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Intermediate Sanction Notice To Aetna Insurance Company

The Centers for Medicare & Medicaid Services issued a notice to Aetna Insurance Company of its intent to inflict transitional authorize to ensure that Medicare beneficiaries continue to have access to prescription drugs under Medicare’s requirement.

The midway sanctions, which will prevent Aetna from marketing to and enrolling new beneficiary, will be effective onwards. It will remain in effect until Aetna demonstrates to CMS that it has corrected its deficiencies and they are not likely to recur. Medicare’s actions should not impact the approximately one million enrollees in the Aetna plans across the country.

Aetna was served with the intermediate sanction notice because it has continued to improperly administer the Medicare drug benefit in the plan’s national standalone prescription drug plan and its 25 Medicare Advantage prescription drug contracts. Approximately 400,000 Medicare beneficiaries are enrolled in the organization’s MA-PD plans and another 600,000 are enrolled in the Aetna PDP.

According to Jonathan Blum that Current Aetna health insurance and drug plan members who are having difficulty in getting their prescriptions filled should contact 1-800-MEDICARE or their local state health insurance assistance program for help.

This entry was posted on Friday, April 16th, 2010 at 7:17 am and is filed under Health Insurance. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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