Coventry Medicare: KS, MO, AR, OK Plans
Whether you are an employer, health care provider, interested in enrolling, or already a member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
2015 Arkansas Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com
Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
AR Blue Cross Blue Shield to drop 4,000 Medicare Advantage custo
Beginning January 2015, Arkansas Blue Cross Blue Shield will no longer offer Medicare Advantage plans to residents in 23 Arkansas counties. According to the insurance company, that means about 4,000 people will either need to find a different guaranteed supplemental program in BCBS or switch to a Medicare Advantage program offered by another provider, if one is available. Notices of the cancellation have already been sent out to customers who must take action before December 31 or else they will lose their prescription drug coverage and be left with only the Original Medicare. Customers can enroll in a new plan between October 15, 2014, and February 28, 2015. If a person does not enroll in a plan with prescription drug coverage by the February deadline, he will not have prescription coverage in 2015 or must pay a late-enrollment penalty. According to a spokesperson for AR BCBS, the plan cancellations are a “business decision” by the insurance company as a result of government regulations. The following are the counties where Medicare Advantage will no longer be offered: Clay, Sharp, Independence, Jackson, Saline, Prairie, Arkansas, Grant, Desha, Drew, Chicot, Ashley, Bradley, Cleveland, Calhoun, Columbia, Lafayette, Miller, Little River, Sevier, Hempstead, Randolph, and Stone.
Arkansas hospital settles Medicare overbilling claim
Federal prosecutors say a hospital in North Little Rock will pay $2.7 million to settle claims that it filed improper claims under the Medicare program. Under an agreement announced Friday, Baptist Health Medical Center-North Little Rock and a sister hospital in Little Rock also agreed to annual claims reviews for the next five years. The review is known as a corporate integrity agreement. An audit referred to the U.S. Attorney’s office claimed the North Little Rock hospital submitted improper “short-stay” claims in 2008 and 2009. HHS said the cases involved inpatient care, including orders for admission without the “proper involvement” of a doctor.