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    industry updates9

    Important and up to date news regarding the insurance industry.

    Medicare Advantage: What Is Changing For Beneficiaries with End-Stage Renal Disease (ESRD) in 2021?

    ESRD, or kidney failure, affects more than 500,000 Medicare beneficiaries. These individuals are not currently eligible to enroll in the MA program but may be covered by an MA plan if they developed ESRD after enrollment or were grandfathered through employer-sponsored coverage. Currently, 130,000 people with ESRD, or 25% of this population on Medicare, have coverage through an MA plan.

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    Lower Out-of-Pocket Insulin Costs For Medicare's Seniors

    Today, under President Trump’s leadership, the Centers for Medicare & Medicaid Services (CMS) announced that over 1,750 standalone Medicare Part D prescription drug plans and Medicare Advantage plans with prescription drug coverage have applied to offer lower insulin costs through the Part D Senior Savings Model for the 2021 plan year. Across the nation, participating enhanced Part D prescription drug plans will provide Medicare beneficiaries access to a broad set of insulins at a maximum $35 copay for a month’s supply, from the beginning of the year through the Part D coverage gap. The model follows on the Trump Administration’s previously announced 13.5% decline in the average monthly basic Part D premium since 2017 to the lowest level in seven years.

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    Attention UnitedHealthcare Agents!

    Beginning April 3, 2020, and continuing through May, UnitedHealthcare began sending new base contracts in an email from UnitedHealthcare Medicare Solutions Contracting. The new consolidated contract incorporates all contract changes incorporated in recent years by amendments, and contains minor changes to clarify terms.

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    UnitedHealthcare's Summer Sales Incentive

    UnitedHealthcare's Summer Sales Incetive runs from May 18th, 2020 through August 31st, 2020!

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    Watauga Medical Center and Cannon Memorial Hospital Now In-Network

    Effective May 1, 2020, Watauga Medical Center and Cannon Memorial Hospital, are in-network for UnitedHealthcare Medicare Advantage (MA) members.  

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