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MANAGED CARE PLAN OFFERED TO MEDICARE BENEFICIARIES IN SALT LAKE CITY AND 7 UTAH COUNTIES

 

MANAGED CARE PLAN OFFERED TO MEDICARE BENEFICIARIES IN SALT LAKE CITY AND 7 UTAH COUNTIES

The Centers for Medicare & Medicaid Services (CMS) has approved a request by United Healthcare of Utah Inc. to offer managed care coverage to Medicare beneficiaries in Salt Lake City and seven northern Utah counties.

 

United Healthcare of Utah will begin serving beneficiaries on Jan. 1 in Salt Lake County including Salt Lake City, and the counties of Box Elder, Davis, Morgan, Summit, Wasatch and Weber.  Medicare beneficiaries can sign up for the plan during the current open enrollment for Medicare Advantage, formerly known as Medicare+Choice. About 144,000 beneficiaries live in the seven counties.

    

"We are pleased United Healthcare of Utah decided to offer this plan to beneficiaries in northern Utah,” 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 Utah is a subsidiary of United Health Group, based in Minnetonka, Minn. The plan gives another health care option to beneficiaries in the seven counties. The other plans currently operating in these counties are Humana Health Insurance Co., Sterling Life Insurance Co. and UniCare Life and Health Insurance Co.  

 

"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, 2003, when President Bush signed the Medicare Modernization Act into law, CMS has approved 37 new contracts with Medicare health plans and 52 service area expansions.   There are currently 23 applications pending for new contracts and 19 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.