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If you live in an area that’s been declared an emergency or disaster zone, you’re still entitled to get health care and prescriptions. We want you to understand your options as a HAP Medicare member. Below are some guidelines.
Speak with our Customer Service:
Customer service hours:
At all other times, you may access our interactive voice recording system at the same number and leave your name and phone number. We’ll return your phone call the next business day. Please don’t share personal health information when you leave your message.
The following are some questions members frequently ask relating to care during disasters:
In many cases, during a declared disaster or emergency, you can get care from out-of-network providers at in-network rates. Here are some general guidelines based on your specific Medicare coverage.
If you have Original Medicare and live in a declared emergency or disaster area, you can get care from any doctor who accepts Medicare. And some requirements may change in certain cases. For example, you may be able to get Medicare-covered services at an airport or from a military provider.
You may be able to see certain doctors or go to certain hospitals that take Medicare patients, even if it’s a not an emergency or the provider is outside the HAP network. Certain pre-approval rules for out-of-network services may not need to be met during an emergency or disaster. Call a HAP Medicare representative to see if Medicare coverage policies may have temporarily changed.
If you have a Medicare Prescription Drug plan and you can’t go to your usual network pharmacy to replace your prescription drugs, check with us to find another network pharmacy nearby. You can move most prescriptions from one network pharmacy to another and back to your regular pharmacy when the emergency or disaster ends.
If you fill your prescriptions at an out-of-network pharmacy, you’ll likely pay full cost. To request a refund on out-of-network prescriptions, you’ll need to submit a paper claim:HAP Customer Service
If you don’t think you’ll be able to return home for an extended time, you may want a 60- to 90-day supply of prescription drugs.
Here are quick links to government sources that will give you more information about getting care during an emergency or disaster:
Below are links to several other important guidelines and information regarding health care during an emergency or disaster:
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2018 Health Alliance Plan of Michigan
Y0076_2019 HAP Website
CMS Accepted 10/1/2018
HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment in the plans depends on contract renewals. HAP Senior Plus (PPO) is a product of Alliance Health and Life Insurance company, a wholly owned subsidiary of HAP.
This information is not a complete description of benefits. For more information call Medicare Michigan customer service at (800) 868-9885 (TTY: 711) 8 a.m. to 8 p.m., seven days a week (Oct. 1 – March 31) / 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30).