Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770)
Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.
Florida Blue Medicare will take immediate action when either of the conditions described below occur and we have determined that there is a disruption in access to health care:
The Secretary of Health and Human Services declares a public health emergency, or
A governor or the U.S. President declares a disaster or other type of emergency.
Members living in affected areas can still get the medical care and prescription drugs they need. We work fast to help members during a state of emergency or disaster declaration. When it’s in members’ best interest for us to do so, we won’t wait for the usual 30 days’ required notice to make these changes. We’ll get right on it.
Medicare Advantage
For Medicare Advantage members:
We will offer this support for 30 days after the earlier of the following conditions:
- We will cover Medicare Parts A, B and supplemental Medicare Advantage plan benefits at non-network hospitals and other medical facilities.
- Members will not need a referral from their primary care doctor (PCP) for treatment. If a provider accepts Medicare or is a Medicare-certified facility, we’ll cover the service. This includes dialysis services.
- Members will pay in-network cost sharing even if they use out-of-network providers.
- The emergency or disaster has ended as defined by regulatory requirements, or
- There is no longer a disruption of access to health care.
Medicare Part D
For Medicare Advantage plan members with prescription drug coverage, or members with a standalone prescription drug plan (PDP):
We will continue to lift these restrictions until the end of the declared disaster or emergency.
- When a state of emergency is declared, Florida Blue Medicare will temporarily allow affected members to get an early refill of their medications and maximum extended-day supplies from in-network pharmacy providers, nationwide.
- Members who use out-of-network pharmacies may not have prescription coverage. If you can’t access your usual network pharmacy, call us at the number on the back of your Florida Blue Medicare member ID card. Our Member Services team will help you find a network pharmacy for you to use. If there is not a network pharmacy reasonably available for you to use, you will be able to use an out-of-network pharmacy. However, the cost for your prescription drugs may be higher.
- Does your medicine need our approval before you can fill it? Call us at the number on the back of your Florida Blue Medicare member ID card for help.
If Florida Blue offices are impacted
If the disaster or state of emergency affects Florida Blue Medicare’s offices and we cannot resume operations by the end of the disaster or emergency, we’ll notify the Centers for Medicare & Medicaid Services (CMS). We’ll also update our Florida Blue Medicare website with information about our business activities and hours of operation as soon as we are able to do so.
We'll keep you updated
We’ll keep you updated with important information online. Visit floridablue.com/medicare for the latest information about using your health or prescription drug benefits during a disaster or state of emergency. For around-the-clock information about benefits, in-network providers, and more.
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