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Healthcare


BIG HEALTH INSURERS WILL EXPAND MEDICARE ADVANTAGE TO HUNDREDS OF NEW COUNTIES
FOR 2023

Bruce Japsen
Senior Contributor
Opinions expressed by Forbes Contributors are their own.
I write about healthcare business and policy
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Health insurance companies that are big players in Medicare Advantage, including
CVS Health’s Aetna ... [+] unit, Cigna, UnitedHealth Group and Humana are
launching popular plans in several new states and hundreds of new counties for
2023. This Nov. 8, 2018 file photo shows a page from the 2019 U.S. Medicare
Handbook in Washington. (AP Photo/Pablo Martinez Monsivais, File)

ASSOCIATED PRESS

Health insurance companies that are big players in Medicare Advantage, including
Humana, Cigna, CVS Health’s Aetna unit, Elevance Health and UnitedHealth Group
are launching popular plans in several new states and hundreds of new counties
for 2023.




Aetna, which is in 1,875 counties and 46 states plus Washington, D.C. with 3.2
million Medicare Advantage enrollees today is expanding to 2,014 counties and 46
states plus Washington, D.C.



Meanwhile, the UnitedHealthcare health insurance unit of UnitedHealth Group,
says its “total individual MA footprint will grow by 184 counties – from 2,629
counties in 2022 to 2,798 counties in 2023 – across 49 states and the District
of Columbia.” Elevance Health, formerly Anthem, said its affiliated plans are
available in 732 counties in 24 states and Puerto Rico. “The company has more
than 1.6 million Medicare Advantage enrollees and is expanding to include 210
new counties for next year,” an Elevance Health spokesman said.



Cigna said it will grow its Medicare Advantage “geographic footprint” for 2023
by 22%. Cigna, which is in 477 counties in 26 states and Washington, D.C., with
more than 500,000 Medicare Advantage enrollees, is expanding and will be offered
in 581 counties in 28 states and Washington, D.C. for next year.



PROMOTED



And Humana will launch plans in two states and 140 new counties for 2023. With
the expansion, Humana said its wide array of Medicare Advantage plans, which
include health maintenance organizations and preferred provider organizations,
can be accessed in 91% of the U.S. UnitedHealthcare is expanding “its service
area to reach 95% of Medicare consumers nationwide.”



“More than 8.2 million people are currently enrolled in UnitedHealthcare
Medicare Advantage plans, and more than a third of all Medicare Advantage
enrollment growth over the past five years, including 2022, has been through
UnitedHealthcare,” the health insurer said.

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All of this market growth is a sharp contrast from a few years ago when Medicare
Advantage was unavailable in large swaths of the country.

But the program is one of the few areas of healthcare and U.S. policy in general
that has bipartisan support in Congress.



Medicare Advantage plans contract with the federal government to provide extra
benefits and services to seniors, such as disease management and nurse help
hotlines with some also offering vision, dental care and wellness programs. And
in recent years, the Centers for Medicare & Medicaid Services has allowed
Medicare Advantage plans to cover more supplemental benefits, adding to their
popularity among seniors.

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Across the country, health insurers have escalated expansions into new areas,
pushing Medicare Advantage enrollment to record highs. Medicare Advantage plans
added more than 2 million beneficiaries for this 2022 coverage year, boosting
the program to 45% of all Medicare enrollment, according to a study earlier this
year by The Chartis Group.

The more established health insurers like Cigna, Aetna, UnitedHealthcare, Humana
and Elevance Health are more recently running into competition with regional
Medicare Advantage plans and startups have been offering Medicare Advantage.

To better compete, the bigger plans are spending huge amounts to bolster their
benefit offerings and provider networks. Humana, for example, earlier this year
launched a $1 billion “Project Growth” initiative to strengthen its Medicare
Advantage plans for 2023.

With the expansions, Humana Medicare Advantage plans will be in 49 U.S. states
plus Puerto Rico and 2,877 counties. That compares with 47 U.S. States and
Puerto Rico and a total of 2,737 counties.

Humana said its 2023 offerings — which will be listed along with other plans
during open enrollment that begins Oct. 15 and lasts until Dec. 7 — will include
“$0 premiums, dental and Rx benefit enhancements, new allowances, a USAA
co-branded plan, and simplified access to prescriptions offer more options for
beneficiaries.”

“When you sum up what Humana is offering this year, it’s as simple as this: Our
members spoke, and we listened,” said George Renaudin, Medicare President for
Humana. “We conducted extensive research to ensure our changes align with
consumer wants and needs. This research resulted in investments focused on what
consumers want, like dental coverage, which is consistently a #1 priority in
supplemental benefits for our members.”


Follow me on Twitter or LinkedIn. Check out my website or some of my other
work here. 
Bruce Japsen
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I've written about health care for three decades, starting from my native Iowa
where I covered the presidential campaign bus rides of Bill and Hillary Clinton
through

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SHARE: ARIELA SAFIRA ON THE ADVANTAGES OF BEING A YOUNG ENTREPRENEUR


ARIELA SAFIRA IS THE FOUNDER AND CEO OF MENTAL HEALTH PLATFORM REAL.

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