Getting Care During A Disaster

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 MaterialsLast Updated2023 Materials
Enrollment FormPDF12/27/21Coming Soon
Evidence of CoveragePDF10/13/21PDF
Annual Notice of ChangesPDF10/13/21PDF
Summary of BenefitsPDF10/13/21PDF
Pre-Enrollment ChecklistPDF10/25/21PDF
List of Covered Drugs (Formulary)PDF11/01/22PDF
Formulary UpdatesPDF11/01/22Coming Soon
Provider and Pharmacy DirectoryWeb PageSee linkWeb Page
Medicare Star RatingsPDF (English)
PDF (Spanish)
10/19/21PDF (English)
PDF (Spanish)
LIS Premium Summary ChartPDF12/29/21PDF
CMS Best Available Evidence CoverageWeb Page (external link)Web Page (external link)
Covered Diabetic Testing SuppliesPDF10/5/21PDF

Last Updated on 10/05/2021 by Chris Gartner

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