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I am sure this is old news, but Aetna is no longer accepting applications for their Medicare Advantage PFFS plan effective 8-1-2009. So far Anthem ...


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Old 07-03-2009, 02:25 PM   #1
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Another Medicare Advantage Plan Has Left the Building.             Go to Top


I am sure this is old news, but Aetna is no longer accepting applications for their Medicare Advantage PFFS plan effective 8-1-2009.

So far Anthem Blue Cross is gone, Aetna, Wellcare and there is one more company that I forget their name that will be leaving in 2010
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Old 07-03-2009, 02:41 PM   #2
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Originally Posted by Trent View Post
I am sure this is old news, but Aetna is no longer accepting applications for their Medicare Advantage PFFS plan effective 8-1-2009.

So far Anthem Blue Cross is gone, Aetna, Wellcare and there is one more company that I forget their name that will be leaving in 2010
Aetna, Anthem, Wellcare abd Coventry have all left the PFFS business, not the MA business.
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Old 07-03-2009, 03:19 PM   #3
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Didn't Health Net leave as well? Thought I saw a memo on that some time back.
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Old 07-03-2009, 11:35 PM   #4
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Aetna said they are no longer marketing PFFS through their broker channel, not that they no longer offer it. My guess is that it's history, but they have not said that.

Health Net said bye bye after this year, as has Coventry. I thought Anthem dropped the plan before this year but I might be wrong.

Wellcare is a pile of crap company. They have dropped their PFFS plan and I hope they wind up being bought out and have their upper and middle management team collecting welfare (and I'm holding back).

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Old 07-04-2009, 08:00 AM   #5
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Originally Posted by jdeasy View Post
Aetna, Anthem, Wellcare and Coventry have all left the PFFS business, not the MA business.
MAN I CAN'T WAIT TO REPLACE THESE WITH MED SUPPS!!!!! LIFE IS GONNA BE REAL GOOD, VERY SOON!!!


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Old 07-04-2009, 10:23 AM   #6
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Re: Another Medicare Advantage Plan Has Left the Building.             Go to Top

I think the current trends in MA's and PFFS's in particular is unfortunate. True, they could be a bane if you were trying to sell in regular Med Supp, but there was a portion of the population that was ideally served by these plans. However, in recent years congress has made it increasingly obvious that they didn't like the plans (it has been estimate that they cost the government 17% more than regular Medicare plans) and they have now made it unprofitable enough that the big players are all getting out of the business.
Do you suppose this is just a way to push us towards nationalized health care?
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Old 07-04-2009, 11:21 AM   #7
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Originally Posted by fibonacci112 View Post
Do you suppose this is just a way to push us towards nationalized health care?
Huh? Medicare is ALREADY nationalized health care.

While I don't sell MAPD, I like them for those who can't get a Med Supp due to cost or UW.

My hope is that IF the government dumps MA that they will creat a SEP (say six month) for those on MA to buy GI Supps. That would be a good market, at least in my area. YMMV.

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Old 07-04-2009, 04:21 PM   #8
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Originally Posted by Trent View Post
So far Anthem Blue Cross is gone... will be leaving in 2010
Wellcare / Anthem / Unicare have stopped selling since January 2009 by order of CMS. They are still holding out as far as exiting the 2010 PFFS market. I've seen nothing to indicate they are walking away, yet!

My source from Aetna said that they let the news come out ill prepared and now are trying to tone it down. So they will say BS like "Aetna has filed with CMS 2010 PFFS plans". Yet, they are out and there will be "NO" in house sales of 2010 PFFS plans. They have removed the online app & materials from their consumer website. Aetna's PFFS plans are toast.

Still the lions share of PFFS (>90% in many counties) is Wellcare, United Healthcare, and or Humana. None of these major players have said they are out.
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Old 07-04-2009, 05:02 PM   #9
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Originally Posted by MedSuppPro View Post
Wellcare / Anthem / Unicare have stopped selling since January 2009 by order of CMS. They are still holding out as far as exiting the 2010 PFFS market. I've seen nothing to indicate they are walking away, yet!

My source from Aetna said that they let the news come out ill prepared and now are trying to tone it down. So they will say BS like "Aetna has filed with CMS 2010 PFFS plans". Yet, they are out and there will be "NO" in house sales of 2010 PFFS plans. They have removed the online app & materials from their consumer website. Aetna's PFFS plans are toast.

Still the lions share of PFFS (>90% in many counties) is Wellcare, United Healthcare, and or Humana. None of these major players have said they are out.

Wellcare has notified all the agents, and I am one, that they are not going to offer PFFS for 2010. They say they are staying the HMO/PPO and PDP market, but, not the PFFS. They did not file a plan for PFFS for 2010 with CMS.
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Old 07-06-2009, 09:39 AM   #10
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Re: Another Medicare Advantage Plan Has Left the Building.             Go to Top

This thread talks about who is out but doesn't mention who is still in. One of the bigger carriers still in the MA PFFS space is CIGNA. In fact, they've already shared their 2010 plan filing with producers and appear to be aggressively pursuing the PFFS business.
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Old 07-06-2009, 01:55 PM   #11
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Re: Another Medicare Advantage Plan Has Left the Building.             Go to Top

Humana is sticking around.
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Old 07-06-2009, 02:50 PM   #12
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Originally Posted by LoriRutl View Post
Humana is sticking around.
I understood that this decision is still pending. MarketPoint was hoping the PFFS plans would hang around for another year.

Do we have a final decision?

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Old 07-06-2009, 03:24 PM   #13
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Plans have already been filed for next year's PFFS. We will have it at least one more year unless the gov't says otherwise.
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Old 07-06-2009, 04:09 PM   #14
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Still waiting for UHC. Any word from them?

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Old 07-06-2009, 06:16 PM   #15
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Secure Horizons still on board for PFFS..per my source.
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Old 07-06-2009, 07:52 PM   #16
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Al,

When a carrier no longer offers a plan, it does create a SEP for Med Supps. While not 6 months, they do have a guarantee issue period for Med Supps.

Originally Posted by al3 View Post
Huh? Medicare is ALREADY nationalized health care.

While I don't sell MAPD, I like them for those who can't get a Med Supp due to cost or UW.

My hope is that IF the government dumps MA that they will creat a SEP (say six month) for those on MA to buy GI Supps. That would be a good market, at least in my area. YMMV.

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Old 07-07-2009, 09:21 AM   #17
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My hope is that IF the government dumps MA that they will creat a SEP (say six month) for those on MA to buy GI Supps. That would be a good market, at least in my area. YMMV.

[COLOR=red]IF[/COLOR][COLOR=black] my memory serves me right, about 10 years ago there was a similar program called Med-choice. When those plans were discontinued, folks had the usual 63 days to hunt another replacement. [/COLOR]

I suspect this rule will hold for SEP in the future .
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Old 07-07-2009, 09:44 AM   #18
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Originally Posted by policy doctor View Post
My hope is that IF the government dumps MA that they will creat a SEP (say six month) for those on MA to buy GI Supps. That would be a good market, at least in my area. YMMV.

[COLOR=red]IF[/COLOR][COLOR=black] my memory serves me right, about 10 years ago there was a similar program called Med-choice. When those plans were discontinued, folks had the usual 63 days to hunt another replacement. [/COLOR]

I suspect this rule will hold for SEP in the future .
That is the rule.

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