Hurricane Michael Information

10/08/2018

Hurricane Michael Information

If you are an Ultimate Health Plan or Wellcare/Staywell Dental Plan member, and you have been impacted by Hurricane Michael, LIBERTY may be able to help. 

In response to Hurricane Michael, Florida’s Governor Rick Scott declared a State of Emergency for the following 35 counties: Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Washington, Bay, Jackson, Calhoun, Gulf, Gadsden, Liberty, Franklin, Leon, Wakulla, Jefferson, Madison, Taylor, Columbia, Hamilton, Suwanee, Lafayette, Dixie, Gilchrist, Levy, Citrus, Pasco, Hernando, Pinellas, Hillsborough, Manatee, Alachua, Union, Bradford and Baker.

If you are an Ultimate Health Plan or Wellcare/Staywell Dental Plan member, and you have been impacted by Hurricane Michael, LIBERTY may be able to help by:

  • Relaxing time limits for prior authorizations or referrals
  • Extending filing deadlines for claims.

 

We can help regarding Medicare Part C and Part D:

Part C
  • Allow Part A/B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A/B benefits must, per 42 CFR § 422.204(b)(3), be furnished at Medicare certified facilities);
  • Waive, in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost sharing to in-network cost-sharing amounts;
Part D
  • Must ensure enrollees have adequate access to covered Part D drugs dispensed at out-of-network pharmacies when those enrollees cannot reasonably be expected to obtain covered Part D drugs at a network pharmacy, and when such access is not routine;
  • Are expected to lift their "refill-too-soon" edits. Sponsors have operational discretion as to how these edits are lifted during a disaster or emergency as long as access to Part D drugs is provided at the point-of-sale;
  • Are expected to allow an affected enrollee to obtain the maximum extended day supply, if requested and available at the time of refill.

 

If you need assistance and reside in one of the areas affected by Hurricane Michael, please call (877) 869-1803.

For information from the Agency for Health Care Administration regarding Hurricane Michael, click the link below: