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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Original Medicare vs Medicare Advantage: Essential Insights for Marsh & McLennan Retirees Navigating Their Healthcare Choices

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Healthcare Provider Update: Healthcare Provider Information: Marsh & McLennan Marsh & McLennan is a global professional services firm offering a wide range of services primarily through its subsidiaries. They do not provide healthcare in the traditional sense but are known for their consulting services related to risk management, insurance, and employee benefits, including health benefits consulting. They work with various healthcare providers and insurance companies to manage and strategize healthcare costs on behalf of their clients. Potential Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases loom on the horizon, primarily driven by the expected sharp rise in Affordable Care Act (ACA) premiums. States could see premium hikes ranging from 18% to over 60%, attributable to the potential expiration of enhanced federal subsidies and ongoing medical cost inflation. Without these subsidies, many enrollees might face out-of-pocket premium increases exceeding 75%, exacerbating the financial strain on households. This perfect storm of factors underscores the urgency for individuals and employers to prepare for the rising costs and reassess their healthcare strategy in the impending year. Click here to learn more

Since its inception in 1965 as part of the Social Security Amendments, Medicare has been pivotal in providing healthcare to Marsh & McLennan retirees over 65. Initially, enrollment was straightforward: reach the age of 65, receive a Medicare card, and access healthcare services with the government and any supplemental insurance covering the expenses. However, the introduction of Medicare Advantage (MA) plans has diversified the Medicare options available, offering a range of choices from simple to complex.

Options for Medicare Right Now

Original Medicare offers comprehensive coverage without network restrictions, allowing beneficiaries to consult any doctor or hospital in the United States that accepts Medicare. This includes both Part A, which covers hospital stays, and Part B, which addresses medical costs. For Marsh & McLennan retirees who value the freedom to choose their healthcare providers, Original Medicare remains a solid option due to its straightforward approach and enduring popularity.

Conversely, Medicare Advantage plans, offered by private insurers, mimic the structure of employer-based health plans like PPOs or HMOs. These plans might offer lower initial costs and additional benefits such as dental, vision, and hearing care. However, they also impose network limitations and require prior authorization for services, which could restrict immediate access to specialists.

Trends in Enrollment and Future Prospects

Medicare Advantage plans have gained traction with Marsh & McLennan retirees, with over half of all Medicare beneficiaries now enrolled, a significant increase from 22% in 2008. This trend reflects broader changes in Medicare, as private insurance options become more attractive due to lower premiums and expanded services. The Centers for Medicare & Medicaid Services (CMS) forecast that this trend will likely continue, potentially making Medicare Advantage the predominant choice.

The Future of Medicare Debate

The ongoing debate about Medicare's structure and sustainability involves various stakeholders, including policymakers and healthcare professionals. Proponents of Original Medicare advocate for preserving a program that provides unrestricted access to medical providers nationwide. Supporters of Medicare Advantage highlight the benefits of integrated care and potential cost savings.

Influential figures, like James E. Mathews of the Medicare Payment Advisory Commission (MedPAC), suggest that Medicare's future may lean towards Medicare Advantage. However, organizations like AARP and former Medicare administrators are vigorously campaigning to pursue Original Medicare remains a viable and affordable option.

Financial Considerations

Choosing between Original Medicare and Medicare Advantage often comes down to personal financial circumstances. Original Medicare typically involves separate premiums for Parts B and D, alongside Medigap, a supplemental insurance that covers additional costs not paid by Original Medicare. These expenses can accumulate, posing a challenge for those without additional financial support.

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Medicare Advantage plans, offering an integrated approach that covers hospital visits, doctor appointments, and prescriptions under one plan, may provide a more streamlined cost structure. This simplicity and cost-efficiency can be particularly appealing for those on a budget or who prefer a consolidated healthcare management approach.

Regulatory Prospects and Legislation

The regulatory environment is also evolving, with recent clampdowns on misleading advertising by MA plans and legislative discussions aimed at balancing the scales between Original Medicare and Medicare Advantage. Discussions about implementing out-of-pocket spending caps and expanding managed care coverage are influencing moves to enhance Original Medicare similarly.

In Conclusion

As Medicare adapts to the needs of an aging population, beneficiaries face more complex decisions. Weighing factors such as cost, flexibility, and service range is crucial. With enrollment trends and regulatory changes evolving, Medicare's future will likely require further adjustments to meet the healthcare and financial needs of America's seniors.

Recent legislative efforts have responded to challenges faced by Original Medicare due to the rise of Medicare Advantage. A bill proposed in Congress in early 2024 aims to enhance Original Medicare by including coverage for vision, dental, and hearing care—typically offered by Medicare Advantage plans. This move seeks to address service disparities and potentially stabilize Medicare's future, demonstrating the intricate dynamics at play in shaping healthcare options for retirees, including those from Marsh & McLennan.

 

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Name of Pension Plan: Marsh & McLennan does not typically offer a traditional defined benefit pension plan. Instead, it offers a defined contribution plan. Years of Service and Age Qualification: The detailed eligibility criteria can be found in the Summary Plan Description (SPD) or 10-K filings. Pension Formula: As Marsh & McLennan primarily offers defined contribution plans, a pension formula might not be applicable Name of 401(k) Plan: Marsh & McLennan 401(k) Savings Plan. Eligibility Criteria: Generally available to full-time employees. Eligibility may require a waiting period.
Restructuring and Layoffs: Marsh & McLennan announced a restructuring plan in late 2023 to streamline operations and integrate their various business units more effectively. This restructuring involved the consolidation of certain departments and led to a reduction in workforce by approximately 5%. The move aimed to improve operational efficiency and align with the company’s strategic objectives for growth and innovation. Given the current economic climate, it's crucial for employees and investors to stay informed about these changes, as they impact job security and company performance. Benefit and Pension Changes: In 2024, Marsh & McLennan also updated its benefits package and pension plans. The company introduced enhanced retirement savings options, including increased 401(k) match contributions and expanded investment choices. These changes were made to attract and retain top talent amid a competitive labor market. Additionally, adjustments to the pension plan were implemented to ensure long-term financial stability and compliance with new regulations. These updates are significant in the context of current investment and tax environments, making it essential for stakeholders to review these changes carefully.
Marsh & McLennan (MMC) offers stock options primarily to senior executives and key employees. For 2022 and 2023, stock options were granted based on performance targets and individual roles. Marsh & McLennan (MMC) provides RSUs to a broader range of employees, including mid-level managers and above. In 2023, RSU grants were made as part of a broader incentive plan to align employee interests with shareholder value.
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For more information you can reach the plan administrator for Marsh & McLennan at , ; or by calling them at .

https://www.marshmclennan.com/

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