Fox Insurance Ejected From Medicare Prescription Drug Program
- A New York health insurance company, Fox Insurance Co., has been kicked out of the Medicare Part D prescription drug program. The government has determined the insurer failed to meet Medicare requirements for beneficiaries—the first time a company has been terminated in the program’s history.
- The Centers for Medicare and Medicaid Services (CMS) says a review by federal officials found violations including imposition of unapproved prior authorization of prescriptions, a failure to meet the plan’s appeals deadlines and a failure to comply with regulations requiring that enrollees be transitioned to new drugs at the beginning of the new plan year.
- Over 123,000 beneficiaries were enrolled in Fox plans in 21 states across the country. Those enrolled will be sent letters explaining how they can continue to receive their prescriptions.
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