CMS Terminates Medicare Part D Contract With Fox Insurance
CQ HealthBeat(3/11, Norman, subscription required) reports, “A New York health insurance company has been kicked out of the Medicare Part D prescription drug program after the government determined the insurer wasn’t meeting Medicare requirements for beneficiaries. CMS officials said it is the first time a company has been terminated from the Part D program since its inception.” According to CMS, “an onsite review of the company by federal officials found violations including imposition of unapproved prior authorization of prescriptions, a failure to meet the plan’s appeals deadlines, and a failure to comply with regulations requiring that enrollees be transitioned to new drugs at the beginning of the new plan year.”
Fox Insurance was doing business in North Carolina. If you or someone you know is going to be impacted by this, please call IBD Insurance at 800-615-5980. CMS will give impacted individuals the opportunity to enroll in another Part D plan. Call IBD Insurance today for guidance and assistance.
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