Health Insurance Blog

Based solely on national market share, the “top”  (i.e. largest membership base) Medicare Supplement providers in the country in 2008-2009 were as follows:

1.  United Healthcare (driven by AARP contract) 29% market share

2.  Wellpoint  8%

3.  Mutual of Omaha 6%

4.  Health Care Services Corp.  5%

5.  Conseco 4%

As you can see, the five largest carriers account for 52% market share, and the remaining 48% is captured by dozens if not hundreds of smaller companies.

When Medicare Advantage and other Medicare products are factored into the mix, like prescription drug plans (PDP), the top four companies would be AARP, Humana, Wellpoint and Universal American respectively.

The five largest New Jersey health insurance companies and five physician groups have launched a pilot program to reduce administrative costs by allowing hospitals and physicians to communicate directly with health plans and address administrative tasks through a web portal.

The pilot is sponsored by AHIP and the Blue Cross Blue Shield Association.  If the pilot proves successful and can be rolled out nationally, representatives from AHIP believe hundreds of billions of dollars can be saved annually.

The participating health plans include:Aetna, Amerihealth, Horizon BCBS, CIGNA, and United Healthcare.
AHIP undertook a similar pilot with Ohio health plans in October.  That pilot program is still underway.

Oxford Health Insurance Plans are now available to New York area small businesses as a result of a new partnership between UnitedHealthCare and HealthPass.

The health plans are available to New York area small businesses with between 2 and 50 employees.  The health plan options offered by Oxford provide a variety of plan designs including in-network and out-of-network options, as well as the option of requiring a referral for specialist visits.  Routine preventive care and laboratory services will be covered in-network at no charge.

HealthPass enables eligible small business employees to select their own health insurance coverage  that fits their medical needs and budgets.

HealthPass offers more than 25 different health plan options from New York’s leading health insurance carriers including:

EmblemHealth, GHI, HIP Health Plan of New York, and now Oxford Health Plan.

More information about New York individual health insurance options.

The online AARP Bulletin Today has a plethora of health care reform information for their members to sort through.  Many members are fearful of how their medicare and AARP Medicare supplements will be affected by health care reform if it passes.  The article “Lost in the Rhetoric: New Gains for Medicare Beneficiaries” by Susan Jaffe clears up some of the confusion.

The article points out that proposed legislation could offer additional benefits and more flexibility for improved Medicare.  Both the House and Senate health care bills would reduce overpayments to private insurance companies offering Medicare Advantage plans.  In the Senate bill there is a provision that guarantees that no basic Medicare benefits would be removed and that the savings are to be used to improve health care.

There are also some additional benefits being added to Medicare for free.  These include mammograms and colonoscopies, two of the most important tests for seniors.  There will also be annual medical checkups for Medicare beneficiaries free of charge.  Overall the proposed bills are trying to make Medicare and individual health insurance simpler and more affordable for Americans.  It’s still in a wait and see stage.

In US News and World Reports recent ranking of the the nations top health insurance plans, CIGNA HealthCare Mid-Atlantic was rated as the top health plan in Virginia.  The US News rankings are based on member satisfaction, as well as their effectiveness in both preventing and treating illnesses.

According to the report the top 5 Commercial Health Plans in Virginia were:

1. CIGNA HealthCare Mid-Atlantic
2. Optima Health Plan
3. Southern Health Services
4. Kaiser Foundation Health Plan of the Mid-Atlantic States
5. UnitedHealthcare Plan of the River Valley

CIGNA HealthCare Mid-Atlantic ranked 42nd nationally out of more than 600 health plans that participated in the report.

More information about Virginia health insurance.

The article “How Do You Choose the Best Medigap Policy” found on Todaysseniors.com, shares some helpful information for today’s senior citizens when choosing Medicare suppplement insurance.

There are dozens of Medigap plans out there, from UnitedHealth Care’s Secure Horizons, to AARP so it’s hard to tell what is the best value.  The good thing to know is that with each Medicare supplement plan, benefits are the same with each company.  Salesmen may try to imply otherwise, but this is mandated by the government.  Premiums can vary significantly though, so it’s important to shop around. 

The most ideal time to shop around for a Medicare supplement insurance plan is during the first 6 months after enrolling in Medicare Part B.  This is the time where insurance companies have to accept you regardless of any pre-existing conditions.  Paying a high rate for a standardized Medicare supplement plan will not get you anything more.  Their benefits are the same and so are their claim filing requirements.  Familiarize yourself with each of the different plans, understanding that Plan A has the fewest benefits with the lowest cost whereas Plan J has the most benefits and is the most expensive.

Blue Cross Blue Shield of Michigan (BCBSM) doesn’t advertise their Medicare Supplement plans because they are such money losers for the company.  BCBSM has a dominant market position with nearly 60% market share, and the second largest Medicare Supplement membership rests with United Healthcare who maintains just under 20% of the market.

Several other health insurance carriers in Michigan are trying to take advantage of the fact that BCBSM’s is not marketing their plans aggressively by launching products of their own in Michigan in 2010.  Priority Health, Aetna, and Blue Care Network (a subsidiary of BCBSM), will all launch Medicare Supplement offerings to Michigan residents in 2010.  In addition, Health Alliance Plan began selling Medicare Supplements in 2008.

More information about Michigan health insurance.

Health Care Lane is a new and interactive website where experts explain health insurance topics offered by UnitedHealthcare health insurance according to their Newsroom on uhc.com.  Health Care Lane enables an online community to get common health insurance questions answered quickly.

Health Care Lane was launched in time for open enrollment and offers help with selecting the right health insurance plan and understanding health insurance quotes.  The straightforward conversations are designed to be user friendly and easy to understand. 

Not only is Health Care Lane available to UnitedHealthcare members, but it’s also offered to anyone interested in learning more about health care topics.  Visitors can learn about simple topics such as the definition of a premium or more complex topics such as the benefits of a Health Savings Account.  This site is a great opportunity for consumers to educate themselves on the many facets of health insurance, now more than ever as the health care system is up for debate. 

When JD Power & Associates rated the top health plans in Pennsylvania, they also included Delaware in a region which included both Pennsylvania & Delaware.  However, of the eleven private health insurance companies that were included in the study and part of this region, eight of them where Pennsylvania health plans, and the three that weren’t exclusively Pennsylvania plans (Aetna, CIGNA, and UnitedHealthCare) did not factor into consideration among the top plans and were all rated as being below average in overall experience.

According to the study, the top health insurance plan in Pennsylvania was Highmark Blue Cross Blue Shield, which was also judged to be one of the best the nation has to offer.  Finishing a close second to Highmark BCBS, was another Highmark inc. company and Blue Cross Blue Shield Licensee Highmark Blue Shield.

Highmark BCBS serves health insurance customers in Western Pennsylvania, while Highmark Blue Shield serves Central PA.

Other Pennsylvania health plans that fared particularly well in the study include Capital BlueCross and Geisinger Health Plan, both were rated above average.

In JD Power & associates 2009 rankings of the top health plans in Ohio, Medical Mutual took top honors.  Based on JD Power surveys, Medical Mutual of Ohio is among the best health plans in the country.

Humana is the 2nd best health plan in Ohio according to this study of well over 100 health plans nationally, and also among the best in the country.  Other Ohio health plans that were rated include:  Anthem Blue Cross Blue Shield & Aetna which were both rated as average, and CIGNA & UnitedHealthCare which were rated as below average.

More information about Ohio health insurance.

US News Top Ohio Health Plans