Yourstory Your Story is published as a community service for the friends and patrons of: Presbyterian Health Plan and Presbyterian Insurance Company, Inc. Managing editor: fluentqc@phs.org A publication of Presbyterian Medicare Advantage Plans. Information in Your Story comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. 2022 © Coffey Communications, Inc. All rights reserved. Y0055_MPC032244_ NSR_C_03212022 Like us on Facebook Facebook.com/PresHealth Obtaining needed care during a state of disaster or public health emergency Presbyterian Medicare Advantage Plans, including Presbyterian Senior Care (HMO)/ (HMO/POS), Presbyterian MediCare PPO, and Presbyterian Dual Plus (HMO D-SNP), will ensure access to benefits in the following manner when a state of disaster or public health emergency is declared: ● Cover Medicare Part A and B services and supplemental Part C benefits furnished at non-contracted facilities ● Waive requirements for gatekeeper referrals where applicable ● Provide the same cost-sharing as if the service or benefit had been furnished at a contracted facility ● Make the changes that benefit members effective immediately without the required 30-day notice The Centers for Medicare & Medicaid Services states that a declaration of disaster may be made by one of the following: ● Presidential declaration of disaster or emergency under either the Stafford Act or the National Emergencies Act ● Secretarial declaration of a public health emergency under section 319 of the Public Health Service Act ● Declaration by the governor of the state of New Mexico If the president has declared a disaster, the secretary of Health and Human Services may also authorize waivers or modifications under section 1135 of the Public Health Service Act. The state of disaster or public health emergency ends when any of the following occur: ● The source that declared the state of disaster or public health emergency declares an end ● Centers for Medicare & Medicaid Services declares an end of the state of disaster or public health emergency ● Thirty (30) days have passed since the declaration of disaster or public health emergency was declared
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