Care During a Disaster

Get the Care You Need During Emergencies

Your MVP Medicare Advantage plan can help during a declared state of disaster or emergency, such as severe weather conditions, medical pandemics, or great security concerns. Examples of officials who can declare a state of disaster or emergency include: 

• The governor of your state 
• The U.S. secretary of Health & Human Services 
• The president of the United States 
  
  

However, there are certain special conditions involved during a disaster or emergency.

How Your Coverage Works During Disasters

Generally, you can get care from out-of-network providers at in-network costs during a disaster. You may also be able to fill prescriptions at out-of-network pharmacies if you can’t use an in-network pharmacy during the disaster. 

If you must use an out-of-network pharmacy, you’ll generally have to pay the full cost at the time you fill the prescription, rather than your normal share of the cost. You can ask us to reimburse you for our share of the cost. 

How to Request Reimbursements for Your Care During a Disaster 

Claims by Mail 

Download and fill out a copy of either our Medical Reimbursement Form or the CVS Caremark Prescription Reimbursement Claim Form. You can also call our Medicare Customer Service Center at 1-800-665-7924 (TTY 711) and ask for the form. 

 
Mail your request for payment, along with any bills or receipts, to us at these addresses:

Claims by Phone

You can also call us at 1-800-665-7924 (TTY 711) to request payment. You must submit your claim to us within one year of the date you received the service, item, or drug. 

MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

Other physicians/providers are available in the MVP Health Care network. Gia virtual care services are available at no member cost-share for medical plans, including qualified high-deductible health plans (QHDHPs). Exceptions may apply for self-funded plans. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2023 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.

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Last Updated: 3/1/2024