If you are affected by an emergency or natural disaster, AlohaCare is here to help. Disasters or emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or the Governor of any state. In the case of a disaster or emergency, AlohaCare will:
- Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities)
- Waive, in full, requirements for gatekeeper referrals where applicable.
- Provide the same cost-sharing for the enrollee as if the service or benefit had been furnished at a plan-contracted facility.
- Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee.
- Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost sharing amounts.
These actions will be in effect through the emergency declaration period. Typically, the source which declares the disaster will clarify when the disaster or emergency is over. If however, the disaster or emergency timeframe has not been closed 30 days from the initial declaration, and if the Centers for Medicare & Medicaid Services (CMS) has not indicated an end date to the disaster or emergency, we will resume normal operations 30 days from the initial declaration.
If we’re unable to resume normal operations, we will keep you informed about how to receive covered care and prescription drugs. We will post updates on our website or you can call us at 808-973-6395 or 1-866-973-6395, October 1 to March 31, 8 a.m. to 8 p.m., 7 days a week. April 1 to September 30, 8 a.m. to 8 p.m., Monday through Friday. TTY/TDD users, call 1-877-447-5990.