#healthinsurance

I am new to this organization. Is mouse or activity tracking usual in a senior claims role?

So, despite working for a health insurance company, our premiums and deductibles are increasing.
However, I'm pleased to announce free pet care!!
I feel like I'm in a slapstick comedy.

It has been crickets and in the past it has been out there by now. What is the hold up or should I say what is the plan???

Did we hear Stephen correctly say HS brand wins, no more Blue Medicare?

Let me preface this by saying that I understand and support that in the US everyone is free to look for a better opportunity.   I also support that the company needs to change in order to compete and drive value to the shareholders.  
Assuming an employee makes it to January and supports these ideals we haven't heard what that means to the employee.  The reality is more than a few must work for a living not just for their passion.  Right now, without any communication to that end, we are facing up to a 17% increase in health care costs (10% discount program removed and increased employee cost 7%) plus the additional cost of going to the office everyday.  When will you be able to communicate something in relation to the financial benefits of working faster and harder other than being lucky to work here? 

Retiree here. Just got my medical bill. It’s doubling. Where due I sign up to work the strike to pay for it??? Just asking

Did anyone leave UHC this week from the RIFs? If so, what departments? I see some people are no longer here at the end of the week and I didn't know they were leaving.

Please make sure you read the details of the 2026 medical plan benefits. Cigna is adding a $55.38 per pay period surcharge if your spouse is eligible for insurance through their employer.

They are promoting a capped increase of no more than 5% but that does not take into account the spousal surcharge.

Can anyone share the timing on when merit and RRP funding is decided and when funding levels get communicated down the chain of command?

Or maybe there will be no communication because there won't be any funding this year?

RIF happened today in MI, stated it was due to Marketplace loss

Just wondering if anyone has received the dreaded 6am email today?

Who is coming with me?

For those that use or have family members that use the Chevron Mental Health and Substance Use Disorder Plan be aware that it is being discontinued as of January 1st, 2026.

In the announcement, individuals that regularly use these services are “strongly encouraged” to review the changes as the costs “may change”.

Got a very angry provider call stating they got an approval letter for a member with wrong information, like Dx Code, several kids spellings and wrong service dates. Asked manager who confirmed they started to send out AI letters upon approval.

They never address employee issues. Only "your feedback matters"...yeah right.

There usednto be an actual chart and I can't see to find it to see by grade, and years of service whatbthe amount of weeks your would get. Does anyone know where it is?

Is WFS even taking the time to read people's requests for accommodations? They are denying people with no explanation. How many cases are being sent straight to the trash can?

In long years of working, most toxic environment. Not at all healthy or productive for anyone to join this organisation. PLEASE DON’T FALL FOR JOB OPENINGS UN THIS ORGANISATION. You will regret. Plus no promotion just politics.

A federal judge in the Northern District of Illinois on Monday granted preliminary approval of a $5.7 million class-action settlement resolving claims that Cigna misled customers with inaccurate “ghost network” directories of in-network.

Husband laid off over two weeks ago from Dell and still getting excuses about paperwork delays. We're in a limbo holding pattern. No idea of the insurance/cobra (they also cut off our insurance a week before he was laid off). Nearly 19 years of work...to treat him like this.

Can a manager go to a union position before they retire to get union retirees health benefits.

Retiree here. 30+ years in the mines. They told me my medical benefit credits would have some inflation indexation. But the competitive benefit landscape doesn’t include that, so… it’s gone! Thanks 3M! I wonder if the C-suite guys ever lose any of their Bennie’s…

Have you all that were recently let go started applying elsewhere already or are you waiting?

Putting this out there to hopefully save anyone who may have fallen into the same predicament I just found myself in. If you're like me, because I was told FIS covers COBRA for 3 months, you selected all the same options that you had while employed, health, dental, vision, etc. Be aware, FIS does NOT cover vision. You need to access the Health Equity Wage Works site and pay the vision amount if you have not already. Until you do so, no paperwork will be submitted by Health Equity to notify of your medical (including CVS) or dental coverage, leaving you without any medical or dental insurance.

What’s going on with the Ambetter LOB?

When is open enrollment for 2026 Benefits?

https://www.courier-journal.com/story/money/companies/2025/09/30/humana-ordered-by-federal-court-to-pay-32-million-in-fees-heres-why/86435535007/

Do you like the new more expensive, less coverage employee health insurance we’re being offered??? Pay more for less! Additionally, our pay has been cut through scheduled hourly staffing reductions.
God Bless,
Marvin

Who all from Cigna has been impacted by the layoffs? What leaders have been let go over the last week

Do we know what's getting hit this time? Or do we get to guess again?

Who’s coming with me?

Y'all know Humana has people who review this site and these posts to see what news/topics being discussed...y'all need to just give opinions and stop giving away corp IP or insider info

I truly think Headquarters should be moved to Richardson. As long as HQ is in Chicago, the “Chicago Way of Doing Things” will continue to prevail over our company culture. Talking a good game, but not really looking out for our members… giving in to political pressure over doing what’s right…. Looking good is more important than being good…

Our company has been in a downward spiral ever since PHH said we were ‘in it to win it’ in regards to the healthcare exchange after the Affordable Healthcare Act was passed. I appreciated her vision and that of Paula after her, but HCSC did not move quickly enough to modernize our systems, too many decision makers stifled and snuffed out true innovation. Projects and great ideas get stalled in committee to this day. We are wanting to grow grow grow, but we aren’t insightful enough to truly be ready for the growth. HCSC employees do our best but we can’t work round the clock, 365 days a year. Dedication cannot overcome lack of true leadership from the top.

I’m proud of every employee that has stayed the course. Our members deserve our best, and I see if from my fellow employees and our direct management every day.

Layoffs on Sept 24th and 25th so far. More layoffs appear to be expected.

I want my raise, my healthcare, and job protections. The union can and will get it for us.

Disconnected phone calls leave billions of dollars on the hook for Humana
Health insurance company challenges complex US star ratings system in court

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https://www.ft.com/content/926c6431-c67e-43ae-9ea9-330872d85f7f

Humana sued the government over its rating in October 2024. CMS included foreign-language assistance for customer callers in its stars metrics. To receive five stars on the call centre metric, CMS required a 100 per cent success rate for foreign language calls. Three Humana test calls involving a third-party connecting an interpreter did not work, hurting Humana’s overall star rating.

https://www.ft.com/content/926c6431-c67e-43ae-9ea9-330872d85f7f