Medicare Suspends Marketing & Enrollment for Fox Insurance Company Drug Plan
The Centers for Medicare & Medicaid Services (CMS) directed Fox Insurance Company of New York to immediately suspend marketing and enrollment of new members in the organization's Medicare Part D prescription drug plans. CMS imposed this immediate sanction because the Fox drug plan has not been able to meet the prescription drug needs of some of its newest members, actions which could pose serious threats to their health and safety.
CMS Press Release: Effective March 10, 2010, the Centers for Medicare & Medicaid Services (CMS) is ending its PDP contract with Fox Insurance Company of New York ("Fox"). Thus, after March 9, 2010, CMS will no longer permit Fox to offer the Medicare Prescription Drug Plan. Because the Fox plan is ending, CMS is enrolling all current Fox enrollees (LIS, non-LIS) into the Limited Income NET Program (LI-NET), which is administered by Humana, to make sure these Part D eligible beneficiaries continue to have Medicare drug coverage. This temporary Medicare coverage under the LI-NET program begins on March 10, 2010 and will extend until April 30, 2010, unless an enrollee subsequently selects a different plan.
States with Fox Coverage
Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Illinois, Louisiana, Maryland, Missouri, North Carolina, New Jersey, New York, Nevada, Ohio, Pennsylvania, South Carolina, Texas and West Virginia.
New Coverage: Medicare drug coverage begins March 10, 2010
BIN/PCN
· BIN = 610649
· PCN = 05440000
Medicare ID Number
ยท Cardholder ID = Beneficiary HICN (Medicare ID number)
· Group ID may be left blank
· For pharmacy billing assistance call 1-800-783-1307
The LI-NET program is the only way for affected Fox members to receive their Medicare drug coverage during the transition period starting on March 10, 2010. As in the normal course of business, an E1 inquiry may be initiated to determine member eligibility in the LI-NET program. Along with presenting a new prescription or requesting a refill, eligible members may be presenting a letter from CMS that validates their eligibility during this transition period.
If you are unable to process a Limited Income NET claim, contact the Limited Income NET Program pharmacy benefits manager at the Humana help desk: 1-800-783-1307, then select option #1 or go to www.humana.com/pharmacists/resources/li_net.asp for more information.
CMS encourages plan members who may have concerns with their Part D coverage to contact 1-800-MEDICARE (1-800-633-4227) or the state health insurance assistance program (SHIP) to help get them resolved.
