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Latest Medicare News on Medicare plan providers

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Category: Medicare plan providers

Back To News Home . Browse All (27) Items in Category

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Medicare Part D Plan Mergers and Changes - PacifiCare / United HealthCare and AARP Plans
Changes with PacifiCare – United HealthCare – AARP Medicare Part D plans As reported by the Los Angeles Times, there will be changes in the United HealthCare, PacificCare, and AARP plans. ...

Medicare Imposes Immediate Sanctions on SilverScript Medicare Part D Plans [Sanctions ended 01/01/2014]
[Editorial Note:  The  following 2013 SilverScript Medicare Part D plan sanctions were lifted on 01/01/2014 and you can read more in our Blog "CMS lifts SilverScript Medicare Part D Marketin ...

MEDICARE FINES AND SUSPENDS ENROLLMENT AND MARKETING FOR QUALITY HEALTH INSURANCE PLAN
On Monday, May 17, 2010, the Centers for Medicare & Medicaid Services (CMS) issued two notices to Quality Health Plan (QHP) with intent to impose intermediate sanctions and a civil monetary penalt ...

CMS Imposition of Immediate Sanctions on Cigna-HealthSpring: Suspension of Enrollment and Marketing for Cigna-HealthSpring MAPDs and PDPs.
On January 21, 2016, the Centers for Medicare and Medicaid Services (CMS) imposed immediate intermediate sanctions (suspension of enrollment and marketing) for the Cigna-HealthSpring Medicare Advantag ...

CMS Lifts Health Net Marketing and Enrollment Sanctions
The Centers for Medicare & Medicaid Services (CMS) has released Health Net’s marketing and enrollment sanctions and Health Net, Inc. (Health Net) is once again approved to enroll new Members ...

MEDICARE ISSUES INTERMEDIATE SANCTION NOTICE TO AETNA INSURANCE COMPANY MEDICARE HEALTH AND DRUG PLANS
On April 5, 2010, the Centers for Medicare & Medicaid Services (CMS) issued a notice to Aetna Insurance Company of its intent to impose an intermediate sanction to ensure that Medicare beneficiari ...

Health Net, Inc. sells Medicare Part D stand-alone prescription drug plan (PDP) business to CVS Caremark Corporation
Health Net recently announced the sale of their stand-alone Medicare Part D business to CVS.  The sale is expected to close in the second quarter of 2012 - pending governmental approval.  Pr ...

CMS lifts SilverScript Medicare Part D Marketing and Enrollment sanctions
Starting on January 1, 2014, the sanctions imposed on SilverScript Medicare Part D plans have been lifted by the Centers for Medicare and Medicaid Services (CMS) and SilverScript can once again market ...

Universal American Corporation Approved for New Medicare Advantage Sales
On August 5, 2011, the Universal American Corporation announced that the Centers for Medicare & Medicaid Services (CMS) has lifted marketing and enrollment sanctions and Universal American is once ...

CMS Lifts Universal American Corporation Marketing and Enrollment Sanctions
The Centers for Medicare & Medicaid Services (CMS) has lifted their marketing and enrollment sanctions on the Universal American Medicare plans and the company is once again approved to enroll new ...

. Latest Items in Category


CMS lifts Cigna Medicare Part D and Medicare Advantage plan Marketing and Enrollment Sanctions
On Friday, June 16, 2017, the Centers for Medicare and Medicaid Services (CMS) lifted the sanctions imposed on Cigna Medicare Part D and Medicare Advantage plans and Cigna may once again market Medica ...

United American Insurance Company (S5755) and First United Life Insurance Company (S5580) released from CMS sanctions
Effective April 7, 2016, the CMS intermediate sanctions are released from contracts S5580 and S5755, and First United Life Insurance Company and United American Insurance Company (Torchmark) will re ...

CMS Imposition of Immediate Sanctions on Cigna-HealthSpring: Suspension of Enrollment and Marketing for Cigna-HealthSpring MAPDs and PDPs.
On January 21, 2016, the Centers for Medicare and Medicaid Services (CMS) imposed immediate intermediate sanctions (suspension of enrollment and marketing) for the Cigna-HealthSpring Medicare Advantag ...

CMS Imposes Sanctions - Suspension of Enrollment - on First United Life Insurance Company and United American Insurance Company, both owned by parent organization Torchmark Corporation (S5580, S5755)
Update:  Torchmark released from CMS imposed sanctions on 4/7/2016. Read more: United American Insurance Company (S5755) and First United Life Insurance Company (S5580) released from CMS imposed ...

CMS lifts Smart D (Express Scripts) Medicare Part D Marketing and Enrollment Sanctions
On April 23, 2015, the Centers for Medicare and Medicaid Services (CMS) lifted the Intermediate Sanctions on Smart Insurance Company (Smart) Stand-Alone Medicare Part D Prescription Drug Plans ( ...

CMS lifts SummaCare Medicare Part D Marketing and Enrollment sanctions
On March 25, 2015, the sanctions imposed on SummaCare Medicare Advantage plans were lifted by the Centers for Medicare and Medicaid Services (CMS) and SummaCare can once again market and enroll Medica ...

CMS lifts Capital Blue Cross Medicare Advantage and Medicare Part D Marketing and Enrollment Sanctions
On February 25, 2015, the Centers for Medicare and Medicaid Services (CMS) lifted the Intermediate Sanctions on Capital Blue Cross (CBC) Medicare Advantage Plans and stand-alone Medicare Part D Pr ...

Hackers breach Anthem's database system accessing information for past and current health plan members
Anthem, Inc. learned last week that hackers had gained unauthorized access to Anthem's data systems and obtained personal information from current and former health plan members -- and Anthem employee ...

CMS Imposes Immediate Sanction - Suspension of Enrollment - on Florida Healthcare Plus Inc (H4199)
The Centers for Medicare & Medicaid Services (CMS) has informed Florida Healthcare Plus, Inc. of an immediate intermediate sanction on the Medicare Advantage-Prescription Drug Plan (MA-PD) under c ...

Medicare Imposes Intermediate Sanctions (Suspension of Enrollment and Marketing) for SummaCare's Medicare Advantage-Prescription Drug Plans
UPDATE:  On March 25, 2015, the sanctions imposed on SummaCare Medicare Advantage plans were lifted by the Centers for Medicare and Medicaid Services (CMS) and SummaCare can once again market a ...


Back To News Home . Browse All (27) Items in Category




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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.