lmilgram
New Member
This is my first post to the forums and I apologize if it is in the wrong section.
I have a large self-insured client (2,000 active members and 500 medicare eligible retirees) who currently offers and EPO and PPO for the active group and Medicare Advantage for the 65+ retirees. The client pays 100% of the MA premium and most of the active premium.
The client has suggested that with steadily increasing MA rates, perhaps it would be less expensive overall to include the retired 65+ population into the EPO and PPO plans with the rest of the employees. The thought is that since regular Medicare will pay first for the 65+ retirees the costs picked up by the client will be minimal and there will be a larger population to share the premium equivalent thus reducing rates for everyone.
I am interested anyone's experience with this type of arrangement, as well as resources so I can put together a cost benefit analysis for the client. I am fairly new as a broker, but have a background in healthcare data analysis.
Thank you in advance for your input.
LRJ
I have a large self-insured client (2,000 active members and 500 medicare eligible retirees) who currently offers and EPO and PPO for the active group and Medicare Advantage for the 65+ retirees. The client pays 100% of the MA premium and most of the active premium.
The client has suggested that with steadily increasing MA rates, perhaps it would be less expensive overall to include the retired 65+ population into the EPO and PPO plans with the rest of the employees. The thought is that since regular Medicare will pay first for the 65+ retirees the costs picked up by the client will be minimal and there will be a larger population to share the premium equivalent thus reducing rates for everyone.
I am interested anyone's experience with this type of arrangement, as well as resources so I can put together a cost benefit analysis for the client. I am fairly new as a broker, but have a background in healthcare data analysis.
Thank you in advance for your input.
LRJ