Medicare Belongs in Older Clients' Disaster Planning

Commentary August 28, 2023 at 11:07 AM
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As the dog days of summer draw to a close, extreme weather-related events, including the peak of hurricane season, loom ominously for many Americans.

For Medicare beneficiaries, understanding how their coverage applies during natural disasters and making plans to mitigate disaster-related health challenges are crucial aspects of disaster preparedness.

The Question:

How does Medicare coverage apply in the wake of a natural disaster, and what special provisions or assistance might be available for beneficiaries?

The Answer:

Firstly, during a declared emergency or disaster, Medicare coverage still applies.

The regular benefits offered under the Medicare Part A hospitalization plan, the Medicare Part B physician and outpatient services plan, and the Medicare Part D prescription drug program are available to beneficiaries, ensuring that they continue to have access to critical health services and prescriptions.

During an emergency, there might be extra flexibility in Medicare's policies.

For example, if your clients are evacuated from their homes and do not have access to their regular networks of doctors, Medicare may cover the care those clients receive from the out-of-network provider at the same cost as if your clients were using in-network providers.

Prescriptions and Part D Coverage

Medicare Part D also has special provisions for assisting beneficiaries during a disaster.

When a state of emergency is declared, a "grievance procedure" goes into effect. The grievance procedure can allow for a "refill-too-soon override."

This means that clients with Medicare Part D coverage can get emergency supplies of their medications ahead of time.

The size of the emergency supply refills depends on state laws. In most states, a client can get a 30-day emergency supply.

Taking the Initiative: Preparedness and Medicare

The key is not to wait until a disaster strikes to help your clients understand how their coverage will work after a disaster.

Prior preparation can make a big difference in how well clients manage their health care needs during a crisis.

Here are five tips you could give clients with Medicare today:

  1. Keep a list of your current medications, including doses and schedules. This will be vital if you're displaced and need to refill prescriptions away from your usual pharmacy.
  2. Understand your Medicare benefits. Know what services and providers are covered in an emergency and whether telehealth services are available.
  3. Regularly check your Part D plan's disaster coverage. Plans can have different policies regarding emergency prescription refills.
  4. Keep hard copies of essential health information, including Medicare card details, in your "go bag," or disaster preparedness kit. Digital copies stored in a secure online location can also be helpful.
  5. Reach out to your local area emergency agency and pay attention to local officials for more personalized disaster preparedness advice.

Bethany CissellBethany Cissell is an account executive and Medicare expert at Allsup, a national disability representation provider based in Belleville, Illinois.

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