Federal raid threatens supplemental insurance for thousands - FOX 32 News Chicago

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>>

  • 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.
  • Controversial Hindu preacher found guilty

    Controversial Hindu preacher found guilty

    Monday, August 25 2014 4:19 PM EDT2014-08-25 20:19:49 GMT
    A federal jury in Atlanta returned a guilty verdict on all 34 counts against a ?controversial Hindu preacher?.
    A federal jury in Atlanta returned a guilty verdict on all 34 counts against a ?controversial Hindu preacher?.
  • Charity grant recipient asks, "Where's the money?"

    Charity grant recipient asks, "Where's the money?"

    Monday, August 25 2014 9:01 AM EDT2014-08-25 13:01:54 GMT
    A kidney transplant patient says it was at a star-studded fundraising event that he was awarded a grant to help him with mounting medical bills. But, behind the glitz and glamor are serious questions about how this charity manages its money.
    A kidney transplant patient says it was at a star-studded fundraising event that he was awarded a grant to help him with mounting medical bills. But, behind the glitz and glamor are serious questions about how this charity manages its money.
  • 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.

  • Delicious pastries take center stage in Atlanta

    Delicious pastries take center stage in Atlanta

    Tuesday, August 26 2014 9:15 AM EDT2014-08-26 13:15:17 GMT
    The competition is hot -- but boy, is it sweet -- at an annual event happening now in Atlanta.   It's called Pastry Live, which concludes today
    The competition is hot -- but boy, is it sweet -- at an annual event happening now in Atlanta. It's called Pastry Live, which concludes today at 200 Peachtree. The event is a three-day sugar and chocolate showpiece competition and seminar, including participants from around
  • RECALL: Pre-packaged salad kits

    RECALL: Pre-packaged salad kits

    Tuesday, August 26 2014 6:39 AM EDT2014-08-26 10:39:14 GMT
    Good Day AtlantaGood Day Atlanta
    Grabbing a pre-made salad kit may seem like the healthiest option when you're on the go but if you recently bought a chicken Caesar from Sam's Club, think again.
    Grabbing a pre-made salad kit may seem like the healthiest option when you're on the go but if you recently bought a chicken Caesar from Sam's Club, think again.
Powered by WorldNow

205 N. Michigan Avenue
Ground Floor
Chicago, IL 60601
Station Operator: (312) 565-5532
Newsroom: (312)565-5533

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