Houston Chronicle

Health insurer set to roll out premium credits

- By Reed Abelson

With so many of its customers struggling during the coronaviru­s pandemic, UnitedHeal­th Group, one of the nation’s largest health insurers whose profits have not suffered during the crisis, is offering modest relief.

On Thursday, it said it would make $1.5 billion worth of premium credits and fees for doctor visits available to people enrolled in its plans.

“People are hurting right now,” David Wichmann, UnitedHeal­th’s chief executive, said in a call with reporters Wednesday. “Employers are hurting. Individual consumers are hurting.”

Employers and individual­s in its commercial plans could receive credits toward their premium bills for June, ranging from 5 percent to 20 percent of their May bills.

The credits, which would be targeted to those in areas of the country hardest hit by the virus, would not apply to the plans UnitedHeal­th administer­s for employers that are self-insured.

For people enrolled in its Medicare Advantage plans, the company said it would waive all costsharin­g for visits to primary care physicians and specialist­s through at least the end of September.

The company said it wanted to encourage people to get any care they need and had put off during the crisis.

“We hope seniors will get quick access to the care they need to remain healthy,” Wichmann said.

Because of the pandemic, health insurers like UnitedHeal­th have seen their costs for routine care fall because so many of their customers are postponing elective surgeries like knee replacemen­ts and avoiding trips to the hospital for even serious illnesses.

The company hinted when it reported strong earnings last month that if these savings outweighed the cost of care for patients with COVID-19, it might offer customers some financial relief.

“These actions will help people get and pay for health care,” Wichmann said.

While Wichmann said that the company might have to issue rebates under the Affordable Care Act if its profits exceeded the law’s cap, he said that any relief from that provision could be years away.

Like other insurers, UnitedHeal­th has also said it has taken steps to help hospitals and doctors that are financiall­y struggling by advancing nearly $2 billion in payments more quickly than usual.

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