Breaking News – CMS Extends Elevance Medicare Advantage Sanction Deadline to May 30, 2026 and Exempts Some Elevance Plan Contracts From Sanction
CMS is giving Elevance more time to respond to the CMS enforcement notice regarding its questions about Elevance’s risk adjustment data submitted from November 2018 to October 2025. Elevance now has until May 30, 2026 to respond to CMS about this memo and the risk-adjustment data CMS questions. CMS is also announcing that several existing […]
Carrier Notice – Devoted Health Prohibiting The Use of Certain Lead Generation Enrollment Platforms
Devoted Health has issued a notice to all Devoted-appointed agents and agencies regarding the use of certain third-party “ready-to-enroll” lead platforms. Devoted Health has identified situations in which agents purchase “ready-to-enroll” leads from third-party vendors and submit enrollments without following CMS-compliant enrollment practices with the beneficiary. In these cases, the lead generation process typically directs the beneficiary […]
CMS Suspending Medicare Advantage Enrollment into Elevance Medicare Advantage Plans Starting March 31
CMS is sanctioning Elevance Medicare Advantage plans by suspending new enrollment and marketing for the plans on March 31, 2026. Elevance has until this date to submit all data corrections and an attestation for its risk adjustment data submissions made from November, 2018 through October, 2025. CMS is also alleging that Elevance annually certified the […]
Molina Healthcare is leaving Traditional Medicare Advantage in 2027
A key insurance trend for 2026 is already having an impact. Molina Healthcare is announcing its exit from the traditional Medicare Advantage and Prescription Drug Plan market in 2027. Molina Healthcare will focus on its Medicare-Medicaid plans within the Medicare market. This decision comes as Molina also announces it will miss its 2026 profit […]
Report Reveals 2024 MA Underwriting Losses and What it Means to Medicare Agents
On Tuesday, Sept. 23, A.M. Best issued its Best’s Special Report, “Challenges to Medicare Advantage Will Negatively Impact Profitability,“ discussing the financial health of Medicare Advantage (MA) through 2024. The report states that from 2023 through the end of 2024, the Medicare Advantage sector incurred a $5.7 billion underwriting loss. Nearly 75% of companies with […]
Breaking News – 2026 HCSC BCBS Medicare Plans’ Commissions Schedules and 2026 MA Expansion
Agility has learned that Health Care Service Corporation, the umbrella owner organization for Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma, and Texas (BCBSIL, BCBSMT, BCBSNM, BCBSOK, BCBSTX), will not pay agent commissions on certain 2026 Medicare Advantage Prescription Drug (MAPD) plans. The plans are listed in the links below for your […]
UCare Announces Exit from Medicare Advantage Market in 2026
UCare recently announced that it will be exiting the Medicare Advantage (MA) market effective January 1, 2026. This decision affects approximately 186,700 members in Minnesota and Western Wisconsin who are currently enrolled in UCare MA plans. What This Means for Agents Agility strongly recommends UCare agents take the following actions. Contact your current UCare MA […]
SCAN Health Plan Expands 2026 Medicare Advantage Footprint in California, Texas, and Washington
Agility has just learned that—pending CMS approval—SCAN Health Plan will expand its Medicare Advantage offerings to even more counties starting January 1, 2026. Here’s where SCAN will be available for the first time: Washington: Pierce, Spokane, and Thurston counties California: Sacramento, Placer, Yolo, San Joaquin, Kings, and Tulare counties Texas: Fort Bend and Montgomery counties […]
How to Effectively Guide Clients to Medicare Advantage or Medigap During Times of Change
News about Medicare insurers facing cost pressures is everywhere right now, and the winds of change are blowing through the Medicare market. With more PPO plans projected to be endangered in 2026, many clients will seek clarity when choosing between Medicare Advantage and Medicare Supplement (Medigap) coverage. That’s where you come in. Clients need an […]
Elevance Health to Exit Standalone Medicare PDP Market, Changes Medicare Advantage Focus in 2026
At the Wells Fargo Healthcare Conference yesterday, Elevance Health’s Chief Financial Officer, Mark Kaye, announced that the company will exit the standalone Medicare Prescription Drug Plan (PDP) market for 2026. Kaye also said Elevance will shift its focus to Medicare Advantage HMO and Dual Special Needs Plans (DSNP). This change in focus is expected to […]
Sonder Health Ends Operations October 1, 2025, Triggering Immediate Special Enrollment Period
Sonder Health Plans, Inc. is now in receivership pursuant to an order of the Superior Court of Fulton County, issued on August 13, 2025. The receivership will close Sonder Health Plans, Inc. and terminate all operations and health plans on October 1, 2025. Key Details for Your Sonder Clients A Special Enrollment Period (SEP) runs from August […]
Important Update – Federal Judge Ends April 2024 Medicare Advantage Marketing Rule Provisions
A federal judge in the Northern District of Texas struck down all but one of the April 2024 marketing provisions in the rule, which had been paused by a lawsuit last year. The provision continues to ban third-party marketing firms from distributing personal beneficiary data, such as names, addresses, and phone numbers, to other marketing organizations without […]
Aetna No Longer Paying New Medicare Advantage Commissions For 90 MA Plans in 33 States
Agility can confirm that on September 1, 2025, Aetna will no longer pay commissions for 90 specific MA plans in 33 states. Scott Meeks, the Agility Medicare product specialist, is available to assist you with any questions about this information. Scott is happy to brainstorm with you on how best to use Agility’s tools to […]
2026 eternalHealth Medicare Contracting Portal Now Open
It is that time of year for annual contracting, and Agility has the latest 2026 Ready-to-Sell (RTS) contracting news from the Medicare world. We are pleased to announce that the 2026 eternalHealth Ready to Sell (RTS) contracting portal is now open! eternalHealth continues to use Miramar: Agent as its contracting system. Your current agents who […]
Cigna Healthcare Medicare is now HealthSpring
Cigna Healthcare Medicare is now HealthSpring – Again! As you are aware, Cigna Healthcare Medicare was acquired by Health Care Service Corporation in March 2025. Today, HCSC announced that the Cigna Healthcare Medicare business will operate under the HealthSpring brand in 2026, offering the same products and benefits you trust. Longtime Medicare agents in Alabama, […]
Breaking News – The “Big, Beautiful, Bill” is Approved – What Are the Possible Impacts on Medicare Agents
The “Big, Beautiful Bill” is going to the President for his signature to become law. This article updates our previous Medicare article by outlining the law, which KFF also discusses in depth. Limiting Medicare Coverage of Certain Individuals Medicare is available to U.S. citizens, lawful permanent residents, certain immigrants from Cuba and Haiti, and individuals in […]
The 2026 BCBSTX Medicare Certification Process is Here
Agility is excited to share our 2026 Agent Certification process for Medicare agents with our Medicare partners. Today, we are sharing the process for Blue Cross Blue Shield of Texas (BCBSTX). It begins with the AHIP process, which is now live for all Medicare agents to access. The AHIP training meets CMS requirements that all […]
AHIP 2025 Training Starts TODAY – Set Yourself Up for Success!
Attention, Medicare agents, it’s time for AHIP certification! Whether you’re a seasoned pro or getting certified for the first time, now is the time to prepare for the upcoming AHIP Medicare training. AHIP remains the gold standard in the industry, keeping you CMS-compliant, helping you earn continuing education (CE) credits, and empowering you to support your […]
The Changes in the Big Beautiful Bill to Medicare and the Opportunities for Agents
Welcome back to our third article, which continues our analysis of the “Big, Beautiful Bill” and its changes and agent impacts. Today, we analyze the Medicare world. Our first and second articles discuss the ACA, and a recent KFF article also discusses this in depth. Here are more items in the bill that agents need […]
2025 Prominence MA Credentialing Ends for 2026 Credentialing to Begin
Agility is happy to share more breaking news from our Medicare partners. Prominence Medicare Advantage plans will close the 2025 agent credentialing portal on Friday, June 20, 2025. From June 21 to July 6, credentialing will not be available. On Monday, July 7, 2025, agents will receive their invitation to start 2026 credentialing with Prominence. […]