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Cigna to Pull Out of Florida, Citing Abuse and Fraud in Substance Use Disorder Clinics and Labs

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at October 16, 2015

Two weeks before the federal Health Insurance Marketplace opens for enrollment, a major national company is withdrawing its Florida plans from the exchange.

Cigna Inc. of Hartford, CT, told some Florida insurance brokers of the decision on Thursday through an email and said customers will be notified through regular mail starting this week. It blamed soaring costs in its Florida plans on fraud and abuse in “out-of-network substance abuse clinics and labs.”

“We have experienced an exponential increase in fraudulent and abusive care delivery practices in 2015 in Florida,” said Cigna spokesman Joseph Mondy.

Our take: The “fraud” pales in comparison to the fraud which takes place in medical health care, with kickbacks and physician self-referrals.  Cigna simply doesn’t want to have to pay for behavioral health care services as provided for in the Parity Act.

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