Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Mar

[AllenChicago]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

I thought Celtic had already left the market. I guess they just left the Texas market. Except, I THINK they own Ambetter. And, Ambetter is proceeding into 2016.

"Centene owns a traditional carrier, Celtic, and it has put that business in runoff mode in preparation for the changes that it expects PPACA to make. Centene created a new brand, Ambetter, to succeed Celtic and focus on selling commercial coverage through the PPACA exchange channel."

Source: Centene still waiting for numbers | BenefitsPro

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Praying the pull of TX so I don't have to deal with them...................

This guy had a great website until Cigna took him out...
http://www.cigna-sucks.com/cgi-sys/suspendedpage.cgi

 

[somarco]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

I heard Assurant is exiting the business

I read this on Facebook so I believe you are correct. Waiting to see it on Twitter before considering it solid.

 

[HealthRisk]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

I read this on Facebook so I believe you are correct. Waiting to see it on Twitter before considering it solid.

Assurant announced in early summer they were pulling out nationwide and they sold off the supplemental product business.

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"Centene owns a traditional carrier, Celtic, and it has put that business in runoff mode in preparation for the changes that it expects PPACA to make. Centene created a new brand, Ambetter, to succeed Celtic and focus on selling commercial coverage through the PPACA exchange channel."

Centene is buying up other smaller carriers as well.

 

[Yagents]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

I knew it was those urine tests driving up those claims:

Cigna Pulls Out Of FL Marketplace, Cites Abuse | Health News Florida

 

[Yagents]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

Do they mean agents? Or facility brokers?

Cigna pulls out of Fla. exchange, blames addiction treatment... | www.mypalmbeachpost.com

In one scam, for instance, brokers would go out of state to find addicts in need of assistance and arrange to bring them to Florida, sources told The Post. Claiming they were "residents," they purchased a Florida policy on the exchange.

In some cases, treatment providers and brokers not only guided the addicts through the process but provided them with Florida addresses to prove their residency and paid their deductibles, sources told The Post.

The insurer almost always was Cigna. When the policy kicked in, the addict would be admitted to a treatment center.

But in some cases, no premiums would be paid after that first month, leaving the addict, who might not have known about the deal, the treatment center and Cigna all holding the bag for what could be tens of thousands of dollars in treatment charges.

 

[RayNY]

Re: Cigna Will Temporarily Discontinue Offering Medical Plans on the Florida Public Health Insurance Marketplace for 201

Yagents,

It's a broker associated with the drug facility. It's an oldschool scam.

Find a drug addict, tell them that the new laws provides for free drug treatment if they sign on the dotted line. Sign them up with fraudulent info, get gov't to cover premium in full, while collecting commissions in full. Refer addict to specified drug treatment center, whose providers/referrals overcharge the carrier to the max, and kicks back a portion of each fee down the line. Facility gets money, doctors get money, labs get money, broker gets money.

To quote the article: "Cigna said, providers were paid "kickbacks in the form of dividends" linked to how many urine tests they sent to Sky."

When half a dozen addicts can ring up $500k-2.5M of just pee tests every year, it's easy to see why someone is willing to break the law for a cut.