Premera Blue Cross and Soundpath Health - Provider - Medicare 2025

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Starting January 1, 2025, Premera Blue will no longer offer Medicare Advantage plans. This decision has been influenced by changing market conditions and financial pressures.
Premera Blue Cross is a not-for-profit Blue Cross Blue Shield licensed health insurance company based in Mountlake Terrace, Washington, United States. It sells health insurance plans under the Blue Cross license in Washington state except Clark County and under both of the Blue Cross and Blue Shield licenses in Alaska.
A lot of advantage plans had cuts in benefits like this. Biggest reason was the closing of the donut hole/coverage gap. Great for total drugs costs for customers but leads to plans cutting benefits in other areas to try to make up the added drug cost burden the insurance companys will take on.
As of January 1, 2025, Premera will no longer offer Medicare Advantage plans. All existing Medicare Advantage members coverage will end on December 31, 2024. Premera Medicare Supplement plans and members are not affected. If you have questions about your plan, please contact customer service at 888-850-8526.
Premera Blue Cross follows industry standard recommendations from sources such as the Centers for Medicare and Medicaid Services (CMS), Current Procedural Terminology (CPT), the American Medical Association (AMA), and/or other professional organizations and societies.
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Higher star ratings involve extra monetary compensation. This, along with the inflation reduction act, which ironically is causing a lot of inflation throughout Medicare, are the causes. As a result, this is causing many cut plans and services for seniors, along with higher premiums, deductibles, copays, etc.
Eighteen marketing brands including Premera Blue Cross and Blue Cross and Blue Shield of Kansas City are exiting the market entirely in 2025, affecting tens of thousands of members.

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