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Enrollment in MA Plans With $0 Premiums Is on the Decline, Report Finds


Fewer customers chosen $0 premium Medicare Benefit plans in 2023 in comparison with final 12 months, new analysis from medical health insurance market eHealth reveals.

In 2023’s enrollment interval, 84% of eHealth clients selected an MA plan with a $0 month-to-month premium, versus 87% in 2022, eHealth’s annual Medicare Index Report discovered. That is the primary time reputation in $0 premium plans has decreased since eHealth began conducting the report in 2018, when 63% of consumers chosen a no-premium plan.

“The widespread availability of $0-premium Medicare Benefit plans was a significant enrollment driver over the previous decade. The avoidance of a month-to-month premium, coupled with the enriched advantages and worth proposition relative to unique Medicare has made these plans fashionable, significantly with seniors on a set funds,” mentioned eHealth CEO Fran Soistman in a information launch. “Our findings recommend the market could also be absolutely saturated with zero-dollar premium plans, with extra beneficiaries deciding on Medicare Benefit premium-bearing plans that present decrease out-of-pocket prices.”

The eHealth report, revealed final week, analyzed greater than 160,000 purposes for Medicare insurance coverage merchandise acquired by eHealth between October 15 and December 7 (the 2023 enrollment interval). The Santa Clara, California-based firm affords Medicare Benefit, Medicare Complement, Medicare Half D, particular person, household, small enterprise and ancillary plans from about 200 well being insurers.

It additionally discovered that the typical month-to-month premium for Medicare Benefit plans was $9 in 2023, a 50% enhance from $6 in 2022. That is the second 12 months in a row that eHealth discovered a rise in common month-to-month premiums for Medicare Benefit plans. Nonetheless, that is nonetheless thought-about fairly low as a result of $0 premium plans, eHealth mentioned within the report.

Medicare Half D plans noticed a rise in common month-to-month premiums as properly. In 2023, the typical month-to-month premium for Medicare Half D plans was $32 a month in comparison with $22 a month final 12 months, representing a forty five% enhance. That is additionally the second 12 months in a row there was a rise, and it’s the best the typical premium has been since 2018, partially as a result of “protection of recent pricey medicine,” eHealth mentioned.

Medicare Complement common premiums decreased for the primary time since 2018, nevertheless, to $173 per 30 days in 2023 from $178 in 2022. In 2018, the typical month-to-month premium was $142.

Common deductibles additionally fell for Medicare Benefit and Half D plans, although not for Medicare Complement plans. In 2023, the typical deductible was $103 for Medicare Benefit plans, $389 for Medicare Half D plans and $241 for Medicare Complement plans. In 2022, the typical deductible was $121, $427 and $181, respectively.

Picture: designer491, Getty Photos

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