Hurricane Dorian Member Update
Finally, the storm that became powerful Hurricane Dorian is not a threat to the United States. Hopefully, you’ve been able to get back to a normal routine.
Our mission during Dorian’s painfully slow two-week path was to help you and your loved ones be prepared to get necessary care and medications before, during and after the storm. Our hope is that you made it through the storm with as few impacts as possible.
Some of the programs we put in place to help members remain in effect, while others have ended, as noted below:
- Early prescription refills for maintenance medications are still in effect for commercial and Medicare Advantage members impacted by the hurricane. They may receive one early refill up to a 30-day supply through Oct. 27.
- Referral and prior authorization exceptions for Medicare Advantage members impacted by the storm are in place through Oct. 27, or until further notice. Members can get treatment if they are unable to obtain a referral or prior authorization. Claims will be reviewed for medical necessity and processed according to the member’s contract benefits.
- Claims and authorization exceptions for members who get their plans through their job or those with individual plans were removed Sept. 6. Hurricane-related issues with care, enrollment, billing or claims will be handled on a case-by-case basis, including seeing an out-of-network provider due to being evacuated.
- Virtual care from Teladoc and counseling from New Directions Behavioral Health are still available for members who continue to have hurricane-related issues. Otherwise, members should return to using their regular benefits for these services.
As always, if you have any questions, please call the toll-free number on the back of your member ID card. We are here to help any way we can.
Filed under: Member News