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  Public Health Emergency Declaration, COVID-19

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***Coronavirus, COVID-19**** There is an Emergency Declaration in place for the State of Florida and Nationally. Please click here to learn how Ultimate Health Plans provides benefits during an Emergency.

What is the coronavirus?

COVID-19 is a respiratory disease that is caused by a new virus called coronavirus, which has become a public health emergency. The number of cases continue to increase nationally and globally.


What are the symptoms?

The symptoms of coronavirus include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath. It may be contagious before a person begins showing symptoms.


I may have symptoms. What do I do?

If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.


Protect yourself and your community.

We all have a role to play in protecting our communities and families from the spread of coronavirus. You can also follow these tips to prevent infection:

  • Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
  • Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
  • Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
  • Promptly dispose of tissues in a wastebasket after use.
  • Clean public surfaces thoroughly.
  • Stay home when you are sick.
  • Avoid shaking hands.
  • Avoid close contact with people who are sick.
  • Get a flu vaccine.

How We Provide Benefits During a Disaster

Ultimate Health Plans follows all CMS guidelines for providing benefits during disaster or public health emergency declarations.

In the event of a Presidential emergency declaration, a Presidential (major) disaster declaration, a declaration of emergency or disaster by the Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, we:

  • Allow Part A/B plan benefits and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (so long as any Part A and B benefits are furnished at Medicare certified facilities);
  • Waive the requirements for gatekeeper referrals for those services that require it;
  • Temporarily reduce plan-approved out-of-network cost sharing to in-network cost-sharing amounts; and
  • Waive the 30-day notification requirement to Members as long as all the changes (such as reduction of cost sharing and waiving authorization) benefit you, our Member.

If the President has declared a major disaster or the Secretary of Health and Human Services has declared a public health emergency, we:

  • Ensure you can use out-of-network pharmacies when you cannot reasonably be expected to obtain covered Part D drugs at a network pharmacy, and when such access is not routine;
  • Lift the “refill too soon” restriction so that you can get another supply of your medication earlier than you usually could get it; and
  • Ensure that you can get the maximum extended day supply of your medication if you request it and its available at the time of refill.

Depending on the situation, we may take the above steps before the impending emergency to help you prepare and ensure you have access to your medications even if the President or Secretary have not yet made a declaration.

If you need help accessing your medical benefit, please call 1-888-657-4170 (TTY 711). Our hours are Monday through Sunday from 8am to 8pm.

If you need help getting your medications, please call 1-800-311-7517 (TTY 711), 24 hours a day seven days a week.

For additional information from the Centers for Disease Control and Prevention (CDC) please visit: https://www.cdc.gov/coronavirus/2019-ncov/index.html


This page was last modified: 3/17/2020 9:20:33 PM
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Ultimate Health Plans is an HMO plan with a Medicare contract. Enrollment in Ultimate Health Plans depends on contract renewal. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. Ultimate Health Plans does not collect any member information through this website.

 

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