More than 36,000 Mainers are poised to be dropped from their Medicare Advantage plans in January, as insurers exit certain parts of the state or cut some statewide plans entirely, according to the Maine Bureau of Insurance.<\/p>\n
Insurance companies will notify individual members about changes to their coverage. Those who receive notices of termination should hold onto that record, the bureau said in a Friday release.<\/p>\n
Individuals whose plans are expiring should enroll in new Medicare Advantage or Medicare Supplement plans during the annual open enrollment period from Oct. 15 to Dec. 7 to avoid a lapse in coverage, the bureau said.<\/p>\n
The cuts will impact at least 36,875 Mainers, said Joanne Rawlings, director of the bureau\u2019s consumer health care division.<\/p>\n
\u201cWe\u2019re still waiting on one carrier, (Humana),\u201d Rawlings said Friday afternoon. \u201cBut based on the information that we have, that\u2019s the number.\u201d<\/p>\n
That figure represents about one in every six Medicare Advantage members in the state, according to according to the data from KFF<\/a>, a health policy research center. There were about 212,000 Mainers on the plans in 2024, the latest year for which data is available.<\/p>\n<\/p>\n Martin\u2019s Point plans make up the majority of the terminations, according to a list provided by the bureau. Between its Generations Advantage Prime, Generations Advantage Value Plus and Generations Advantage Select plans, the company will terminate coverage for more than 28,000 members, according to a breakdown provided by the bureau.<\/p>\n A spokesperson for Martin\u2019s Point did not immediately return an emailed request for comment on why it is terminating the plans.<\/p>\n A list of Medicare Advantage plans that will still be available in 2026, by county, is available on the bureau\u2019s website<\/a>.<\/p>\n Medicare Advantage members whose plans are being terminated can also select Medicare Supplement<\/a> plans, also known as Medigap, which can help cover out-of-pocket costs<\/a> for services covered by original Medicare plans.<\/p>\n Members with questions can call the State Health Insurance Program at 1-877-353-3771 weekdays from 8 a.m. to 4:30 p.m. The federal Center for Medicaid and Medicare Services can be reached 24\/7 at 1-877-486-2048.<\/p>\n","protected":false},"excerpt":{"rendered":"More than 36,000 Mainers are poised to be dropped from their Medicare Advantage plans in January, as insurers…\n","protected":false},"author":2,"featured_media":233105,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-233104","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/233104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=233104"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/233104\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/233105"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=233104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=233104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=233104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}