Faqs: FOX Insurance Company
Please be advised that FOX Insurance Company of NY will no longer be a Medicare Part D Drug Plan. Patients will be transitioned over to the LI-NET Program. Please see below the letter from CMS. Please contact your vendor pharmacy for further information. FOX INSURANCE COMPANY of NEW YORK ANNOUNCEMENT March 9, 2010 Dear Pharmacy Owner / Pharmacist-In-Charge, Effective March 10, 2010, the Centers for Medicare & Medicaid Services (CMS) is ending its PDP contract with Fox Insurance Company of New York (“Fox”). Thus, after March 9, 2010, CMS will no longer permit Fox to offer the Medicare Prescription Drug Plan. Because the Fox plan is ending, CMS is enrolling all current Fox enrollees (LIS, non-LIS) into the Limited Income NET Program (LI-NET), which is administered by Humana, to make sure these Part D eligible beneficiaries continue to have Medicare drug coverage. This temporary Medicare coverage under the LI-NET program begins on March 10, 2010 and will extend until April 30, 2010, unless an enrollee subsequently selects a different plan. States with Fox Coverage New Coverage BIN/PCN Member ID Number Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Illinois, Louisiana, Maryland, Missouri, North Carolina, New Jersey, New York, Nevada, Ohio, Pennsylvania, South Carolina, Texas and West Virginia. Medicare drug coverage begins March 10, 2010 The LI-NET program is the only way for affected Fox members to receive their Medicare drug coverage during the transition period starting on March 10, 2010. As in the normal course of business, an E1 inquiry may be initiated to determine member eligibility in the LI-NET program. Along with presenting a new prescription or requesting a refill, eligible members may be presenting a letter from CMS that validates their eligibility during this transition period. If you are unable to process a Limited Income NET claim, contact the Limited Income NET Program pharmacy benefits manager at the Humana help desk: 1-800-783-1307, then select option #1 or go to www.humana.com/pharmacists/resources/li_net.asp for more information. For additional information, please see the CMS Press Release located at http://www.cms.hhs.gov/apps/media/press_releases.asp. Chris Worrall Centers for Medicare and Medicaid Services Center for Drug and Health Plan Choice 200 Independence Avenue SW Washington, DC 20201
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