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Disaster Events Policy

In the event of a Presidential emergency declaration, a Presidential (major) disaster declaration, a declaration of emergency or disaster by a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, ConnectiCare will:

  • Waive approvals and referrals

  • Reduce cost-sharing amounts for out-of-network service to in-network cost-sharing amounts

  • Make plans for care such as:
    • Being discharged from a facility

    • Home care approvals

    • Durable medical equipment

    • Provide transportation

    • Move the member from a participating to non-participating facility

    • Help the member return to the prior facility
  • Make sure members can get covered Part D drugs filled at out-of-network pharmacies if the member is not able to get covered Part D drugs at a network pharmacy

  • Allow the member to get the maximum supply of part D drugs if it is in supply at the time of refill

A SEP exists for individuals affected by a weather-related emergency or major disaster who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections. Individuals will be considered “affected” and eligible for this SEP if they:

  • Reside, or resided at the start of the incident period, in an area for which FEMA has declared an emergency or a major disaster and has designated affected counties as being eligible to apply for individual or public level assistance;

  • Had another valid election period at the time of incident period; and

  • Did not make an election during that other valid election period.
In addition, the SEP is available to those individuals who don’t live in the affected areas but rely on help making healthcare decisions from friends or family members who live in the affected areas. The SEP is available from the start of the incident period and for four full calendar months thereafter.

ConnectiCare, Inc. is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal. ConnectiCare Insurance Company, Inc. is an HMO SNP plan with a Medicare contract and a contract with the Connecticut Medicaid Program.  Enrollment in ConnectiCare depends on contract renewal. ConnectiCare, Inc. complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-224-2273 (TTY: 1-800-842-9710). ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-224-2273 (TTY: 1-800-842-9710). ©2017 ConnectiCare, Inc. & Affiliates

Last Update 12/21/2018