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CMS To Let Medicare FFS Companies Back In Market

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The 7 insurers that voluntarily agreed to suspend sales of Medicare Advantage private fee-for-service coverage are now in compliance with program marketing rules, according to officials with the Centers for Medicare and Medicaid Services.

CMS today will announce that the 7 carriers that agreed to the voluntarily suspension of Medicare Advantage sales can return to the market, officials said here at a conference organized by the America’s Health Insurance Plans, Washington.

The private FFS program, which relies on private insurers to run Medicare plans which permit members to see any willing provider, has about 1.3 million members.

CMS announced in June that 7 carriers had agreed to suspend marketing Medicare FFS coverage until Oct 1, to give them time to respond to complaints about Medicare Advantage marketing problems by showing that they had the systems and management controls in place to meet CMS marketing standards.

The 7 carriers are units of Aon Corp., Chicago; Blue Cross and Blue Shield of Tennessee, Chattanooga, Tenn.; Coventry Health Care Inc., Bethesda, Md.; Humana Inc., Louisville, Ky.; UnitedHealth Group Inc., Minnetonka, Minn.; Universal American Financial Corp., Rye Brook, N.Y.; and WellCare Health Plans Inc., Tampa, Fla.


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