Even during disasters and/or public health emergency situations, MMM of Florida, as a Part D sponsor, will ensure that you have adequate access to your covered Part D drugs. The plan shall enable maximum extended day supply if requested and available at the time of refill. Also, during the emergency, MMM of Florida may exercise discretion as to how “refill-too-soon” edits are lifted, as long as access to Part D drugs is provided at the point-of-sale.
If you need to get your medications during the emergency after being discharged from a hospital, psychiatric hospital or other level of care facility, regardless of the level of care: We will cover one 30-day supply of drugs not included on the Drug List or restricted on the Drug List in some way, even if they require pre-authorization, are for step therapy, or have quantity limits.
While using the temporary supply, speak with your provider to decide what to do when your temporary supply runs out. To ask for a temporary supply, call:
MMM of Florida Member Services
Telephone: 1-844-212-9858 (Toll-free),1-833-523-2620 (TTY)
Hours of Operation: Monday to Sunday 8:00 a.m. to 8:00 p.m.
In case of a disaster, your plan will allow you to obtain care from out-of-network providers at the in-network cost sharing. If you’re not able to access a network pharmacy due to the emergency, you can take your drug prescription to any pharmacy.
These special conditions will be valid until the emergency or disaster no longer exists, or upon the expiration of the 90-day period beginning from the initial declaration, (whichever occurs first).
Know your rights as a patient. The Emergency Medical Treatment & Active Labor Act (EMTALA) ensures that all patients receive certain basic medical attentions when they present themselves to a federally funded hospital’s emergency room, including during a state of emergency.