During a state of disaster, when you access non-network providers and/or facilities, your plan benefits will be covered at the same in-network copayment/cost-sharing rate. No prior authorizations will be required in these situations.
When there's a disaster, it would be declared through one of the following ways:
- Presidential declaration of a disaster or emergency under the Stafford Act of National Emergencies
- Secretarial declaration of a public health emergency under section 319 of the Public Health Service Act
- Declaration by the Governor of a State or Protectorate
When the disaster has ended, it will be declared through one of the following ways:
- The source that declared the public health emergency or state of disaster declares an end
- The Centers for Medicare and Medicaid Services (CMS) declares an end of the public health emergency or state of disaster
- If thirty days have elapsed since the declaration of the public health emergency or state of disaster, and no end date was identified by the original CMS source, thirty days' time will be considered the end of the disaster.
If you have any questions, please contact Blue Shield of California Promise Health Plan Member Services:
Phone:(800) 544-0088 [TTY: 711], 8 a.m. – 8 p.m., seven days a week, from October 1 through March 31, and 8 a.m. – 8 p.m., weekdays, from April 1 through September 30.