eHealth Supports Final Medicare Advantage Rules and Rates for the Fall 2025 Annual Enrollment Period
eHealth (NASDAQ: EHTH) has expressed support for the Centers for Medicare & Medicaid Services' (CMS) final rules and rates for the Fall 2025 Medicare Advantage Annual Enrollment Period. The rules, announced on April 7, 2025, will impact over 70 million Medicare-eligible individuals, including nearly 36 million Medicare Advantage beneficiaries.
The final regulations, effective January 1, 2026, represent a significant improvement over previous proposals and will ensure continued access to comprehensive health coverage and supplemental benefits like hearing, dental, and vision services. The Medicare Advantage program currently maintains a 92% satisfaction rating among enrollees.
CEO Fran Soistman highlighted the essential role of licensed insurance agents in helping consumers select appropriate health plans, particularly following recent significant changes in Medicare benefits that required millions to review their coverage.
eHealth (NASDAQ: EHTH) ha espresso supporto per le norme e le tariffe finali dei Centers for Medicare & Medicaid Services (CMS) per il Periodo di Iscrizione Annuale di Medicare Advantage dell'Autunno 2025. Le regole, annunciate il 7 aprile 2025, influenzeranno oltre 70 milioni di individui idonei per Medicare, inclusi quasi 36 milioni di beneficiari di Medicare Advantage.
Le normative finali, che entreranno in vigore il 1 gennaio 2026, rappresentano un miglioramento significativo rispetto alle proposte precedenti e garantiranno un accesso continuo a una copertura sanitaria completa e a benefici supplementari come servizi di udito, odontoiatria e visione. Attualmente, il programma Medicare Advantage mantiene un tasso di soddisfazione del 92% tra gli iscritti.
Il CEO Fran Soistman ha sottolineato il ruolo fondamentale degli agenti assicurativi autorizzati nell'aiutare i consumatori a selezionare piani sanitari appropriati, in particolare dopo i recenti cambiamenti significativi nei benefici di Medicare che hanno richiesto a milioni di rivedere la propria copertura.
eHealth (NASDAQ: EHTH) ha expresado su apoyo a las normas y tarifas finales de los Centros de Servicios de Medicare y Medicaid (CMS) para el Período de Inscripción Anual de Medicare Advantage del Otoño de 2025. Las reglas, anunciadas el 7 de abril de 2025, afectarán a más de 70 millones de individuos elegibles para Medicare, incluidos casi 36 millones de beneficiarios de Medicare Advantage.
Las regulaciones finales, que entrarán en vigor el 1 de enero de 2026, representan una mejora significativa respecto a las propuestas anteriores y garantizarán el acceso continuo a una cobertura de salud integral y beneficios suplementarios como servicios de audición, dental y de visión. Actualmente, el programa Medicare Advantage mantiene una tasa de satisfacción del 92% entre los inscritos.
El CEO Fran Soistman destacó el papel esencial de los agentes de seguros autorizados en ayudar a los consumidores a seleccionar planes de salud apropiados, especialmente tras los recientes cambios significativos en los beneficios de Medicare que requirieron que millones revisaran su cobertura.
eHealth (NASDAQ: EHTH)는 2025년 가을 메디케어 어드밴티지 연간 등록 기간에 대한 메디케어 및 메디케이드 서비스 센터(CMS)의 최종 규칙과 요율을 지지한다고 밝혔습니다. 2025년 4월 7일 발표된 이 규칙은 7천만 명 이상의 메디케어 자격이 있는 개인에게 영향을 미치며, 그 중 거의 3600만 명이 메디케어 어드밴티지 수혜자입니다.
2026년 1월 1일 시행되는 최종 규정은 이전 제안보다 상당한 개선을 나타내며, 청각, 치과 및 시력 서비스와 같은 포괄적인 건강 보험 및 추가 혜택에 대한 지속적인 접근을 보장할 것입니다. 현재 메디케어 어드밴티지 프로그램은 등록자들 사이에서 92%의 만족도를 유지하고 있습니다.
CEO인 프랜 소이스트먼은 최근 메디케어 혜택에서의 중대한 변화 이후 수백만 명이 자신의 보장을 재검토해야 했던 상황에서 소비자가 적절한 건강 계획을 선택하는 데 있어 면허를 가진 보험 중개인의 필수적인 역할을 강조했습니다.
eHealth (NASDAQ: EHTH) a exprimé son soutien aux règles et tarifs finaux des Centers for Medicare & Medicaid Services (CMS) pour la période d'inscription annuelle de Medicare Advantage de l'automne 2025. Les règles, annoncées le 7 avril 2025, auront un impact sur plus de 70 millions de personnes éligibles à Medicare, y compris près de 36 millions de bénéficiaires de Medicare Advantage.
Les réglementations finales, qui entreront en vigueur le 1er janvier 2026, représentent une amélioration significative par rapport aux propositions précédentes et garantiront un accès continu à une couverture santé complète et à des avantages supplémentaires tels que des services d'audition, de dentisterie et de vision. Le programme Medicare Advantage maintient actuellement un taux de satisfaction de 92 % parmi les inscrits.
Le PDG Fran Soistman a souligné le rôle essentiel des agents d'assurance agréés dans l'aide aux consommateurs pour choisir des plans de santé appropriés, en particulier après les récents changements significatifs dans les avantages de Medicare qui ont obligé des millions de personnes à revoir leur couverture.
eHealth (NASDAQ: EHTH) hat seine Unterstützung für die endgültigen Regeln und Tarife der Centers for Medicare & Medicaid Services (CMS) für den jährlichen Einschreibungszeitraum von Medicare Advantage im Herbst 2025 zum Ausdruck gebracht. Die am 7. April 2025 angekündigten Regeln werden über 70 Millionen Medicare-berechtigte Personen betreffen, darunter fast 36 Millionen Medicare Advantage-Begünstigte.
Die endgültigen Vorschriften, die am 1. Januar 2026 in Kraft treten, stellen eine erhebliche Verbesserung gegenüber früheren Vorschlägen dar und werden den fortlaufenden Zugang zu umfassender Gesundheitsversorgung und zusätzlichen Leistungen wie Hör-, Zahn- und Sehdiensten sicherstellen. Das Medicare Advantage-Programm hat derzeit eine Zufriedenheitsbewertung von 92 % unter den Einschreibern.
CEO Fran Soistman hob die wesentliche Rolle von lizenzierten Versicherungsagenten hervor, die den Verbrauchern helfen, geeignete Gesundheitspläne auszuwählen, insbesondere nach den jüngsten erheblichen Änderungen der Medicare-Leistungen, die Millionen dazu veranlassten, ihre Deckung zu überprüfen.
- CMS's final Medicare Advantage rates are more attractive than previous proposals
- Expected increase in health plan investments in Medicare offerings for upcoming AEP
- High 92% satisfaction rating among Medicare Advantage enrollees
- None.
Insights
The final Medicare Advantage rules and rates for 2025-2026 represent a positive regulatory development for eHealth's business model. CMS's announcement provides critical clarity ahead of the Fall 2025 enrollment period that will impact coverage for over 70 million Medicare-eligible individuals.
What's particularly noteworthy is the contrast between these final rules and previous proposals. The article describes the final version as a "meaningful improvement," suggesting earlier drafts may have contained provisions that concerned industry stakeholders. This regulatory stability allows eHealth to plan more effectively for the upcoming enrollment period.
The reference to last year's enrollment period being "characterized by significant changes in Medicare benefits requiring millions of recipients to revisit their coverage" provides important context. Periods of regulatory change often drive higher consumer engagement with platforms like eHealth, as beneficiaries seek guidance navigating complex options.
The final rules appear to preserve the supplemental benefits structure (hearing, dental, vision) that contributes to the 92% satisfaction rating among Medicare Advantage enrollees. This approval rate helps explain why enrollment in MA plans continues to grow as a percentage of total Medicare beneficiaries.
For eHealth specifically, the rules seem to affirm the legitimacy of licensed insurance agents in the Medicare enrollment ecosystem, strengthening their position as facilitators in connecting consumers with appropriate healthcare coverage.
While eHealth's management expresses clear optimism about these regulatory developments, investors should approach this news with measured expectations. The announcement signals regulatory continuity rather than transformative change for eHealth's business model.
The CEO's statement that "more attractive Medicare Advantage rates" will likely encourage health plans to "invest in their Medicare offerings" suggests potential benefits to eHealth's marketplace dynamics. When carriers invest more in their Medicare products, this typically means more competitive plan features, potentially more diverse offerings, and sometimes enhanced commission structures for distributors like eHealth.
However, the announcement lacks specific details on how these regulatory changes might directly impact eHealth's revenue structure, customer acquisition costs, or conversion rates - the key metrics that ultimately drive financial performance for insurance marketplaces.
The company's online distribution model relies heavily on efficient customer acquisition and conversion during enrollment periods. Regulatory stability is certainly preferable to disruption, but doesn't necessarily translate to improved financial performance without corresponding operational excellence.
For context, eHealth faces significant competitive pressure in the Medicare Advantage distribution space, with a market cap of $182.3 million reflecting ongoing challenges. This regulatory development, while positive, represents just one factor among many that will determine the company's ability to improve its financial position in the upcoming enrollment period.
Final rules set by CMS will ensure Medicare Advantage beneficiaries have continued access to quality coverage, additional benefits such as hearing, dental and vision, and effective help from licensed insurance agents
The rules, announced April 7, 2025 by the Centers for Medicare & Medicaid Services (CMS), will help govern this year's enrollment period for the over 70 million people eligible for Medicare, including nearly 36 million beneficiaries enrolled in Medicare Advantage (MA) plans.
The final rules and rates represent a meaningful improvement compared to previous proposals and will apply to plans with effective dates starting Jan. 1, 2026. This bodes well for the industry and carriers' ability to provide seniors with robust health coverage and supplemental benefits, such as hearing, dental and vision, and others – all of which contributes to a
"eHealth supports CMS's final rules and rates, which we believe reflect the importance of the Medicare Advantage program and the essential role licensed insurance agents play in helping consumers select health plans that best meet their needs and budgets," said Fran Soistman, CEO, eHealth. "The value eHealth and other quality distributors offer seniors was especially clear during the last annual enrollment period (AEP), which was characterized by significant changes in Medicare benefits requiring millions of recipients to revisit their coverage."
Added Soistman, "We believe the new rules acknowledge the value we bring to the marketplace. With more attractive Medicare Advantage rates, we expect to see health plans invest in their Medicare offerings for the upcoming AEP and are standing by to help millions of Americans review plans available in their areas."
About eHealth (NASDAQ: EHTH)
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1 eHealth survey, https://news.ehealthinsurance.com/news/with-medicare-s-annual-enrollment-period-days-away-higher-costs-and-benefit-changes-top-beneficiaries-concerns, 2024
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FAQ
When will the new Medicare Advantage rules announced by CMS take effect for EHTH?
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