The Center for Medicare and Medicaid Services has suspended another Insurance Medicare provider's plan.
CMS has suspended and sanctioned Ultimate Health Plan (UHP) Medicare Advantage Plan. Suspended Feb 26 and effective immediately. They are not allowed to market and sign up new enrollments for the UHP. They have determined that the conduct of UHP failed to provide services in compliance with CMS standards. According to the CMS document, "the failures were determined to be widespread and systemic."
If you are on a UHP plan, you still have your benefits at this time. A Special Enrollment Period has not been granted by CMS at this time.You will need to contact Medicare at 800-633-4227 to request permission to select another plan due to the suspension. Document your conversation with the representative - their name, the date and time that you got the approval, etc.
If you used a "captive" insurance agent, they only offer Medicare plans from the company they are contracted with. I do not recommended that you contact a "captive" agent, because they will not advise you about other options with insurance carriers that may provide you with better options.
If your family member is on Ultimate Health Plan and has a serious, chronic disease then you may want to look into other Medicare plans in the area in which they reside, to see if a better plan option is available. If you or a family member has Chronic Kidney Disease which requires dialysis or a kidney transplant, they may not be able to switch plans at this time.
Medicare will look at each individual's situation on a case-by-case basis.
If you have questions regarding the sanctions against Ultimate Health Plan, send me an email at:
To speak with a Medicare broker or Medicare advisor in your area, simple Google “Medicare Advisor” - and your county or location. An example would be - Medicare Adviser Tampa, Florida
Politics and Medicare:
This isn’t an endorsement for any candidate. This is just a summary of the candidates platform for Medicare and/or Healthcare
On The Republican Side:
Does not want to make cuts to Medicare
Favors health savings account
Does not favor current Obamacare
Favors taking away boundaries on state lines to encourage competition between states
Wants to save Medicare by gradually increasing the eligibility age from 65 to a higher age
Wants to move to a “Premium Support System”, whatever that means
Wants to raise the eligibility age gradually
Supports a voucher type program in Paul Ryan’s budget proposal
Hasn’t specifically talked about Medicare, only Healthcare
Believes in the “value over volume” system of Medicare reimbursements
Advocates healthcare savings accounts
On The Democratic Side:
Continue Obamacare and build on it
Protect seniors from rising costs
Advocates a single payer plan - administered by the government
Comprehensive coverage for all Americans paid for by the government
This will be paid by a 6.2% healthcare premium paid by employers
2.2% income based premium per household
This would be a government run system
No matter who you support, please make sure you exercise your right to vote!
Do you have questions or feedback? I’d love to hear it!
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Find out more information about Medicare on Diane Daniel’s website!