So none of your clients take expensive drugs? I've saved clients thousands of dollars on next years plan. Most extreme was the client that takes 41000.00/year and will pay 360.00 on his MAPD plan for 2025. Lot's of others are also going to save a ton but companies are going to get killed on Part D. Sure that's what they are cutting all the commissions.
What The Hell is Going On | BCBS/Aetna/Cigna
- Thread starter newbie2001
- Start date
Mmkay pumpkin
The problem is that the large percentage of people who never hit their drug deductible can be paying more and those folks are very unhappy because of that. This is due, I think, to the $0-5/no copay not counted agains the deductible tiers that now have much higher tier prices/copay prices and now are part of the deductible with most of the plans around here.
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- #14
newbie2001
Super Genius
- 176
No. I have a few that do but they are not covered under any formulary so the $2,000 cap still makes no difference
Whats going on is very simple . Mapd CO's termed almost 2.5 million mapd plans for 2025. The big vacuum has caused a massive influx of business to other carriers causing panic with potential claims liability .Remember these plans being termed weren't profitability so these " higher claims" people rushed to the available carriers left. Now with all those plans becoming non commissionable and the available plans left will be swamped with new business causing more closures . The only company that can handle this massive potential claims liability or big profit is United . United not chasing the shiny penny the last 5 yrs has put them in an incredible position here
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- #16
newbie2001
Super Genius
- 176
UHC has become hands down my favorite carrier. The only one who isn't giving out freebies all the time.
But most of the Med Advantage plans are owned by for profit companies. They also need to pay their stockholders (so less for medical care; if they didn't give the stockholders a decent return on investment stock prices would tank, stockholders would bail and the company would be jeopardized that way too), top execs get paid huge amounts of money, and then there is the freebe cost for those who offer freebes. That cuts into money available for health care and so being paid more doesn't mean more money to cover health care costs if the company is for profit.
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Seems like 20% of mine take Eliquis. That one alone saves them money. They pay 47.00 for 11 months and get December free. The more they take then the more they save from there.
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- #19
newbie2001
Super Genius
- 176
Yeah not me. I have 2 total. They get them from the Canadian pharmacy.
InsuranceGuy29
Guru
- 842
Those companies are INSURANCE companies, not just Medicare Advantage companies. They offer many lines of insurance. They make profits on many other lines.
Within the government Medicare program, there is only so much money to go around. Medicare Advantage has always been profitable, but by law, most money has to go to Medicare beneficiaries.
This is not about greed/insurance profits. Sure, they have to make SOME profit, otherwise what's the point of offering these products? These companies are not charities. The entire point of having a business is making a profit.
The government has now cut funding for Part D and Medicare Advantage to these companies in many different ways, making them barely stay even marginally profitable. As a result, they're going "What's the point in offering this??" And they're cutting tons of plans.
Right now, if it wasn't for a temporary government subsidy, you'd probably have almost no drug plans left to even sign up for. But those subsidies are gonna go away.
The Democrats do not understand business at all and live in a fantasy world.You cannot just ram stupid policy down their throats. You have to negotiate in good faith.
The vast majority of profits that insurance companies make are on interest money they earn from premiums collected, by the way. It's not like it's coming out of your pocket. It's from INVESTING.
Healthcare costs a ton of money, and entitled people in this country take it for granted. The next person to bitch about insurance should just pay their eventual million dollar hospital bills. Let me know how that works out.
I don't care if they make a Zillion dollars as long as I am covered well.
I never thought I'd live amongst a population where people are bitching about $0 monthly premiums, $0 deductibles, super low copays, and super low spending limits. But here we are.
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