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Passages

(1,381 posts)
Thu Dec 12, 2024, 08:33 AM Thursday

How AARP Shills for UnitedHealthcare

Today on TAP: Why does the supposed advocate for the elderly steer them to the industry’s worst insurer?

by Robert Kuttner December 11, 2024


We still don’t know quite why the assassin of Brian Thompson targeted the CEO of UnitedHealthcare. But it’s hardly a secret that UnitedHealthcare has the worst record among all large insurers in denying necessary medical care to its subscribers.

The data confirm what far too many patients experience. In 2023, UnitedHealth’s denial rate of claims was 32 percent, compared to an industry average of 16 percent. Nonprofits had a far better record than for-profits.

I had assumed that UnitedHealth’s business model was to lowball premiums and then more than make up the profit by denying claims. But it’s even worse than that.

SNIP

Why on earth would consumers buy such a flawed insurance product? It helps if they are captive customers, steered to UnitedHealth by a trusted source.

That would be AARP.

https://prospect.org/blogs-and-newsletters/tap/2024-12-11-how-aarp-shills-for-unitedhealthcare/

Shameful
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How AARP Shills for UnitedHealthcare (Original Post) Passages Thursday OP
The shilling started under Dub... Hugin Thursday #1
That is more due to their Advantage Care plans, because their Medigap supplemental plans do not have that issue. JohnSJ Thursday #2
Does AARP steer any customers toward UHC's medigap plans? EYESORE 9001 Thursday #3
In reality, that's it. The Advantage plans take over Medicare basic coverage, and that is where they have full control JohnSJ Thursday #5
Yep...all those part B premium $$ (auto-deducted from Social Security checks) stop being held by the allegorical oracle Thursday #15
and with Oz head of Medicare, everyone on Medicare, no matter whether they have a supplemental or not is threatened. JohnSJ Thursday #16
Yes. More seniors will hopefully learn that before they sign with UnitedHealthcare. Passages Thursday #4
It isn't UHC per se. It is because they sign up for an UHC Advantage Plan. That is where they give all control to the JohnSJ Thursday #6
The issue is they do sign up UHC and they are then denied care. Passages Thursday #8
If affordability is an issue for some then they need to see if they qualify for Medicaid. All Advantage Plans make the JohnSJ Thursday #9
I am aware of the scope of culprits and I agree reform is necessary. Passages Thursday #10
Unless something radically changes, unfortunately, November 5 has made that unlikely for the foreseeable future. JohnSJ Thursday #12
A nightmare is coming. Passages Thursday #17
I agree. JohnSJ Thursday #20
UHC offers Medicare Advantage plans, Medicare Supplement plans, and Medicare Part D plans Ms. Toad Thursday #18
+1. Part D you can shop around and change every year dalton99a Thursday #23
You have to go back 30 years to suggest they don't rank as uniformly evil. Passages Thursday #24
'Royalties', because they are the King of the Scamsters skimming off the pensioner crowd. Celerity Thursday #7
+1. Humana Medicare Advantage is just as bad. dalton99a Thursday #11
They all are, which is why Advantage Plans are not a good deal. As some have pointed out that for some affordability is JohnSJ Thursday #13
and no matter what they may tell you, it is not easy to change back, where the insurance company can refuse it. JohnSJ Thursday #14
Yep. Her only hope is for Humana to discontinue her plan dalton99a Thursday #21
Yes he is dalton, and my big concern is he may try to force anyone on a supplemental plan to an Advantage Plan. JohnSJ Thursday #22
I wonder if there are ANY good health insurance plans in the USA. mucifer Thursday #19

Hugin

(34,724 posts)
1. The shilling started under Dub...
Thu Dec 12, 2024, 08:36 AM
Thursday

There was a big brouhaha at the time. Now, largely forgotten.

JohnSJ

(96,792 posts)
2. That is more due to their Advantage Care plans, because their Medigap supplemental plans do not have that issue.
Thu Dec 12, 2024, 08:42 AM
Thursday

and it isn't just UHC. Atena and others were denying claims also.

The fact is if the basic Medicare covers it, then the supplemental will cover it.

With an advantage plan the insurance company takes over the basic Medicare coverage, and that is where the denial problems occur.

This has been going on for sometime, and because the initial upfront premium cost for an advantage plan appears to be cheaper, unless you have no health issues, it could end up costing you significantly more.

EYESORE 9001

(27,596 posts)
3. Does AARP steer any customers toward UHC's medigap plans?
Thu Dec 12, 2024, 08:46 AM
Thursday

Nah. It’s all about Medicare advantage plans.

JohnSJ

(96,792 posts)
5. In reality, that's it. The Advantage plans take over Medicare basic coverage, and that is where they have full control
Thu Dec 12, 2024, 08:53 AM
Thursday

over denying claims.

If one has a supplemental plan under any insurance company not just UHC, if basic Medicare covers it, then the supplemental plan will also.

Too many people are enticed by the low premiums and other coverage included with advantage plans that they don't fully understand the implications.

and to directly answer your question, AARP does not try to steer people toward Advantage plans, though ALL health insurance providers themselves try to do that. You see it on their commercials constantly when open enrollment comes due.


allegorical oracle

(3,323 posts)
15. Yep...all those part B premium $$ (auto-deducted from Social Security checks) stop being held by the
Thu Dec 12, 2024, 10:01 AM
Thursday

U. S. Treasury and are paid out to the private insurance carriers. The 2025 amount is $185/mo. per Medicare recipient. That's how the companies can afford to spend zillions on those Advantage plan commercials every Fall.

JohnSJ

(96,792 posts)
16. and with Oz head of Medicare, everyone on Medicare, no matter whether they have a supplemental or not is threatened.
Thu Dec 12, 2024, 10:03 AM
Thursday

Passages

(1,381 posts)
4. Yes. More seniors will hopefully learn that before they sign with UnitedHealthcare.
Thu Dec 12, 2024, 08:49 AM
Thursday
According to AARP’s audited financial report, AARP made $289.3 million from member dues, but $1.134 billion from kickbacks from insurers, of which the lion’s share, $905 million, was from health insurers. AARP delicately refers to these as royalties.

And somehow, because it is a nonprofit, AARP manages to avoid income taxes on this kickback income. Despite Congress’s efforts over the years to make nonprofits pay taxes on commercial income, AARP paid only about $3 million in federal income taxes on “royalties” of well over a billion.

JohnSJ

(96,792 posts)
6. It isn't UHC per se. It is because they sign up for an UHC Advantage Plan. That is where they give all control to the
Thu Dec 12, 2024, 08:57 AM
Thursday

insurance company.

If they just sign up for a supplemental plan, they won't have that problem, because anything that basic Medicare Covers, the Supplemental will also, and this applies to all health insurance companies under medicare.

The most dangerous threat coming down the line though is if Oz takes over Medicare, all the rules can change, and it can be a disaster to anybody on Medicare.

Passages

(1,381 posts)
8. The issue is they do sign up UHC and they are then denied care.
Thu Dec 12, 2024, 09:07 AM
Thursday

The Medigap plans are not all affordable for many seniors, so Americans remain vulnerable on many levels.

For profit healthcare is a disaster.

JohnSJ

(96,792 posts)
9. If affordability is an issue for some then they need to see if they qualify for Medicaid. All Advantage Plans make the
Thu Dec 12, 2024, 09:21 AM
Thursday

consumer vulnerable to the insurance company, and it isn't just UHC. Atena and others have also been accused of denial of claims.

In perspective though, for an older person, the Medicare supplemental premiums are not excessive though.

That does not mean that healthcare does not need reform in this country though, it does, and it isn't just the insurance companies.

Hospitals and Medical facilities are notorious for "padding the bill", along with other issues that need to be addressed.



Passages

(1,381 posts)
10. I am aware of the scope of culprits and I agree reform is necessary.
Thu Dec 12, 2024, 09:40 AM
Thursday
https://www.medicaid.gov/medicaid/eligibility-policy/index.html

Medicaid Income Eligibility Levels
https://www.nyc.gov/assets/ochia/downloads/pdf/all_populations_medicaid.pdf




Universal healthcare once and for all is our remedy. There is no sound reason not to fight for it.

An American tragedy that took place on the streets of NYC unique to our society has pulled back the rawness of what many people suffer due to a corrupt system.

I want Democrats to be the remedy.

JohnSJ

(96,792 posts)
12. Unless something radically changes, unfortunately, November 5 has made that unlikely for the foreseeable future.
Thu Dec 12, 2024, 09:53 AM
Thursday

Ms. Toad

(35,598 posts)
18. UHC offers Medicare Advantage plans, Medicare Supplement plans, and Medicare Part D plans
Thu Dec 12, 2024, 11:47 AM
Thursday

So saying "they sign up UHC" is relatively meaningless.

The UHC Medicare Supplement plans were, by far, the cheapest supplement plans available - in Nebraska 30 years ago, again in Ohio around 15 years ago when my father had the opportunity to switch, and again 2 years ago when I shopped plans in Ohio.

I didn't even look at the Medicare Advantage plans.

I've recently looked at Part D plans, and UHC is among the most expensive.

While I agree for profit healthcare is a disaster, UHC is not uniformly evil.

Passages

(1,381 posts)
24. You have to go back 30 years to suggest they don't rank as uniformly evil.
Thu Dec 12, 2024, 09:23 PM
Thursday

UnitedHealthcare Denies More Claims Than Other Insurers

Forbes
https://www.forbes.com › Innovation
7 days ago — ... UHC is perhaps the country's worst offender. When it ... But according to one of the firm's reports on insurance claim denial rates, UHC ...

Celerity

(46,696 posts)
7. 'Royalties', because they are the King of the Scamsters skimming off the pensioner crowd.
Thu Dec 12, 2024, 08:59 AM
Thursday

dalton99a

(84,772 posts)
11. +1. Humana Medicare Advantage is just as bad.
Thu Dec 12, 2024, 09:52 AM
Thursday

My neighbor signed up for it instead of a supplement. She now regrets that decision. I have seen the denials and letters written by her doctors. It's insane.




JohnSJ

(96,792 posts)
13. They all are, which is why Advantage Plans are not a good deal. As some have pointed out that for some affordability is
Thu Dec 12, 2024, 09:56 AM
Thursday

a problem for supplemental plans, and the only alternative today for those in that position need to see if they qualify for Medicaid, otherwise they have no choice.


JohnSJ

(96,792 posts)
14. and no matter what they may tell you, it is not easy to change back, where the insurance company can refuse it.
Thu Dec 12, 2024, 09:59 AM
Thursday

Last edited Thu Dec 12, 2024, 12:40 PM - Edit history (1)

The danger is now that the sociopath is in control, things are unlikely to get better, and with Oz as head of Medicare, EVERYONE on Medicare is at risk, including those on a supplemental plan.


dalton99a

(84,772 posts)
21. Yep. Her only hope is for Humana to discontinue her plan
Thu Dec 12, 2024, 12:07 PM
Thursday

and give her a guaranteed-issue rights letter so she can buy a supplement without underwriting. Right now nobody wants to sell her a supplement because of her medical issues.

Oz is big insurance industry whore and will make everything worse


JohnSJ

(96,792 posts)
22. Yes he is dalton, and my big concern is he may try to force anyone on a supplemental plan to an Advantage Plan.
Thu Dec 12, 2024, 12:41 PM
Thursday
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