juan and i will talk to you about the united healthcare medicare advantage ppo for the medicare population. i will talk commentary about the medicare advantage rates. juan will explain the design and program changes that we are recommending for action. and then i will talk about how that plays into the rate cards for twientd -- 2019. so, overall there's -- as you can see on the introduction page, page four, there's over 15,000 covered medicare eligible retirees with departments in the uhc medicare advantage ppo plan. substantial population within the family. the 2019 rate quotation on a status quo basis no changes is changing over 22%. i will explain the tugs and pulls. that is a favorable outcome. but we also have the opportunity to add programs that we think will freely benefit members and keep the premium below where it is today. as you see on slide five, we're going to talk about two options. a status quo renewal and then a package of recommended plan design and program changes for the 2019 plan year that if you look at the bottom of the page, where you see 2019 with all proposed chang

according to all these graphs with united healthcare here, it seems like a portion of a population isn't accounted for. that portion is a medicare retiree with a non-medicare dependent. i know it might be such a small amount of people and it just falling in the aggregate and getting worked out. in my particular case, i'm in united healthcare, my wife is in blue shield. nowhere on any of these forms have i seen that addressed. >> we can consider adding that into the presentations. >> you're saying these folks that the questioner just raised are accounted for in the final rate cards or will be? >> absolutely. they are absolutely accounted for. we don't illustrate them here but we have produced rates for that combination. >> all right. thank you. are there other general questions about the presentation? public comment questions. all right. hearing and seeing none -- i'm sorry. there is. please come forward, ma'am. >> it's terrific to see them here. >> retiree. again, i hope i'm not out of order but one of the concerns that i have and many of my fellow retirees is the coverage that we'll receive for the 30 day skilled nursing, usual