This week’s newsletter is Sponsored By: Modivcare Monitoring

Minimize risk with our PERS offering → (Learn More)

Here is what you’ll find in this week’s newsletter!

  1. Important links 🔗 - the best articles we found this week about the Medicare Market along with links to Jared’s recent LinkedIn posts.

  2. Deep Dive 📚 - Medigap Market Updates: March 2026

  3. Sponsor Snapshot 🚀 - brought to you by Modivcare Monitoring

It’s only a 5 minute read, but it will make you 10x smarter.

Here are IMPORTANT LINKS 🔗 for the week:

  1. Payers, hospitals pan CMS' plan to bring non-network plans to ACA exchanges - (link)

  2. Sales of Medicare Advantage Plans by Insurance Consultants (from NE DOI) - (link)

  3. Federal Healthcare Costs on Track to Reach $3.1 Trillion by 2036 - (link)

  4. New law expands Medicare coverage for multi-cancer screening tests - (link)

  5. Automatic enrollment in Medicare Advantage plans under consideration, top Trump health official says - (link)

  6. TN bill targeting pharmacy benefit managers could threaten closure of 100+ CVS stores in the state - (link)

  7. Medicare Supplement - Trend Components - (link)

  8. Ancillary Product Essentials Guides - (link)

  9. Medicare Supplement Refunds 101 - (link)

Jared’s recent LinkedIn posts:

  1. 110 out of 635 MA contracts ran above 100% MLR in 2023 - (link)

  2. AEP 2026 Medicare Advantage State Deep Dives! - (link)

DEEP DIVE 📚

Medigap Market Updates: March 2026

This week’s deep dive will cover New Products, Market Experience, Rate Increases and Regulatory updates in the Medicare Supplement Insurance market.

New Products

Lumos Insurance has begun filing a new product under its “Plateau Insurance Company” charter.  The filings contain Plans A, F, G, HDG and N and will include a 7% household discount.

  No other companies initiated new multi-state product filings during Q1.

 

Market Experience

Companies are required to report their Medigap experience as part of the annual statement process.  An early look at the data is showing:

  • Earned Premium increased from $37.6 billion in 2024 to $39.9 billion in 2025

  • Incurred Claims increased from $31.7 billion in 2024 to $34.1 billion in 2025

The following chart shows the reported loss ratios for the largest carrier groups in the Medigap market today: United Healthcare (“UHC”), Mutual of Omaha (“MoO”), CVS/Aetna, Humana and the Blues (“BCBS”).  All other carriers were combined and are shown as “All Others.” The reported loss ratio for the entire market in 2025 was 85.6%.

 

Rate Increases

Final analysis of 2025 open block rate increase filings showed approved increases that were 2.5% - 3.5% higher than those approved in 2024 for most plans.

  • The exception is on High-Deductible Plan G where experience continues to be favorable, and carriers are pursuing lower rate actions.

The following chart shows the average rate increases on open Medigap blocks for Plans F, G, N and HDG over the past three years.

Early results for 2026 are showing more higher-than-medical-trend rate increases as carriers are attempting to manage their loss ratios back towards pricing targets.

 

Regulatory Updates

No new Medigap specific regulations have been passed so far during Q1 that have material impact on carriers.

Several bills have been proposed to add coverage for disabled beneficiaries and/or expand open enrollment/guaranteed issue opportunities. 

 For more detailed information on Regulatory changes, you can subscribe to our Insurance Regulatory Insights newsletter.

 That is all for this Medicare Supplement market update! 

SPONSOR SNAPSHOT 🚀: Modivcare Monitoring

Modivcare is transforming the way members engage in and access care through home and community-based solutions. We’re there to help members live more confidently by enabling them to access the care they need - and our solutions deliver: we measurably address cost and close gaps in care across our services.

Learn how Modivcare Monitoring can fit into your members’ coordinated care ecosystem with solutions such as:

  • Personal Emergency Response Systems (PERS)

  • Device enabled virtual care management

  • Medication Management

  • Community Health Stations

  • E-3 - Engage, Educate, Empower to address health literacy and support gap closure

Extending access for your most complex populations → (Explore Our Solutions)

What MMI + Subscribers read this week…

  • March ‘26 MA/MAPD and PDP enrollment data - March enrollment data has been loaded. Here are a few observations. (link)

  • Humana’s NTM Commission Change - Estimating the impact of prorated New-to-Medicare commissions on carrier expense and distributor LTV. (link)

  • Insurance Regulatory Insights March 2026 - Movement 👟on Med Supp and Dental Legislation (link)

👉 AEP 2026 Medicare Advantage State Deep Dives - Now Available!

How to Get Your Copy:
  • MMI+ Subscribers → You already have free access!

  • Not a “+” Subscriber? You have two options:

    1) Purchase for $29 Regularly $49[Buy Now]

    2) [BEST VALUE] Upgrade to MMI+ for $29 for the first month ($100/month after) and get the eBook for free (plus all member benefits) → [Upgrade]

These special AEP Results discounts end March 31.

Receive regulatory updates with the Insurance Regulatory Insights newsletter.

  • Monthly newsletters providing insight into recent insurance regulatory action

  • Access to Reg Tracker, a comprehensive list of insurance regulatory actions in all states for this calendar year that are included in the newsletters.

Insurance Regulatory Insights is now included in your MMI+ subscription! You can also subscribe using the link below.

How was today's newsletter?

Login or Subscribe to participate

If you’re ready, here are some ways we can help you:

  • Newsletter Sponsorship opportunities: Promote your product or services to leaders in the Medicare space. Let’s discuss. (link)

  • Market Research: Reports that help you wrap your arms around the Senior focused insurance markets. (link)

  • Consulting: We can help you develop new insurance products for the Medicare market, appraise your books of business, and keep you compliant. Let’s discuss. (link)

Did this get forwarded to you? Get the Medicare Market Insights newsletter sent directly to your email weekly: