Medicare Supplement Insurance Rate Increases Vary According To New Analysis

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Medigap rate increases vary significantly between insurers โ€” analysis shows companies with over one million policies in force have implemented larger increases than smaller carriers. In the 2023โ€“2024 period, roughly half of all Medicare Supplement companies raised Plan G rates by double digits. The starting premium is only part of the cost picture โ€” rate history matters equally.

Medigap rate increases 2024

Analysis of rate filings for Medigap Plan G (Texas)

June 20, 2024 โ€“ NEW REPORT โ€“ MEDIGAP RATE INCREASES. ย Among the industry leaders, insurers with a million or more Medicare Supplement policies in-force may implement larger rate increases than those with under 400,000 policies-in-force according to a new analysis conducted for the American Association for Medicare Supplement Insurance by Ken Clark, KLC Actuarial.

โ€œOne of the most important things to consider when selecting a Medicare Supplement (Medigap) plan is the likelihood of future rate increases,โ€ explains Jesse Slome, director of the American Association for Medicare Supplement Insurance (AAMSI). โ€œInsurers can and do typically increase Medigap rates each year and you arenโ€™t always guaranteed the ability to switch from one insurer to another following a rate increase.โ€

According to the analysis, half of all Medicare Supplement companies implemented double-digit rate increases for their Medigap Plan G policies from May 2023 through April 2024. โ€œWe specifically analyzed rate filings for Texas which is both large and representative of the nationwide regulatory environment,โ€ explains Ken Clark, president of KLC Actuarial LLC, a Chicago-based actuarial firm specializing in Medicare Supplement insurance.

Year-over-year rate increases for companies with one million or more Medigap members ranged from 0.0% to as much as 18%. For companies with between 400,000 and one million members rate increases ranged from 7.5% to 20.0%.

Medigap insurers with fewer policyholders, those with between 200,000 and 400,000 members, reported rate increases of between 7.5% and 12.0%.

โ€œMedigap rates are not guaranteed, something few seniors are aware of or think about when picking a carrier,โ€ notes AAMSIโ€™s Slome. โ€œThere can be a host of reasons that a company offers low rates for seniors turning age 65. That low-rate provider may be your best choice or it could be a very costly choice since you are likely to have Medigap coverage for many years, possibly decades.โ€

โ€œPromoting plans with extremely low rates for seniors turning age 65 without a cautionary warning about future rate increases can really impact people,โ€ says KLC Actuarialโ€™s Clark. โ€œProfessional Medicare insurance agents can and should provide information detailing an insurerโ€™s recent history of rate increases,โ€ adds Slome.

โ€œWhen comparing Medigap plans in 2024, a senior can have anywhere from 4 to 20 different plans and insurers available,โ€ Slome explains. โ€œGetting information and comparison shopping is the only way to get the best information. The insurance agent you speak with may only represent one particular plan. Even if they can sell plans from multiple insurers, itโ€™s not likely they can represent all of them.โ€

The American Association for Medicare Supplement Insurance advocates for the importance of consumer awareness and supports insurance and financial professionals who market Medicare insurance solutions. The organization provides a national free online directory listing local Medigap agents by Zip Code.


Frequently asked questions:

Do larger Medigap insurers raise rates more than smaller ones?

Analysis shows that larger insurers with over one million policies in force have implemented larger rate increases than smaller companies with under 400,000 policyholders. This pattern means that the brand recognition of a major insurer does not guarantee rate stability โ€” and in some cases, smaller regional carriers have offered more predictable premium histories.

How often do Medigap rates increase?

Most Medigap insurers review and adjust rates annually. Rate increases are subject to state regulatory approval but are not capped in most states. During the 2023โ€“2024 period, approximately half of all Medicare Supplement companies implemented double-digit rate increases for Plan G. Increases vary by company, state, and plan type.

Are Medigap rate increases guaranteed to happen every year?

There is no legal guarantee that rates will increase, but historically most insurers do raise premiums annually to keep pace with rising healthcare costs and claims. The amount varies significantly between companies. This is why reviewing a carrierโ€™s multi-year rate history โ€” not just the current premium โ€” is one of the most important steps before enrolling.

What does medical underwriting have to do with Medigap rate increases?

Medical underwriting determines whether an insurer will accept your application and at what price. It does not control ongoing rate increases. Once enrolled, your premium can still rise regardless of your health. Rate increases apply to your policy class as a whole, not based on your individual claims, which is why insurer selection based on rate history matters.

How can I protect myself from large Medigap rate increases?

The best protection is choosing an insurer with a documented history of modest, predictable rate increases rather than the lowest available starting premium. Ask brokers for 5-year rate increase data for each carrier they recommend. In states with birthday rules, you may also have an annual window to switch to a more stable carrier without health screening.
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