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Feds fine insurance startup for misleading marketing

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Barker at Vermont State Fair, 1941.

Federal regulators have fined Clover Health $106,095 for misleading consumers about their out-of-network benefits.

Clover Health sells Medicare Advantage products in New Jersey. The health- insurance startup provides enrollees with out-of-network benefits and lets them pay nothing for monthly premiums, co-payments and generic prescriptions.

Becker’s Hospital Review reported that CMS says that Clover’s ┬ámarketing misled potential enrollees about their ability “to always receive covered services from any out-of-network provider. The regulators said that the materials incorrectly stated that out-of-network providers participating in the Medicare program had ┬áto accept Clover enrollees.”

For the full story from Becker’s Hospital Review, read this link.

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