Few Medicare Advantage and Prescription Drug Plans
Stop Services; Three Percent Impact in Louisiana
Several Medicare
Advantage (Part C) and Medicare Prescription Drug Plans (Part D)
will not
be renewing their plan
as an option for Louisiana
residents for calendar year 2010 according to Insurance Commissioner
Jim Donelon. Only 3.3 percent of Medicare beneficiaries in Louisiana
will be impacted by this change. The companies non-renewing are Coventry
Health Care, WellCare Health Plans, Humana, Munich American Holding’s
Sterling Option II and Tenet Healthcare. Impacted residents will
get a notice from their plans no later than November 2, 2009 letting
them know their plan is leaving the Medicare Program and explaining
their options. They will also get a reminder letter from Medicare
later in November. All benefits provided by non-renewing plans will
expire December 31, 2009.
“All beneficiaries enrolled in terminating plans will continue
to have their Medicare coverage and be able to enroll in a new plan
in their area or return to Original Medicare,” said Insurance
Commissioner Donelon. Because their plan is leaving the Medicare
Program, people in non-renewing plans have a Special Enrollment Period
from October 1 until January 31, 2010 to choose and join a new Medicare
plan. However, because their current plan coverage ends on
December 31, impacted beneficiaries should join a new plan before
December
31 to make sure they have continuous coverage on January 1. If they
join a new plan AFTER December 31, their new coverage won’t
start until February at the earliest. This could result in an interruption
in drug coverage. The plans can begin marketing their products to
consumers on October 1.
The Department of Insurance encourages those who want more information
about why a specific plan is leaving the Medicare Program to call
their specific plan directly. To learn about options for people currently
enrolled in a plan that is non-renewing, visit www.medicare.gov,
or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
You may also call the Department of Insurance Senior Health Insurance
Information Program at 1-800-259-5301.
No one in a non-renewing plan will lose their Medicare coverage
simply because their health or drug plan is leaving the Medicare
Program. People enrolled in a Medicare Advantage or other Medicare
health plan that is non-renewing still will have Original Medicare
coverage, even if they do not join another Medicare health plan.
Beneficiaries also will have the ability to purchase Medigap insurance
to supplement Original Medicare.
Table
showing parishes impacted by the non-renewing plans
and number of
residents impacted.