This. From what I understand, the companies are forced to offer at least a few different PDP plans by the government, if they offer Medicare Advantage plans.
Many of them don’t actually want to offer prescription drugs plans…..especially after this year.
Lots of companies have Medicare Advantage but no PDP's Elevance (Anthem) has a slew of those, not a single PDP among them. PDP's were a business model that worked, and this year it doesn't.
They profit on MAPD. Why would they? They don’t want the PDP biz.
Now, if the govt gets more involved and makes MAPD not profitable, then yes, goodbye renewals.
Lots of companies have Medicare Advantage but no PDP's Elevance (Anthem) has a slew of those, not a single PDP among them. PDP's were a business model that worked, and this year it doesn't.
Anthem has two PDPs here in California. Under the name "Anthem Blue Cross."
They have premiums of $135.60 (with $120 deductible on some drugs) and $164.90 (with $590 deductible on all drugs). Sign me up!
Unless my notes are wrong, in 2021, one of Anthem's plans here was $26.10, one of the cheapest that year. What gave me pause about the plan was Tier 3 was 20%, when most PDPs were still charging a copay on Tier 3 that ranged from as little as $30, to the low 40s for most, with a couple of plans charging the maximum allowed for the tier, $47.
By now most plans in CA have moved Tier 3 to coinsurance.
