What flexibilities are in place under the Federal Employees Health Benefits Program (FEHB) for employees affected by Hurricane Katrina?
OPM has contacted FEHB carriers to ask them to demonstrate maximum flexibility under their OPM contract, including the following: OPM expects fee-for-service carriers to relax certain provisions such as their pre-certification requirement that the plan must be notified within two business days of an emergency admission. OPM expects fee-for-service and HMOs to relax requirements about notification and levels of benefit payment when those needing medical attention due to Hurricane Katrina are taken to non-plan and/or non-PPO hospitals or other treatment centers. If you require medical care you should use your HMO’s regular procedures for obtaining health care and filing claims while you are out of the HMO serviced area. OPM is encouraging HMOs to be lenient and flexible when accepting claims filed by those affected by Hurricane Katrina. OPM expects plans to make certain that FEHB members get additional supplies of medications as backup for emergency situations if necessary. Though charge
Related Questions
- I have less than 5 years coverage under the Federal Employees Health Benefits (FEHB) program. Can I continue my coverage into retirement?
- What flexibilities are in place under the Federal Employees Health Benefits Program (FEHB) for employees affected by Hurricane Katrina?
- What flexibilities are in place under the Federal Employees Health Benefits Program (FEHB) for employees affected by a disaster?
