The Health Plan has established a Disaster and Emergency Declaration policy in accordance with state and federal laws and related regulations.

Plan Counties Affected: Citrus

During this period:

• For any medical emergency, please contact 911.
• The Plan will allow Part A/B and supplemental Part C plan benefits to be furnished at specified non-contracted (out-of-network) facilities.
• Plan will waive requirements for obtaining gatekeeper (PCP) referrals.
• The Plan will temporarily reduce plan-approved out-of-network cost sharing to in-network cost-sharing amounts.
• Temporarily reduces out of plan approved costs to in-network cost sharing amounts.
• Enrollees will have adequate access to covered Part D drugs dispensed at out-of-network pharmacies when those enrollees cannot reasonably be expected to obtain covered Part D drugs at a network pharmacy, and when such access is not routine.
• The Plan will lift “refill-too-soon” edits. You can get your refills at your pharmacy with no problem. Talk to your pharmacist. They can help you fill a prescription.
• Affected enrollee can obtain the maximum extended day supply, if requested and available at the time of refill.
• When calling the member services phone numbers, you may experience long waits or be directed to voicemail. We are working diligently to address all of your needs and all voicemails will be returned as soon as possible. If experiencing a medical emergency, please contact 911.

These measures will remain in place for the duration of the emergency declaration. Disasters or emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or a state Governor.

Transportation:

Members may experience longer-than-usual wait times when calling for transportation services in areas affected by the emergency. If your transportation need is not urgent, you may wish to call back at a later time. If you are experiencing a medical emergency, call 911.

OVER THE COUNTER (OTC) ORDERS:

LINKS TO WEATHER RELATED WEBSITES