Coverage Information - MD Medicare Choice, Inc. ("MDMC")
Do I have health care coverage now?
Yes. While MDMC was ordered liquidated effective 11:59 p.m. on September 30, 2008 and the member's health
care coverage with MDMC was cancelled as of that date and time, the former MDMC members have continued health care coverage through
another health maintenance organization. CMS has arranged for Humana, Inc. to provide health care coverage to the former members of
MDMC from October 1, 2008, going forward. Humana will mail letters to each Medicare beneficiary explaining how the continued health
care coverage with the HMO will work and the beneficiary’s other Medicare options. Beneficiaries are urged to carefully read any
letters they receive from Humana or CMS.
If I need to go to the hospital or need to seek other emergency care, who will authorize my medical treatment?
If you have a medical emergency (you believe your health is in serious danger):
Get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room. You do not need to get permission or authorization from your Primary Care Physician, other plan provider, or the HMO.
Make sure that your HMO and your Primary Care Physician know about your emergency so that they can be involved in following
up on your emergency care. You or someone else should call to tell your Primary Care Physician about your emergency care as
soon as possible, preferably within 48 hours. Starting October 1, 2008, you should follow the instructions which are provided
in the letter you receive from Humana. For additional questions regarding continued healthcare, members should call Humana at 1-800-758-4086
(TTY 1-800-833-3301)
I need to fill a prescription. Which pharmacy should I use?
Continue to use the pharmacy you used as a subscriber of
MDMC until further notice from Humana regarding its prescription plans.
My doctor is refusing to treat me or is demanding immediate payment from me prior to providing medical services. What should I do?
You should follow the instructions which are provided in the letter you receive from Humana. For additional
questions regarding continued healthcare, members should call Humana at 1-800-758-4086 (TTY 1-800-833-3301)
Can Providers seek payment from former subscribers for debt owed by
MDMC for medical services received prior to October 1, 2008?
No. Under Section 641.315, Florida Statutes, HMO subscribers are not liable to any provider of health care services for any services covered by the HMO. Additionally, health care providers and their representatives are prohibited from attempting to collect payment from the HMO subscribers for such services. If you are contacted by a health care provider for such payment, you should inform the provider of this law. You may also want to send a letter regarding this issue, with a copy of any bills you receive from such providers, to the Receiver of
MD Medicare Choice, Inc., at P.O. Drawer 10280, Tallahassee, Florida 32302-2280. If the provider or his representative continues to pressure you for payment, please contact the Receiver at 1-850-413-3081
. Although the Receiver cannot represent you against the provider, we can assist you in informing the provider of the relevant laws.
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Division of Rehabilitation and
Liquidation · 2020 Capital Circle SE Alexander Bldg Ste
340 · Tallahassee, FL 32301-0110
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