Accessing Benefits During a Disaster or Emergency
You'll have access to your benefits during a public health emergency or disaster. When one of these events is declared, Medica will:
- Cover medically necessary plan benefits furnished by out-of-network providers and apply the same cost share as if the service were furnished by an in-network provider.
- When applicable, waive referral and prior authorization requirements.
A declaration of disaster may be made by the President, the U.S. Secretary of Health and Human Services, CMS (the Centers for Medicare & Medicaid Services), or the State Governor. When the public health emergency or disaster is declared over (or after 30 days have passed when there is no end date declared), you will need to use in-network providers to receive services and the normal referral/prior authorization requirements and cost sharing will resume as described in your Member Handbook/Evidence of Coverage.