• Getting Care During a Disaster or Public Health Emergency

Getting Care During a Disaster or Public Health Emergency

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

The actions we take include:

  • Coverage of both Medicare Parts A and B services and supplemental Part C plan benefits at non-network hospitals and other medical facilities
  • Waiving the requirements for primary care (PCP) referrals
  • Zero out of pocket cost to any facility, whether participating or non-participating
  • Removing prescription drug limitations, such as “Refill too soon” rejection notices, that prevent replacing lost medications
  • Managed Long Term Care (MLTC) care coordination will continue through your Senior Whole Health of New York care manager and assigned vendor.

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.

In the event Senior Whole Health of New York 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) along with the State of New York Department of Health. We will update the Senior Whole Health website, when and if we are able, to provide information about Senior Whole Health of New York’s operational capabilities.

If you have any questions, please call Member Services at 1-877-353-0185 (TTY 711) Monday through Friday, from 8 a.m. to 8 p.m. (from October 1—March 31, 7 days a week).

Last Updated 03/09/2020