Medicare Advantage update- it may be a bumpy ride.

Go to main Forum page » for further discussion

AUTHOR: R Quinn on 10/06/2025

Predictions  are the trend to enroll in Medicare Advantage plans will slow and MA plans will be forced to trim benefits. A recent article on MarketWatch provides more analysis.  

Many seniors still like MA plans for their extra benefits and generally lower premium costs, but they don’t like limited networks, required referrals, deductibles and co-pays in some cases. 

But that is not the problem. 

According to the (10/4/25) article, “The market (for insurers) remains lucrative as the government pays 22% more per Medicare Advantage enrollee, or about $83 billion a year more, than if that person had been enrolled in traditional Medicare, according to the Medicare Payment Advisory Commission, the independent federal agency that advises the U.S. Congress on issues affecting the Medicare program.”

MA plans were supposed to save Medicare money. Why the reverse was allowed to happen is questionable. Probably poor management, but no doubt politics as well. 

In any case, sooner or later MA beneficiaries will pay more, receive fewer benefits or in some cases their plan will disappear. 

One comment

  1. Are y’all in Medicare Advantage or Original Medicare?  See below I went to get my vaccinations, but the health insurance cards I have expired September 30th.  So technically, I have no insurance.  I was very careful when I explained this to Duree.  She got an email to sign up for COBRA, but has not done it yet, and even then, we will have to wait for them to mail us our new cards.  And I leave town for a couple of weeks in 11 days.  Not having insurance is not something I relish.  From past experience, I believe that once we sign up for COBRA, the new COBRA will back date our coverage to Oct 1st, but without it, I can’t go to the Dr for my scheduled November appointment, nor can  get ,y medical prescriptions – at least there I am covered into November.  Maybe she will sign up and we can have our medical cards by then.  At least she did not blame me;  or at least not yet. Like Rosane Rosana Dana used to say – its always something.

    Like

Leave a reply to essmallwood Cancel reply