shit these projected premiums are crazy after we passed more dumbass legislation. This is going to hurt us at election time. Let's see if we can sweeten the pot for the insurance companies so they won't increase premiums just before people start voting"
 
Some interesting comments on the concept of delaying the end of AEP... apparently, it would need to be an SEP by statute [EXTERNAL LINK] - Sam Melamed on LinkedIn: Interesting discussion from Fran Soistman on the eHealth, Inc. earnings… | 26 comments
good comment from the linked in convo (emphasis mine):

Andrew Shea • 2nd

Market Researcher | Advisor | ex-SVP of Marketing
1d
Sam, the amount of expected disruption is not unprecedented, and the election will have long passed by Dec 7. Limited political risk.

Also, plenty of AEPs have ended on weekends and the OEP exists through March. Most SARs will be at the plan - not carrier - level, with total exits being made by carriers with low market share.

I suppose they could grant a special enrollment period for standalone part D switches.

Our industry is full of relatively new agents. They only know a world in which benefits improved every year and very little disruption existed. Everything will be okay. We’re at the start of a normal (and necessary) return to more rational benefits.

This is the time for knowledgeable and experienced agents to shine. It’s also looking to be a gift to ancillary insurance carriers. Hard to sell HI and CI with $200 hospital copays and $2,500 MOOPs.

Free golf clubs, robot dogs, and $5,000 networkless dental allowances aren’t sustainable. They were never sustainable and, frankly, not so great for taxpayers.
 
Back
Top