*MEMBER ALERT - VERY IMPORTANT INFORMATION*
Due to Tropical Storm Hermine in the State of Florida, Governor Rick Scott declared a state of emergency in the following Counties: Baker, Duval, Hernando, Hillsborough, Lake, Marion, Orange, Pasco, Pinellas, Polk, Seminole and Volusia.
Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.
For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers. You must still use Medicare certified facilities and providers.
Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or September 29th, whichever is earlier.
For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.
Para ver esta información en español, haga clic en el botón al lado derecho superior de la página.
Sunshine Health Advantage is an HMO SNP plan with a Medicare contract and a contract with the Florida Medicaid program. Enrollment in Sunshine Health Advantage (HMO SNP) depends on contract renewal.
This plan is available to anyone who has both Medical Assistance from the State and Medicare.
This information is available for free in other languages. Please call our Member Service number at 1-877-935-8022 or TTY/TDD users 711. From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m.
Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de Servicios para el Cliente al 1-877-935-8022 o para los usuarios de TTY/TDD al 711. El horario de atención: del 1 de octubre al 14 de febrero, puede llamarnos 7 días a la semana de 8 AM a 8 PM. Del 15 de febrero al 30 de septiembre, puede llamarnos de lunes a viernes entre 8 AM y 8 PM.
Sunshine Health Advantage's service areas include the following counties in Florida: Baker, Broward, Duval, Hardee, Hernando, Hillsborough, Lake, Manatee, Marion, Martin, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, St. Lucie, Seminole, and Volusia.
We are here to help you get the health care you need, when you need it and to keep you healthy.
For the 2016 plan year, we offer:
Part D prescription drug benefits
Nurses to help you with your health services
Health club membership/fitness classes
Personal Emergency Response System
Transportation to appointments
Choice of doctors and pharmacies
Now is the time to think about what you want to get out of your health care plan. It is your choice! Go ahead and feel the Sunshine!
Last updated: 09302015