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BumRushDaShow

(161,018 posts)
Thu Oct 2, 2025, 08:04 AM 20 hrs ago

UnitedHealthcare, other insurers to scale back Medicare Advantage plans

Source: Yahoo! News/KMSP-TV Minneapolis

Wed, October 1, 2025 at 10:50 PM EDT


(FOX 9) - UnitedHealth said on Wednesday that it plans to withdraw Medicare Advantage coverage from nearly four dozen Minnesota counties, a move it blamed on Medicare funding cuts.
UnitedHealth to stop offering Medicare Advantage plans in parts of Minnesota

What we know

Eden Prairie-based UnitedHealth said it plans to reduce its Medicare Advantage footprint from 72 to 27 counties. It said the decision would affect about 20% of its Medicare Advantage subscribers statewide. The insurer said the impacts will disproportionately impact southern Minnesota but did not specify why.

The reason

UnitedHealth blamed the decision on "funding pressures," specifically federal funding cuts to the Centers for Medicare and Medicaid Services.

What are the options

Medicare Advantage plan subscribers who lose their coverage will automatically be covered under Original Medicare. But that program does not include prescription drug coverage or other additional benefits that come with Medicare Advantage plans. If a current subscriber wants to find another Medicare Advantage plan, they can do so online or with the help of an agent.

Read more: https://www.yahoo.com/news/articles/unitedhealthcare-other-insurers-scale-back-025059118.html



I heard about this on the radio this morning and it was apparently buried by the M$M in the midst of the shutdown fiasco (i.e., not readily available as a link on their main pages, although apparently some impacted localities reported it on their local news sites).

The total counties nationwide that I saw (stories outside of LBN criteria) was 109.
23 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
UnitedHealthcare, other insurers to scale back Medicare Advantage plans (Original Post) BumRushDaShow 20 hrs ago OP
Trump needs the money for his stunts, golf, and ballroom. Irish_Dem 20 hrs ago #1
This shouldn't surprise anyone FakeNoose 20 hrs ago #2
Damn good question! By putting "Medicare" in the name they succeed in convincing people they need it... Rhiannon12866 20 hrs ago #4
It is "Medicare Part C", established by the weasle John Kaisich under Clinton BumRushDaShow 20 hrs ago #7
The real reason they call it "Medicare Advantage" meow2u3 17 hrs ago #20
The advantages can outweigh the costs as long as you're not sick bucolic_frolic 20 hrs ago #3
Urban areas? Because southern MN voted red. kerouac2 20 hrs ago #5
I don't think this is politics House of Roberts 17 hrs ago #19
"What are the options?" area51 20 hrs ago #6
Only Minnesota? mdbl 19 hrs ago #8
No. BumRushDaShow 19 hrs ago #9
But it's just become Open Season dweller 19 hrs ago #10
Expect It To Happen Elsewhere... GB_RN 18 hrs ago #11
Every year come the attacks DownriverDem 18 hrs ago #12
Yes, You Need RobinA 18 hrs ago #13
And . . . AverageOldGuy 18 hrs ago #14
You can, but you can't get supplemental insurance Demobrat 17 hrs ago #17
I could be wrong, I'm only 59 and not well versed in Medicare matters InstantGratification 17 hrs ago #18
You are correct. Demobrat 11 hrs ago #22
No, You Don't RobinA 11 hrs ago #23
That's all Part C RainCaster 17 hrs ago #15
Silver lining for some people. Demobrat 17 hrs ago #16
This is another of a million reasons to NEVER vote for ANY republiCON wolfie001 16 hrs ago #21

Irish_Dem

(75,644 posts)
1. Trump needs the money for his stunts, golf, and ballroom.
Thu Oct 2, 2025, 08:08 AM
20 hrs ago

And his offshore grifting accounts.

FakeNoose

(38,832 posts)
2. This shouldn't surprise anyone
Thu Oct 2, 2025, 08:09 AM
20 hrs ago

The whole purpose of "Medicare Advantage" is making profits, not helping people.

It's not Medicare, and there's no Advantage ... so why do they call it "Medicare Advantage"?

Rhiannon12866

(244,050 posts)
4. Damn good question! By putting "Medicare" in the name they succeed in convincing people they need it...
Thu Oct 2, 2025, 08:20 AM
20 hrs ago

BumRushDaShow

(161,018 posts)
7. It is "Medicare Part C", established by the weasle John Kaisich under Clinton
Thu Oct 2, 2025, 08:30 AM
20 hrs ago
H.R.2015 - Balanced Budget Act of 1997

(snip)

Title IV: Medicare, Medicaid, and Children's Health Provisions - Subtitle A: Medicare+Choice Program - Chapter 1: Medicare+Choice Program - Amends title XVIII (Medicare) of the Social Security Act (SSA) to establish a Medicare+Choice program under which each Medicare+Choice eligible individual (one entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance)) is entitled to elect, in accordance with certain procedures, to receive Medicare benefits either through the original Medicare fee-for-service program or through a Medicare+Choice plan.

(snip)


that was renamed by the criminal Denny Hastert under Shrub -

H.R.1 - Medicare Prescription Drug, Improvement, and Modernization Act of 2003

(snip)

Provides for these options to be offered through both: (1) a new Medicare part C Medicare Advantage (MA) program that integrates basic medical coverage with added prescription drug coverage, including coverage through specialized MA plans for special needs individuals; and (2) a new separate, stand-alone Medicare Prescription Drug plan (PDP) program under Medicare part D that relies on private plans to provide coverage and to bear a portion of the financial risk for drug costs.

(snip)


I think the original intent was to get some kind of prescription drug benefit for Medicare and the compromise was to also add an option for a non-governmental 3rd party "choice" thing. I.e., an attempt to plant the seeds for privatizing Medicare completely.

meow2u3

(25,214 posts)
20. The real reason they call it "Medicare Advantage"
Thu Oct 2, 2025, 11:26 AM
17 hrs ago

They take advantage of people on Medicare.

Think about it. They load "benefits" such as free gym membership and money for over the counter meds on the front end only to deny claims when the time comes for a patient to need more expensive benefits such as necessary surgery or chronic care on the back end.

bucolic_frolic

(52,589 posts)
3. The advantages can outweigh the costs as long as you're not sick
Thu Oct 2, 2025, 08:18 AM
20 hrs ago

The fact they can enter markets and cancel at whim confirms the profit motive.

Honestly I have no plans to see a doctor until I'm 109. Then we're having a press conference.

Actual YouTube physicians are spinning excellent medical advice. They're not managing you, they have knowledge. Their lawyers and your insurer are not in the room with you. It's about as unfettered as it gets in medical terms.

kerouac2

(1,300 posts)
5. Urban areas? Because southern MN voted red.
Thu Oct 2, 2025, 08:25 AM
20 hrs ago

In the 2024 presidential election, counties in southern Minnesota largely voted for Republican candidate Donald Trump, although some urban areas in the region voted for Democrat Kamala Harris. Overall, Harris won the state of Minnesota, but Trump saw a shift toward Republican voting in many counties.

House of Roberts

(6,259 posts)
19. I don't think this is politics
Thu Oct 2, 2025, 11:10 AM
17 hrs ago

but it is certainly profits.
My take is that the loss of Medicaid means providers will cease serving low income mostly rural areas, which will lead to worse health outcomes in these areas. That translates to sicker people needing more expensive care which will run Advantage plans in these areas into the red. They're pulling out to get away from the anticipated losses.

area51

(12,460 posts)
6. "What are the options?"
Thu Oct 2, 2025, 08:29 AM
20 hrs ago

The options include transitioning to universal healthcare, but it won't happen w/o massive public effort.

BumRushDaShow

(161,018 posts)
9. No.
Thu Oct 2, 2025, 09:35 AM
19 hrs ago

But that was the only article mentioning the upcoming changes that I found that fit within the LBN 12-hour criteria.

Since "Open Season" is coming up for health insurance, including Medicare, etc (outside of those "life-changing events" like job moves, marriage, births, etc), then a focus is starting about what changes have happened over the past year.

Apparently the articles haven't enumerated the states but I just spotted an article indicating that it is also impacting counties in VT - Tens of thousands Vermonters are set to lose Medicare Advantage option in 2026

dweller

(27,234 posts)
10. But it's just become Open Season
Thu Oct 2, 2025, 09:42 AM
19 hrs ago

And the ads should be soon running 24 hours a day on the television and the telemarketers are calling NOW and all you need is YOUR ZIP CODE !!
CALL NOWWWW




✌🏻

GB_RN

(3,444 posts)
11. Expect It To Happen Elsewhere...
Thu Oct 2, 2025, 10:01 AM
18 hrs ago

Even though it may not be widely reported. I would also anticipate that, given Cantaloupe Caligula the Corpulent’s penchant for 1) punching below the belt and 2) his need to get revenge on his perceived “enemies,” this will primarily happen in Blue states and/or Blue areas in Red states.

DownriverDem

(6,908 posts)
12. Every year come the attacks
Thu Oct 2, 2025, 10:31 AM
18 hrs ago

Many of us picked what was best at the time. If on regular Medicare, don't you need a supplemental and drug plan? Not everyone can afford that.

RobinA

(10,442 posts)
13. Yes, You Need
Thu Oct 2, 2025, 10:40 AM
18 hrs ago

supplemental. Ignore the attacks, most of them are uninformed and/or using worst case scenarios.

AverageOldGuy

(3,019 posts)
14. And . . .
Thu Oct 2, 2025, 10:49 AM
18 hrs ago

If u left traditional Medicare to go to Medicare Advantage, my understanding is you cannot re-enroll in traditional Medicare.

Demobrat

(10,216 posts)
17. You can, but you can't get supplemental insurance
Thu Oct 2, 2025, 11:00 AM
17 hrs ago

to cover the 20% not covered by Medicare without giving them your medical history.
So if you have pre-existing conditions they can turn you down or charge unaffordable premiums.

18. I could be wrong, I'm only 59 and not well versed in Medicare matters
Thu Oct 2, 2025, 11:06 AM
17 hrs ago

My understanding is the Medicare Advantage plans are generally cheaper than Medicare and don't require Gap Insurance plans to cover the 20% that Medicare doesn't. They are often better than Medicare when you are on the younger/healthier end of your life cycle. As you age and require more care, being for-profit businesses, they begin finding creative ways to deny coverage or delay it so long that you give up and do without the procedure.

As to re-enrollment in traditional Medicare, I have zero experience there, but I've been told you can do it. The problem is Medicare and the gap plans to cover your 20% is often more expensive. Plus, by that time people often have difficulty getting gap insurance because of pre existing conditions.

I hope someone else can add or or correct this.

Demobrat

(10,216 posts)
22. You are correct.
Thu Oct 2, 2025, 04:51 PM
11 hrs ago

Advantage plans can work out as long as the care you need is in the network, and accessible. You must get pre-approval to see a specialist. UHC turns down over 30% of these requests. So yes, as long as you pretty much need only routine checkups, they’re fine.
If you go that route you must check every year to make sure your providers are still in the plan. They change all the time.

RobinA

(10,442 posts)
23. No, You Don't
Thu Oct 2, 2025, 04:57 PM
11 hrs ago

need approval to see a specialist unless you have an HMO. Which applies to all HMOs, not just Medicare.

Demobrat

(10,216 posts)
16. Silver lining for some people.
Thu Oct 2, 2025, 10:52 AM
17 hrs ago

They can get out of their Advantage Plan and back on original Medicare with a supplement without answering health questions if they lose their AP this way.

wolfie001

(6,241 posts)
21. This is another of a million reasons to NEVER vote for ANY republiCON
Thu Oct 2, 2025, 12:08 PM
16 hrs ago

Unfortunately, his cult members are too stupid to figure any of this sh7t out. I know I'm preaching to the crowd, but I need to just say it. We never should have wasted Medicare resources on these predatory private companies. Basically, a shakedown for Government dollars. Pigs at the trough.

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