Wildfire Alert: Emergency coverage for members in CA

 
Help for members impacted by the wildfires in California
 
We’re taking steps to help our members affected by the California wildfires get the care they need. If you have been impacted and live in Butte, El Dorado, Humboldt, Lake, Madera, Napa, Nevada, Sacramento, San Bernardino, San Diego, Shasta, Solano, Trinity, Tulare, Tuolumne and Yolo counties, here’s what you should know:
  • Emergency and urgent care services provided by out-of-network doctors and hospitals will be paid at in-network coverage levels.
  • We are waiving the notification penalty on utilization management (UM) review of in-hospital cases.
  • If you’re on a prescription drug plan you can get refills at any pharmacy now.
  • If you use a mail order pharmacy you can update your address information by calling Member Services
  • You can get replacement medical equipment (also called Durable Medical Equipment or DME) if yours was lost, damaged or can’t be accessed.
  • Claims filing deadlines will be extended.
These medical and pharmacy guidelines are effective immediately until August 21, 2015, unless extended.
 
With the exception of refilling lost or damaged drugs, you must call Member Services to request any of the above adjustments be made to your benefits.
 
These relaxed medical and pharmacy guidelines do not apply to Medicare Advantage members. Medicare Advantage has specific guidelines.
 
If you need additional support, call the Member Services number on your ID card or select Customer Support on this website.
 
We hope you and your loved ones stay safe.