When a disaster or a public health emergency is declared, we take the following actions to ensure our members in the affected areas can get the medical care they need:

• Covering Medicare Parts A and B services and Part C plan benefits at non-network hospitals and other medical facilities
• Removing prescription drug limitations such as “Refill too soon” rejection notices that prevent replacing lost medications
• Waive in full requirements for gatekeeper referrals where applicable
• Make changes that benefit the enrollee effective immediately without the 30-day notification requirement

These changes become effective immediately and remain in effect until:

• The president, governor or secretary of Health and Human Services declares the public health emergency or disaster has ended; or,
• 60 days have passed since the disaster or emergency was declared, and no end date was identified.

If Doctors HealthCare Plans is affected by the disaster and cannot resume normal operations by the end of the public health emergency or state of disaster, we will notify the Centers for Medicare & Medicaid Services (CMS) and will update our website, when and if we are able to provide information.

 

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Last Updated: 07/31/2020