Thread regarding AT&T layoffs

A word of caution on employer sponsored Medicare Advantage plans

"Employer-sponsored plans receive billions of dollars in federal payments, but they also get something other Medicare Advantage insurers don’t: automatic exemptions to some requirements that apply to the policies available to individual beneficiaries. Plans can set their own enrollment deadlines, send members information without prior CMS approval for accuracy, and follow weaker requirements for provider networks, among other things. "

(March 2, 2022, Susan Jaffee and Kaiser Health News)

Beware of Stankey bearing "gifts". Your benefits expired, NOT inspired!

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| 1321 views | | 6 replies (last July 11, 2023) | Reply
Post ID: @OP+1nxenItX

6 replies (most recent on top)

Old farts! You typing this on a keyboard with giant letters?

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Post ID: @1qom+1nxenItX

Retirees are on this site bi--hing because we worked are as--s off and have given our lives to this company because of the promises made to us early in our careers regarding some modicum of security in our old age. Because of the politicians messing with a once great company and the imbeciles in the C-suite all of those promises turned out to be lies. The pension was diluted by the cash balance plan in the 90s, then closed, then sold. Our health care was whittled away, and now AT&T is forcing us into a travesty of a Medicare Advantage plan and if we opt out we also have our spouses kicked out of any eligibility for AT&T sponsored health insurance. AT&T earned all the ill will and vitriol now being thrown at it. As for you younger folks, keep your skills up, and watch your back. AT&T will sc--w you just like it screwed us.

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Post ID: @1qtw+1nxenItX

Here's the document that has that page 26 and page 27 with the contradictory language on the out-of-pocket on the dr-gs.
https://retiree.uhc.com/content/dam/retiree/pdf/att/2023/2023-plan-guide-att-15742-15743-15747-15748.pdf
*After your yearly out-of-pocket dr-g costs (what you pay including
coverage gap discount program payments) reach $7,400, you pay
the greater of...*

When your total Out-of-Pocket costs (what you pay) reach $6,500 you will not pay any copay or coinsurance

We shouldn't be seeing this $7,400 in the document if there is a $6,500 cap.

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Post ID: @1xgq+1nxenItX

I got the automatic enrollment letter.
retiree.uhc.com/att
Premium is $0, maximum medical out of pocket is $900. They have a bolt-on for dental, vision and hearing - no price given.

The one provision of the HRA, aside from the $2700/$4200 was a provision in the HRA that once out of pocket prescription costs reached $5000, the next $100,000 of prescription costs would be reimbursed. And, wind up with a few $30k/month prescriptions of more (with 5% copay) , you can be put into the poorhouse pretty quick.

That provision was good for nearly $2 million in prescriptions.
My question with the new MAPD plan is, the 2023 Plan Guide, page 26 discusses copays once $7400 out-of-pocket is reached. But then page 27 says that copays are capped at $6500, seemingly contradictory language.

Having a cap on pharma is important. If this plan actually has that cap, that is a reason to get it, now that the HRA reimbursement benefit is apparently kaput.

Still a hose job, no matter how you look at it.

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Post ID: @1bjh+1nxenItX

I'm currently on an Advantage Plan covered by the $4,200 stipend. Not only does that go away and I will have to pay for Part B premiums, but my current plan included up to $2,000 of dental coverage that I will now have to pay for either through monthly premiums or out of pocket.

JS said it's not about eliminating benefits it's about efficiency. He is such a lying SOS! I think I will just stay with AETNA Advantage plan in 24.

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Post ID: @psz+1nxenItX

It is best to go with a Supplemental Policy than Advantage Plan.

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Post ID: @bgo+1nxenItX

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