Getting Care during a Disaster or Emergency
If you are a Medicare Advantage member and have been affected by a disaster or emergency declaration issued by the President of the United States or a State Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services in your geographic area, then the following will apply:
- Part A and Part B and supplemental Part C plan benefits are provided at specified non-contracted Medicare-certified facilities;
- Where applicable, requirements for referrals or prior authorizations are waived in full;
- Plan-approved out-of-network cost-sharing amounts are temporarily reduced; and
- The 30-day notification requirement to members is waived, as long as all the changes (such as reduction or cost-sharing and waiving authorization) benefits the member.
- At all times, and especially during a disaster and/or public health emergency situations, Clear Spring Health will ensure that you have adequate access to covered Part D drugs dispensed at out-of-network pharmacies if you are unable to obtain covered Part D drugs at a network pharmacy. If requested and available at the time of refill, Clear Spring Health will allow an affected member to obtain the maximum extended day supply.
Getting Care during a Disaster or Emergency
Once the President of the United States, a State Governor, the U.S. Secretary of Health and Human Services or The Centers of Medicare & Medicaid Services (CMS) has determined that the disaster or emergency is over, or after a minimum of 30 days have passed when there is no end date declared, you will need to use the plan provider network to receive services and the normal pre-authorization/referral requirements and cost sharing will resume and as described in your Evidence of Coverage.
MAPD 
Clear Spring Health, PO Box 278530, Miramar, FL 33027
8:00 a.m. – 8:00 p.m., 7 days a week 
