WellPoint Adjusts Health and Pharmacy Guidelines for Members Affected by Hurricane Gustav

The revised guidelines will help members access needed medical care and prescription drugs in the wake of the devastation caused by last weekend's hurricane.

Members affected by the hurricane should seek medical assistance wherever it is available and have their medications refilled at any pharmacy or shipped to them at an alternative address.

In addition, through Sept. 9, all providers caring for affected members will be considered "in-network" providers, and affected members will not be required to satisfy prior authorization, pre-certification or referral requirements during this time.

These revisions apply to affected members who were living in impacted counties inAlabama,Louisiana,Mississippi andTexas at the time of the hurricane and who are covered by UniCare, WellPoint NextRx and WellPoint affiliated health plans inCalifornia,Colorado,Connecticut,Georgia, Indiana,Kentucky,Maine,Missouri,New Hampshire,New York,Nevada,Ohio, Wisconsin andVirginia. More information on WellPoint's affiliated health plans can be found at http://www.wellpoint.com/business/about_family.asp .

    For impacted members, WellPoint is:
    -- Suspending requirements for prior authorization and pre-certification.
    -- Suspending requirements for authorization or referral from a primary
       care physician.
    -- Allowing the affected members to see any physician necessary to provide
       access to care.
    -- Paying all claims as in-network, regardless of whether or not the
       health care provider is in network.
    -- Suspending early refill limits and shipping prescriptions to members at
       alternative addresses.
    -- Suspending utilization management (UM) review of in-hospital cases.

These medical and pharmacy guidelines are effective through Sept. 9, 2008. At that time, it will be determined if these guidelines need to be extended.

WellPoint's Employee Assistance Program (EAP) is offering free telephonic counseling and referral services for the next 30 days to all members in the areas impacted by the hurricane. Services include access to a resource-rich Web site and telephonic consultations with professional counselors. The EAP program is available 24 hours a day by calling, toll-free, 1-800-765-4446, or by logging into the EAP member Web site at www.anthemeap.com and entering the password "hurricane."

For additional questions, members should call the phone number on the back of their membership card. If they do not have their card, they should call 1-866-417-7107.

About WellPoint:

WellPoint, Inc. is the largest health benefits company in terms of medical membership inthe United States. WellPoint is an independent licensee of the Blue Cross and Blue Shield Association and serves its members as the Blue Cross licensee forCalifornia; the Blue Cross and Blue Shield licensee for Colorado,Connecticut,Georgia,Indiana,Kentucky,Maine,Missouri (excluding 30 counties in theKansas City area),Nevada,New Hampshire,New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only),Ohio,Virginia (servingVirginia excluding the city ofFairfax, the town ofVienna and the area east of State Route 123), Wisconsin; and through UniCare. Additional information about WellPoint is available at www.wellpoint.com .

SOURCE WellPoint

Copyright © 2008, PRNewswire
Copyright © 2008, NewsBlaze, Daily News

Tags: ,HEA,INS,PSF,IN-WellPoint-Gustav

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