Federal raid threatens supplemental insurance for thousands - FOX13 News, WHBQ FOX 13

Federal raid threatens supplemental insurance for thousands

Posted: Updated:
ATLANTA -

Federal agents raided the Florida headquarters of Universal Health Care, shutting down the offices and leaving hundreds of employees out of work.  The move means 7,500 Georgians could potentially be without supplemental health insurance.

This is a government-approved Medicare insurance company.  If you are signed up for their supplemental health plan, this might be the first time you're hearing that your plan is gone.  The government shut down the company over allegations of insurance fraud.

The FBI and agents with the U.S. Department of Health and Human Services swept into the St. Petersburg office on Thursday. For two days, they pulled out boxes of files and computer information.  

Universal Health Care sold government-approved "Medicare Advantage" plans. It included supplemental coverage for senior citizens with Medicare.

Company founder Dr. Akshay Desai told FOX News he denies any wrongdoing.  He said, "The company has and is continuing to behave in an ethical and legal fashion."

In the meantime, this is a big, expensive problem for people like Larry Krassner.  He finds peace in his Hall County backyard in between taxing chemotherapy treatments.   But on April 1, he got an unsettling call at home telling him that the treatment center wanted to know how he planned to pay for his next round of chemo.

Mr. Krassner is covered by Medicare, but he used Universal Health Care's supplemental coverage to fill in some of the financial gaps.  He had just met his out-of-pocket maximum of $6,700, which meant his next treatment would be 100 percent covered.  Now, he says, he has to start all over.

You see, because he had to sign up with a new insurance plan on April 1, he won't be covered until May.  Had he signed up one day before, he would have had coverage.   He says he has never received any notice from his healthcare provider or Medicare services.

And what's more, when he does have full coverage next month, he has to pay out of pocket $6,700 one more time.   And like thousands of other Georgians, that puts a pinch in a fixed income.  

On Tuesday night, the FOX 5 I-Team was contacted by The Centers for Medicare and Medicaid Services.  They tell us they've negotiated with a new provider to cover Mr. Krassner now-- not making him wait until next month. It's good timing as he just found out about this issue on Monday, and his next chemo treatment is today.   What we don't know yet is whether he'll have to pay out of pocket $6,700 again.

  • I-Team Story ArchiveMore>>

  • Patient: Hospice company failed me too

    Patient: Hospice company failed me too

    Wednesday, August 27 2014 10:37 PM EDT2014-08-28 02:37:56 GMT
    The state is now looking into a defunct hospice provider originally investigated by the Fox 5 I-Team.
    The state is now looking into a defunct hospice provider originally investigated by the Fox 5 I-Team.
  • Hidden fees in checking accounts: Who's transparent, who's not

    Hidden fees in checking accounts: Who's transparent, who's not

    Wednesday, August 27 2014 8:10 AM EDT2014-08-27 12:10:06 GMT
    We already know about some of the fees our banks charge -- the monthly fee, the overdraft charge, out-of-network and minimum balance fees. That's standard stuff. But did you know that the average checking account has 30 fees attached?
    We already know about some of the fees our banks charge -- the monthly fee, the overdraft charge, out-of-network and minimum balance fees. That's standard stuff. But did you know that the average checking account has 30 fees attached?
  • Judge mulling sanctions related to ethics trial

    Judge mulling sanctions related to ethics trial

    Monday, August 25 2014 6:29 PM EDT2014-08-25 22:29:27 GMT
    A judge is deciding whether to sanction the Georgia attorney general's office, the state ethics commission and the commission's director for not releasing certain documents in a whistleblower trial.
    A judge is deciding whether to sanction the Georgia attorney general's office, the state ethics commission and the commission's director for not releasing certain documents in a whistleblower trial.
  • Contact the FOX 5 I-Team

    * denotes required fields

    We're sorry, but only one entry is allowed per person.
    Thank you for your continued interest.

    Thanks for contacting FOX 5.  To reach our newsroom by phone, please call (404) 898-0100.

  • Good Day ArchiveMore>>

  • Back to School Jamboree with Hosea Feed The Hungry

    Back to School Jamboree with Hosea Feed The Hungry

    Hosea Feed the Hungry will host their annual Back to School Jamboree on Sunday, July 13, 2014 from 10:00 a.m. until 3:00 p.m. at Turner Field. Children will receive a backpack filled with school supplies.

    Hosea Feed the Hungry will host their annual Back to School Jamboree on Sunday, July 13, 2014 from 10:00 a.m. until 3:00 p.m. at Turner Field. Children will receive a backpack filled with school supplies.

  • Good Day Atlanta

    Taco Thursday: Red Pepper Taqueria

    Taco Thursday: Red Pepper Taqueria

    Thursday, August 28 2014 10:19 AM EDT2014-08-28 14:19:31 GMT
    Are you addicted to tacos? So are the folks at Red Pepper Taqueria, and they would love nothing more than to help feed your taco addiction on a regular basis.
    Are you addicted to tacos? So are the folks at Red Pepper Taqueria, and they would love nothing more than to help feed your taco addiction on a regular basis.
  • Good Day Atlanta

    Actress Taraji P. Henson discusses her new film: No Good Deed

    Actress Taraji P. Henson discusses her new film: No Good Deed

    Thursday, August 28 2014 9:25 AM EDT2014-08-28 13:25:05 GMT
    Terri (Taraji P. Henson) is a devoted wife and mother of two, living an ideal suburban life in Atlanta when Colin (Idris Elba), a charming but dangerous escaped convict, shows up at her door claiming car trouble.
    Terri (Taraji P. Henson) is a devoted wife and mother of two, living an ideal suburban life in Atlanta when Colin (Idris Elba), a charming but dangerous escaped convict, shows up at her door claiming car trouble.
Powered by WorldNow

WHBQ-TV | Fox 13
485 S. Highland St.
Memphis, TN 38111

Main Station: (901) 320-1313
Newsroom: (901) 320-1340

Didn't find what you were looking for?
All content © Copyright 2000 - 2014 Fox Television Stations, Inc. and Worldnow. All Rights Reserved.
Privacy Policy | New Terms of Service What's new | Ad Choices