MANAGED CARE PLAN EXPANDS TO INCLUDE MEDICARE BENEFICIARIES IN NEWPORT COUNTY, R.I.
The Centers for Medicare & Medicaid Services (CMS) today approved a request by United Healthcare of New England Inc. to expand managed care coverage to Medicare beneficiaries in Newport County, R.I.
United Healthcare of New England, based in Warwick, R.I., will begin serving beneficiaries in Newport County, including the city of Newport, starting Jan. 1. Medicare beneficiaries can sign up for the plan during the current open enrollment for Medicare Advantage, formerly known as Medicare+Choice. About 15,000 beneficiaries live in the county.
The company, which operates as United Healthcare, began to serve beneficiaries in Rhode Island in 1996. It currently serves Bristol, Kent, Providence and Washington counties in Rhode Island.
"We are pleased United Healthcare of New England decided to serve more beneficiaries in Rhode Island,” HHS Secretary Tommy G. Thompson said. "Under the Medicare reform law signed by President Bush, Medicare will provide all seniors - no matter where they live - with better health insurance options, including prescription drug coverage and preventive care. The law is achieving the President's goals of strengthening and modernizing Medicare.”
United Healthcare of New England is a subsidiary of United Health Group, based in Minnetonka, Minn.
The plan gives another health care choice to beneficiaries in the county. The other Medicare Advantage plan currently operating in the county is Blue Cross and Blue Shield of Rhode Island Blue ChiP for Medicare.
“We want to make sure all Medicare beneficiaries, whether in a Medicare Advantage plan or fee-for-service, are receiving the highest quality health care," said CMS Administrator Mark McClellan, M.D., Ph.D. "We are doing more to guarantee that beneficiaries understand the Medicare coverage options available to them. We also are reminding beneficiaries of the need to work closely with the doctors and other health care providers that give them medical care."
Since Dec. 8, when President Bush signed the Medicare Modernization Act into law, CMS has approved 11 new contracts with Medicare health plans and 34 service area expansions. There are currently 39 applications pending for new contracts and 23 service area expansions pending.
Medicare Advantage HMOs and fee-for-service plans are available where private companies choose to offer them. Currently, about 4.6 million Medicare beneficiaries -- out of a total of about 40 million aged and disabled Americans – have enrolled in Medicare HMOs. Original fee-for-service Medicare, currently chosen by more than 35 million beneficiaries, is available to all beneficiaries.
Medicare has a far-reaching consumer information program that includes a national toll-free phone number -- 1-800-MEDICARE (1-800-633-4227) or TTY/TDD, at 877-486-2048 -- an Internet site -- www.medicare.gov -- and a coalition of more than 200 national and local organizations to provide seniors more information.