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The Alliance has established a Disaster and Emergency Declaration policy in accordance with state and federal laws and Center for Medicare and Medicaid Services (CMS) requirements.  

As an Alameda Alliance Wellness member, you will have access to your benefits during a public health emergency or a disaster.   

 A disaster will be declared in one of these ways:  

  • Presidential declaration of a disaster or emergency under the Stafford Act or National Emergencies Act  
  • 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 a disaster or emergency is declared and access to care is disrupted:  

  • Alameda Alliance Wellness will cover benefits furnished to you by out-of-network providers.  
  • You will not need referrals or prior authorization.  
  • You will have the same cost-sharing as if the benefit was furnished by an in-network provider.  
  • You can refill prescriptions early if needed.  

When the disaster has ended, it will be declared in one of these ways:  

  • The source that declared the public health emergency or state of disaster declares an end.  
  • The Center for Medicare and Medicaid Services (CMS) declares an end to the public health emergency or state of disaster.  
  • If thirty (30) days have passed since the declaration of the public health emergency or state of disaster, and no end date was identified by the original source of CMS, it will be considered the end of the disaster.  

 Get more information about what to do before and during a state of emergency or natural disaster here.  

 If you have any questions, please contact Alameda Alliance Wellness Member Services Department at 1.888.88A.DSNP (1.888.882.3767). TTY users can call 1.800.735.2929.