Care for Members During a Disaster
My Choice Wisconsin is continuously monitoring the evolving coronavirus pandemic and we are committed to helping you stay connected to important COVID-19 information and gain access to helpful COVID-19 resources
The following outlines how My Choice Wisconsin handles member services during a national, state, or health emergency.
In the event of a declaration of emergency or disaster by the President or a Governor or an announcement of a public health emergency by the Secretary of Health and Human Services, My Choice Wisconsin works closely with our State and Federal partners to make sure our members receive the care they need in a timely manner.
Members that receive Medicare benefits from My Choice Wisconsin may have:
- Access to Part A and Part B and supplemental Part C plan benefits at specified non-contracted facilities
- Waiving in full, requirements for gatekeeper referrals where applicable
- Temporary reduction of plan-approved out-of-network cost-sharing to in-network cost-sharing amounts
- Waiving of the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee
- Changes in restrictions on refills of Part D prescription drugs
Typically, the source that declared the disaster will clarify when the disaster or emergency is over. However, if the disaster or emergency timeframe has not been closed 30 days from the initial declaration and if the Centers for Medicare & Medicaid Services has not indicated an end date to the disaster or emergency, we will resume normal operations 30 days from the initial declaration.