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Here is what you’ll find in this week’s newsletter!
Important links 🔗 - the best articles we found this week about the Medicare Market along with links to Jared’s recent LinkedIn posts.
Deep Dive 📚 - Medigap Market Updates: June 2026
Sponsor Snapshot 🚀 - brought to you by VRI
It’s only a 5 minute read, but it will make you 10x smarter.
Here are IMPORTANT LINKS 🔗 for the week:
Connie Health Announces Acquisition of Clearlink Insurance Agency and Series B Funding to Accelerate Growth in Medicare - (link)
Rural physicians are leaving Medicare faster than anyone is tracking - (link)
Medicare to Cover New Osteoporosis Diagnostic Screening Test - (link)
Walmart and Sam’s Club Expand Support for Medicare Customers as New Weight Management Coverage Launches - (link)
Cardiology groups strongly oppose expansion of Medicare AI prior authorization model - (link)
Medicare Just Cut the Price of 10 Common Drugs by Up to 79%. Check If Yours Made the List - (link)
CMS recalculates MA star ratings payments in wake of Clover lawsuit - (link)
MedPAC Report to the Congress: Medicare and the Health Care Delivery System - (link)
MedPAC: DMEPOS Suppliers Lead Medicare in Improper Payment Errors - (link)
National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud - (link)
JEC Issues Brief finding Insurance Broker Costs Rising Rapidly, especially in Medicare Advantage Plans - (link)
Jared’s recent LinkedIn posts:
Presbyterian Health Plan to exit most of Medicare Advantage - (link)
DEEP DIVE 📚
Medigap Market Updates: June 2026
This week’s deep dive is a continuation of the Medigap Market Update series and will cover recent happenings in the Medicare Supplement Insurance market.
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Product Activity
→ No new carriers entered the Medicare Supplement market in Q2 2026.
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Market Experience
→ Back in April, we provided early Earned Premium and Incurred Claims estimates for the Medicare Supplement market in 2025. We now have the most recent NAIC data based on the reported Medicare Supplement Experience Exhibits.
2025 total market Earned Premium has been revised from $39.9B to $41.9B.
2025 total market Incurred Claims have been revised from $34.1B to $35.9B.
The 2025 loss ratio increased from 84.5% in 2024 to 85.5% in 2025.
→ The following chart shows the 2024 and 2025 reported loss ratios for the six largest carrier groups in the Medigap market today: Aetna/CVS, the Blues (“BCBS”), HCSC/Cigna (“HCSC”), Humana, Mutual of Omaha (“MoO”), and United Healthcare (“UHC”). All other carriers were combined and are shown as “Other”. The reported loss ratio for the entire market in 2025 was 85.5%.
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Rate Increases
→ Early analysis of 2026 open block rate increase filings show approved increases continued to rise compared to prior years for most plans.
The exception is for Plan F, where 2026 rate increases have been slightly lower than in 2025.
→ The following chart shows the average rate increases on open Medigap blocks for Plans F, G, N and HDG over the past three years.
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Updated Medigap Claim Trend Estimates
→ 2025 loss ratio experience with claims runout through Q1 2026 suggests that Medigap claim cost trends may have continued higher in 2025.
→ Plan F and Plan G medical trends have been ranging from 9-14% over the past 3 years.
→ 2025 experience is showing medical trends around 12%.
→ Loss Ratios continue to be elevated, as carriers wait for recent larger rate increases to have a more meaningful impact.
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Regulatory Updates
→ Maryland has expanded open enrollment opportunities for individuals losing state medical assistance coverage or qualifying for federal special enrollment periods. This new rule is effective on 7/1/2026.
→ New Mexico has introduced a new Birthday Rule enrollment window. The effective date for this rule is 1/1/2027.
→ West Virginia has also introduced a Birthday Rule enrollment regulation that became effective on 6/11/2026. The state has also included a regulation for a guaranteed issue period following the loss of Medicaid eligibility.
For more detailed information on Regulatory changes, you can subscribe to our Insurance Regulatory Insights newsletter.
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That is all for this Medicare Supplement market update!
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What MMI + Subscribers read this week…
Insurance Regulatory Insights June 2026 - Four new laws to take effect 👉 (link)
2026 Medicare Enrollment State Pages eBook - (link)
Non-Commissionable Plans - 2026 - Repository of 2026 Non-Commissionable Plans (link)
June ‘26 MA/MAPD and PDP enrollment data - June enrollment data has been loaded. Here are a few observations. (link)
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