For Professionals:
News About
Medicare Advantage
- 5,400 Beneficiaries to be Disenrolled from Kaiser's Special Needs Plan
- Nov 8, 2011 Kaiser will be disenrolling more than 5,400 beneficiaries from their Medicare Advantage Special Needs Plan (SNP) by December 31, 2011. This involuntary disenrollment will affect beneficiaries in 30 counties.
- California Beneficiaries Hit Hard by Medicare Advantage Plan Pull-outs
- Nov 3, 2011 Almost 151,000 beneficiaries in California are in Medicare Advantage plans pulling out of the Medicare market in 2012. These plans are not renewing their Medicare contracts, their plans are terminating by the end of the year, and beneficiaries enrolled in these plans need to choose a new coverage option for 2012.
- CMS Removes Sanctions Against Aetna
- Jun 21, 2011 Aetna was released from its enrollment and marketing sanction on Monday, June 13, 2011. CMS put these sanctions in place in April 2010 in response to numerous complaints from providers and beneficiaries, including limited access to medications.
- Some Beneficiaries Have Until Feb. 14 to Enroll in a New Part D Plan (Medicare Advantage)
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Jan. 11, 2011 Beneficiaries who disenroll from a Medicare Advantage plan during new Medicare Advantage Disenrollment Period (MADP, which is from Jan. 11 – Feb. 14) have a Part D Special Election Period (SEP) to enroll in a new prescription drug plan. The SEP runs until Feb. 14).
- 2011 MIPPA Provisions: Certain PFFS Plans Must Have Networks of Contracted Providers
- Oct. 26, 2010 As of January 2011, all non-employer sponsored Medicare Advantage Private Fee-For-Service (PFFS) plans in counties with at least 2 HMOs and/or local PPOs must have a network of contracted providers for their enrollees to use.
- Little-Known Special Election Period for People in MA Plans that Terminated in 2009
- Feb. 17, 2010 Beneficiaries who were in a Medicare Advantage (MA) plan that terminated on Dec. 31, 2009 have an extended Special Enrollment Period (SEP) until Feb. 28, 2010.
- 9 Simple Ways to Avoid Medicare Marketing Scams
- Jan. 9, 2009
- CMS Proposes New Compensation Limits for Agents Selling Medicare Part C & D Plans
- Dec. 31, 2008
- Medicare Issues New Rules to Enforce MIPPA Marketing Requirements this Fall
- Oct. 4, 2008
- Beneficiaries with ESRD Can Join MA Demonstration Plans in Several California Counties
- 2008
- Private Insurers Enroll Beneficiaries in Fight Against MA Payment Cuts
- 2007
- Controversial Limited Open Enrollment Period (L-OEP) Ended July 31, 2007
- 2007
- Marketing Misconduct Continues as PFFS ‘Pied Pipers’ Compete for Beneficiaries
- 2007
- New Limited Open Enrollment Period Begins April 1st: CMS Rejects Advocates’ Claims of Misinterpreting Medicare Law
- 2007
- Proposed Regulations Weaken Language Access Law in California HMOs
- 2007
- Medicare’s PFFS Plans Raise Serious Concerns Among Physicians
- 2007
- CHA Files Complaint Regarding Marketing Tactics of MA Plan Agent
- 2006
- Cancer Patients Take the Brunt of HMO Cost Increases
- 2006
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