Excellus
Some insurers, including Excellus, are trimming Medicare Advantage offerings for 2026 amid reduced reimbursements and rising care and drug costs. Affected members received termination notices and must select new coverage by year-end or revert to Original Medicare—often without Part D drug benefits unless they enroll separately. Excellus cited a 2023 Medicare wage-index change that it […]
Excellus BlueCross BlueShield says GLP-1 drugs for diabetes will remain on formulary, countering reports of a blanket halt. Effective January 1, 2026, three GLP-1s for weight loss—Wegovy, Zepbound, and Saxenda—will be removed from covered lists for certain plans, though members can seek exceptions if prescribers verify criteria. The insurer cites Pharmacy & Therapeutics Committee review […]
Excellus is proposing a 19.5% increase in premium rates for certain health plans in 2025. This proposed adjustment targets community-rated small group plans and individual plans, affecting about 11.5% of Excellus’ membership, or around 167,000 members across 39 counties in upstate New York. The rate increase request was filed with the Superintendent of the Department […]
Mo’ Money Wednesday! So Excellus BlueCross BlueShield has more than $2.6 million in unclaimed money and some of that could be yours. Every year New York State requires the company to create a list of checks that have not been claimed in the past three years.
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