• Getting Care During a Disaster

Getting Care During a Disaster

How Senior Whole Health supports our members during disasters

When the president, governor or secretary of Health and Human Services declares a disaster or a public health emergency, we take actions to ensure our Senior Whole Health members in the affected areas can get the medical care they need.

The actions we take include:

  • Covering Medicare Part A and B services and supplemental Part C plan benefits at non-network hospitals and other medical facilities
  • Waiving all requirements for primary care (PCP) referrals
  • Providing enrollees with the same cost sharing (zero) that 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 these changes become effective immediately.

These actions remain in place 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 specified.

If Senior Whole Health is also affected by the disaster and cannot resume operations by the end of the disaster or public health emergency, we will notify the Center for Medicare and Medicaid (CMS) and will update the Senior Whole Health website, when and if we are able, to provide information about Senior Whole Health’s operational capabilities.

Last Updated 06/28/2017