During Disasters
When the president, governor, or secretary of Health and Human Services declares a disaster or a public health emergency, CP takes actions to ensure their Medicare Advantage plan members in the affected areas can get the medical care they need.
The actions include:
• Covering Medicare Parts A and B services and Part C plan benefits at non-network hospitals and other medical facilities
• Waiving all requirements for primary care physician (PCP) referrals
• Providing CarePlus members with the same cost-sharing they would get at an in-network facility
• Removing prescription drug limitations such as “refill too soon” rejection notices that prevent replacing lost medications
All of the above changes become effective immediately after the declaration of a disaster or a public health emergency.
These actions remain in effect until:
• The president, governor, or secretary of Health and Human Services declares the public health emergency or disaster has ended; or,
• 30 days have passed since the disaster or emergency was declared, and no end date was identified.
