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Insurance agents may have violated Medicare rules by selling fee-for-service plans door-to-door

Managed Care Weekly Advisor, January 31, 2007

Healthcare advocates are speaking out against insurance agents that go door-to-door to businesses selling fee-for-service plans, claiming that by doing so, they are violating Medicare rules. Additionally, the advocates argue that some agents target individuals with cognitive problems or limited English skills, according to an article in the San Francisco Chronicle.

Medicare is investigating the complaints as they arrive. According to the Chronicle, "The plans offered by the agents promise privately run versions of traditional Medicare with fewer restrictions on the doctors and hospitals they can use. These can generate up to five times the commission of a standard Medicare drug plan."

CMS and other private insurers are also investigating the claims.

Click here to read the Chronicle article.