Aep data in .Unh added the most . Mapd growth slowed .

[DonP]

Slowest mapd growth in a long time . Only 3% . One surprise I saw is devoted actually lost membership

 

[MichFlor]

Centene/Wellcare was down 5%. What a shame!

 

[sman]

Slowest mapd growth in a long time . Only 3% . One surprise I saw is devoted actually lost membership

I just replaced two Devoted plans. They were referrals who called me. The agent they used in prior years enrolled them in Devoted for 2025 because of the high Part B reimbursement. The local hospital and medical groups are not in-network. While the Devoted plan has the same copays for in and out of network, two of these members doctors will not accept it. This is why networks are important and why we should always check the doctors of our clients. I asked them if the agent got a list of their doctors to make sure they were in network or would accept the plan:

"No, she said we can go to any doctor and the copays would be the same"

Had the agent done her due diligence, she could have avoided losing two clients AND getting a full chargeback.

Wasn't surprised to see the drops with Aetna and Humana given that they cancelled plans. I moved a good bit of my Aetna cancelations over to UHC. A handful wanted to stay with Aetna. But Aetna also did themselves no favors with the Rx changes for the likes of Eliquis and Xarelto. And Humana is doing themselves no favors with the high out of pocket max limits and extra medical deductible for certain services. Yes I know, there's a tiny percentage who ever come close to reaching max out of pocket limits. But if I can give me client comparable benefits while limiting their max limit to $6k-$7k vs $9,300, I'll go with the lower max out of pocket plan every time as long as their doctors are in network and prescription costs are similar or lower.

 

[Chazm]

Devoted is cooked. They hyped their plan so much. And pretty much lost most of their clients in Florida in 2025. Their network vanished, and their HMO benefits are on par with PPOs from huge companies.

 

[axeman462]

Devoted is cooked. They hyped their plan so much. And pretty much lost most of their clients in Florida in 2025. Their network vanished, and their HMO benefits are on par with PPOs from huge companies.

i was thinking the same thing. wouldn't be surprised if we have another receivership SEP for them soon, like we did with PUP 10 years ago.

 

[DonP]

I just replaced two Devoted plans. They were referrals who called me. The agent they used in prior years enrolled them in Devoted for 2025 because of the high Part B reimbursement. The local hospital and medical groups are not in-network. While the Devoted plan has the same copays for in and out of network, two of these members doctors will not accept it. This is why networks are important and why we should always check the doctors of our clients. I asked them if the agent got a list of their doctors to make sure they were in network or would accept the plan:

"No, she said we can go to any doctor and the copays would be the same"

Had the agent done her due diligence, she could have avoided losing two clients AND getting a full chargeback.

Wasn't surprised to see the drops with Aetna and Humana given that they cancelled plans. I moved a good bit of my Aetna cancelations over to UHC. A handful wanted to stay with Aetna. But Aetna also did themselves no favors with the Rx changes for the likes of Eliquis and Xarelto. And Humana is doing themselves no favors with the high out of pocket max limits and extra medical deductible for certain services. Yes I know, there's a tiny percentage who ever come close to reaching max out of pocket limits. But if I can give me client comparable benefits while limiting their max limit to $6k-$7k vs $9,300, I'll go with the lower max out of pocket plan every time as long as their doctors are in network and prescription costs are similar or lower.

That's why I never sold any devoted . It's the network .I always check drs and in many instances I make the client call if I don't see them on the list . United ,Aetna and Humana have stout networks in many states . I refuse ti sell small carriers as I'd rather lose a sale than mess with a carrier that has narrow network and will screw around with claims