Magnolia Health Deceives Many Unsuspecting Members sign now

Magnolia Health was established in Mississippi to provide people with Mississippi Medicaid an alternative in insurance coverage. They provided an information packet about Magnolia Health Plan at the end of 2010, giving us the option to ethier keep Medicaid or switch to Magnolia Health Plan under the Mississippi Can program. In the information packet, a chart was provided to compare Medicaid and Magnolia Health Plan. According to the chart, Magnolia Health offered many advantages compared to Medicaid, including no co-pay, unlimited office visits with your primary care physician, up to six prescriptions per month, and a Cent Account incentive program. The only apparent drawback, according to the information provided by Magnolia Health, was the choice of a doctor which had to be one listed in the physician directory provided. To top it all off, we were provided the opportunity to try Magnolia Health risk-free for 90 days, with the option to change back to Medicaid at any time and for any reason prior to the March 31, 2011 deadline.

Based on my personal experience with Magnolia Health for the first 60 days, I recommended the plan to many others I know, who were Medicaid beneficiaries. In fact, during the 90-day risk-free trial period, I was very satisfied with Magnolia Health Plan and the service they provided, as were most others I spoke to. I received both of my usual monthly prescriptions in a hassle-free and timely manner for the months of January, February, and March 2011. Therefore, based on the service during those months, I decided not to change back to Medicaid. After all, the purpose of them offering a risk-free trial period was to show the quality of service to be expected from the plan and to aid us, the beneficiaries, in making an informed decision based on our own experience. Accordingly, we should expect to continue to receive timely and considerate service from Magnolia Health, just as we had during the first 90 days.

Beginning April 01, 2011, only one day after the deadline to change back to Medicaid, Magnolia Health implemented many new "policies" limiting prescription coverage, enforcing age limits, and creating an overall stressful situation for its members. For example, a medicine that they covered the first three months suddenly had an age limit for coverage, effective April 01, the day after the deadline, without any prior notice of such a limit. Also, "policies" were implemented without notice that drastically limited what medicines are covered, including those that are absolutely necessary such as those for high blood pressure, among many more. These same medicines were covered by Magnolia Health Plan the previous three months, prior to the deadline to change back to Medicaid. For example, my friend's mother has been on the same blood pressure medicine for 12 years, up until April 2011, when Magnolia Health refused to cover the drug anymore after covering it for the first three "trial" months. She was put on a different medicine, which causes her extreme dizziness and upset stomach. She was told she would just have to deal with it. These are only a few of the countless problems that most Magnolia Health members are currently facing. These problems are a direct result of Magnolia Health's deliberate actions in misrepresenting itself and misleading unsuspecting members. The service we received from January 01, 2011 to March 31, 2011 was supposed to represent the service we could expect to receive from Magnolia Health should we choose to remain a Member of the plan. In essence, this trial period was a deciding factor for most of us.

Though given the option to choose between Medicaid and Magnolia Health, most of us were misled and misinformed to influence our choice. Magnolia Health deliberately and intentionally misrepresented themselves and their quality of service during the trial period in order to keep their new and unsuspecting members from changing back to Medicaid before the March 31, 2011 deadline. We have the right to be heard and the responsibility to take a stand against such acts that intentionally deceive us, the people who they claim to serve. We simply want Magnolia Health to put into action their own words, which they used to attract us in the first place: "With Magnolia, you will receive the same benefits you have with Medicaid +MORE." Magnolia Health needs to operate and serve its members as it did the first 90 days or grant us disenrollment based on their misrepresentation of and poor quality of its service and benefits.

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Kris DeleonBy:
FoodIn:
Petition target:
Magnolia Health Plan and Mississippi Division of Medicaid

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