Do I have health care coverage now that the company is in liquidation?
All health care coverage with QHP cancelled as of the date of liquidation, December 1, 2011.
As arranged by CMS, all of QHP’s Medicare Advantage members with prescription drug coverage are being enrolled in a different stand-alone prescription drug plan, Florida Wal-Mart Preferred, administered by Humana Insurance Company, effective December 1, 2011. For medical benefits, all members are being returned to Original Medicare effective December 1, 2011.
On or about November 29, 2011, former QHP members were mailed a letter from Humana, on behalf of CMS, which explained the changes in coverage and provided information about the members’ new prescription drug coverage. A sample copy of that letter is available HERE. QHP members will continue to see their current primary care provider under Original Medicare. Beneficiaries in the hospital or receiving skilled nursing care or treatments such as chemotherapy, dialysis, or organ transplantation as of December 1, 2011, will be able to continue with such care. CMS is working to ensure that members who currently have prescription drug coverage with QHP can maintain prescription drug coverage and are able to access medical providers and facilities through Original Medicare starting in December. CMS has also arranged for an extended Special Enrollment Period to allow the former QHP members additional time to review and make important decisions regarding their Medicare plan/benefits.
Former QHP members need to closely read the information and follow any instructions which are provided in CMS’ letter regarding the members’ continued health care coverage from December 1, 2011. For answers to any questions regarding Medicare coverage, please call CMS at 1-800-MEDICARE (1-800-633-4227; TTY: 1-877-486-2048).
Members may also contact the Florida State Health Insurance Program (SHINE) at 1-800-963-5337 for more information in their counties or the Agency for Health Care Administration (AHCA) at 1-888-419-3456 for assistance paying Medicare premiums, deductibles and coinsurance.