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Division Director

Toma Wilkerson


Assistant Division Director

Mary Linzee Branham


Division of Rehabilitation and Liquidation
Alexander Building
2020 Capital Circle SE
Suite 310
Tallahassee, FL 32301
1-800-882-3054

Policy and Coverage Information

Physicians United Plan, Inc.

POLICY CANCELLATION:

By Court Order, effective at 12:01 a.m. on July 1, 2014, PUP was ordered liquidated. As a result of the impending of Physicians United Plan, Inc. (PUP) and termination of its contract with CMS, CMS retroactively enrolled all PUP members into Original Medicare Fee-for-Service (FFS) and a Prescription Drug Plan (PDP) effective June 1, 2014. You should very carefully read any letters you receive from the Receiver or CMS. These letters will provide you with extremely important information regarding the continuation of your health care coverage, including arrangements made for continued prescription drug coverage, and will explain your other Medicare options.

Beneficiaries currently in the hospital or receiving treatments such as chemotherapy, dialysis, or organ transplantation are able to continue with such care. Remember, you will need to closely read the information and follow any instructions which are provided in letters you receive from CMS regarding your continued health care and prescription drug coverage after June 1, 2014.

SPECIAL ELECTION PERIOD:

As a result of the receivership of PUP, all beneficiaries enrolled in PUP have a Special Election Period until August 31, 2014 to enroll in a plan of their choosing. All dual eligible or those eligible for the Low Income Subsidy can enroll in another plan at any time. A beneficiary that selects another Medicare Advantage or Medicare Advantage-Prescription Drug plan will be covered under the new plan effective the first day of the next month after they enroll. Please contact 1-800-MEDICARE (1- 800-633-4227) for more information regarding these matters and/or to make a new plan selection.

A few more points/reminders about your health care coverage from June 1, 2014:

• As a result of the liquidation of Physicians United Plan, Inc. (PUP) and termination of its contract with CMS, CMS has retroactively enrolled all PUP members into Original Medicare FFS and a Prescription Drug Plan effective June 1, 2014.

• If you have any difficulty in obtaining prescriptions, please ask your pharmacist to assist you by doing an “electronic lookup” for your name/new pharmacy plan on the Medicare system to which they have access.

• The Receiver emailed a notice to all of PUP’s medical providers which informed them of the retroactive enrollment and the Special Election Period. This notice:

o Advised providers who have delivered services to members on or after June 1, 2014 to submit claims for those services to CMS under Medicare Fee-for-Service.

o Advised providers who were reluctant to provide health services to PUP members to continue to see those individuals and submit the claims for such services to CMS under Original Medicare for payment.