If the Minnesota Governor, U.S. Secretary of Health and Human Services, or President of the United States declares a state of disaster or emergency in your geographic area, you are still entitled to care. During a declared disaster, South Country Health Alliance will allow you to get care from out-of-network providers at no cost to you. We will cover your Medicare Parts A and B services and supplemental Part C benefits by an out-of-network provider and your cost-sharing requirements will not change. We will waive requirements for referrals where applicable. South Country Health Alliance can make changes that benefit the member without the 30-day notification.
If you cannot use a network pharmacy during a declared disaster, you will be able to fill your prescription drugs at an out-of-network pharmacy. See your Evidence of Coverage for more information.
These special terms will be effective until the Minnesota Governor, U.S. Secretary of Health and Human Services, President of the United States, or the Centers for Medicare and Medicaid declare an end to the public health emergency or state of disaster or after 30 days have elapsed since the initial declaration.
H5703_5772 Accepted 8/9/21
|AbilityCare Member Materials|
|2022 Materials||Last Updated||2023 Materials|
|Enrollment Form||12/27/21||Coming Soon|
|Evidence of Coverage||10/13/21|
|Annual Notice of Changes||10/13/21|
|Summary of Benefits||10/13/21|
|List of Covered Drugs (Formulary)||11/01/22|
|Formulary Updates||11/01/22||Coming Soon|
|Provider and Pharmacy Directory||Web Page||See link||Web Page|
|Medicare Star Ratings||PDF (English)|
|LIS Premium Summary Chart||12/29/21|
|CMS Best Available Evidence Coverage||Web Page (external link)||Web Page (external link)|
|Covered Diabetic Testing Supplies||10/5/21|