第一保健老人醫療保險(Medicare)會員在重大災難或緊急情況時可使用保險福利

在發生災變時,第一保健將確保您的醫療護理仍然是必須優先處理的第一要務。

在政府宣告重大災難或公共衛生緊急狀況時,第一保健將透過以下方式全力協助我們的會員,包括:

  • Covering Medicare Part A, Part B, and supplemental Part C plan benefits provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities).
  • 豁免轉介要求及預先授權(如果適用)
  • 允許網絡外服務且福利比照網絡內分攤費用辦理
  • 作出變更讓您的福利立即生效,而無需30天的通知要求。

In the event a disaster or public health emergency is declared, Healthfirst will ensure that members have adequate access to covered Part D Drugs by:

  • Covering formulary Part D drugs filled at out-of-network pharmacies and may:
    • Remove restrictions that stop you from getting refills too soon.
  • Covering the maximum extended day supply, if requested and available at the time of refill.

重大災難及公共衛生緊急狀況是基於以下機構的宣告:

  • A presidential declaration of disaster or emergency under either
    • The Stafford Act
    • The National Emergencies Act
  • 美國聯邦緊急應變總署(FEMA)
  • A secretarial declaration of a public health emergency under Section 319 of the Public Health Service Act
  • A declaration of emergency or disaster by the governor of New York

公共衛生緊急狀況或重大災難於以下任一情況發生後的30天結束:

  • 所有宣告災難或緊急狀況的來源均宣告結束。
  • 緊急狀況或重大災難已經過去且並未延續。
  • 使用醫療護理時未再出現中斷的情形。