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


Fewer shoppers chosen $0 premium Medicare Benefit plans in 2023 in comparison with final yr, new from medical health insurance market eHealth exhibits.

In 2023’s enrollment interval, 84% of eHealth prospects 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 recognition in $0 premium plans has decreased since eHealth began conducting the report in 2018, when 63% of shoppers chosen a no-premium plan.

“The widespread availability of $0-premium Medicare Benefit plans was a serious enrollment driver over the previous decade. The avoidance of a month-to-month premium, coupled with the enriched advantages and worth proposition relative to authentic Medicare has made these plans standard, notably with seniors on a hard and fast funds,” stated eHealth CEO Fran Soistman in a . “Our findings recommend the market could also be absolutely saturated with zero-dollar premium plans, with extra beneficiaries choosing 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 obtained by eHealth between October 15 and December 7 (the 2023 enrollment interval). The Santa Clara, California-based firm gives 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% improve from $6 in 2022. That is the second yr 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 on account of $0 premium plans, eHealth stated 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 yr, representing a forty five% improve. That is additionally the second yr in a row there was a rise, and it’s the very best the typical premium has been since 2018, partially on account of “protection of latest expensive medicine,” eHealth stated.

Medicare Complement common premiums decreased for the primary time since 2018, nevertheless, to $173 per thirty 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.

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