- Georgia: Fannin, Gilmer, Gordon, Macon, Pickens, Towns, Troup, Wilkes
Aetna has modified the prescription refill policies to meet the prescription drug needs of their members in the affected areas:
- Members who left without their medications can refill their prescriptions early.
- Members whose mail-order medications may have been damaged or destroyed are able to get refills (with applicable cost sharing).
- Members whose plans require them to use mail-order for certain medications can fill these prescriptions at a local pharmacy during the emergency period.
- Aetna Specialty Pharmacy has been contacting members in the affected areas who are expecting deliveries, so they can make sure the members are able to receive their medications at their original or an alternative address.
- Aetna Rx Home Delivery is filling orders for the affected areas; however some streets may become blocked or closed. This might prevent both UPS and USPS from making deliveries. Therefore members might be experiencing service delays in those areas. If they are unable to deliver to an address, they will hold the delivery. Members can contact customer service to request alternative delivery sites, or fill their prescriptions locally.
Additional assistance for our members
These deadlines have been extended for affected commercial plan members to submit level I and level II appeals.
- Appeals for commercial members in Georgia that would have been due December 23rd have now had the deadline extended to February 5, 2016.
Commercial plan members should contact Aetna if they believe their ability to appeal a situation has been impacted by these local conditions. Additionally, authorization and pre-notification requirements will be waived during the 30 day duration as well for commercial members in the affected areas. If you have any questions or concerns, please contact Lisa Misick at firstname.lastname@example.org or at 954-423-8262 Ext 213.