CMS terminates Americas Health Choice contract

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The U.S. Centers for Medicare and Medicaid Services (CMS) said that it has terminated its Medicare Advantage contract with America’s Health Choice (AHC) of Vero Beach, Fla. The agency reported that the contract was terminated as of July 19 this year.

CMS said it took this action because of AHC’s failure to meet the terms of its contract.  Specifically, AHC failed to make services available to the extent that it posed an imminent and serious to the health of AHC enrollees, according to CMS.

AHC’s Medicare Advantage plan had an enrollment of approximately 12,000 members. This action by CMS does not affect AHC’s standalone prescription drug contract, which has approximately 500 members enrolled, the agency said.

In order to avoid any lapse in coverage, AHC’s Medicare Advantage members living in Florida’s Treasure Coast area have been enrolled retroactively into United Health Care’s Secure Horizons, a Medicare regional preferred provider product, effective on July 1 this year, CMS said.

Secure Horizons will immediately provide all former AHC enrollees with Medicare health benefits and prescription drug coverage. Beneficiaries can continue to see their current providers whether they are in or outside of the Secure Horizons network, according to the agency.