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Important Notifications

Due to severe storms in the State of Texas, Governor Greg Abbott declared a state of emergency in the following Counties:   Cass, Cameron, Collin, Dallas, Ellis, Erath, Hunt, Kaufman, Lamar, Paola, Rains, Rockwall, Rusk, Tarrant, Van Zandt, and Wood

Your health and safety are our primary concerns and if you leave your home to avoid this disaster or 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 November 20, 2019.  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.

 

In its first such rating measuring member satisfaction, Superior HealthPlan finished in the top five nationally for its STAR+PLUS Medicare-Medicaid Plan (MMP). The company earned a score of 89 out of 100 in an annual member survey, the fifth highest score in the country and only two points away from the top-place finisher.

“We are proud of the work we do each day to support all of our members,” said Cindy Adams, Plan Product President of Complex Care Programs. “This is especially true for those with complex care needs. This rating, which is based on overall member satisfaction, confirms our commitment to providing quality, holistic healthcare to those who need it most.”

The rating is based on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is part of the Centers for Medicare and Medicaid Services (CMS) annual measurement of consumer experience. A portion of Superior’s roughly 10,000 STAR+PLUS MMP members participated in the survey.

Superior STAR+PLUS MMP is a product for members who qualify for both Medicare and Medicaid. The product is offered in three counties in Texas: Bexar, Dallas and Hidalgo. Superior first began offering the product on March 1, 2015.

“This is a direct reflection on the role our employees play in ensuring our members receive the healthcare they deserve,” explained Anna Velasquez, Vice President of STAR+PLUS MMP. “Each one of our members in this program works directly with a Service Coordinator at Superior, who can help them navigate the complex healthcare system. We believe this demonstrates our dedication to recognizing that each member has a very distinct set of needs that require individualized attention.”

For more details about the CAHPS survey, visit https://www.ma-pdpcahps.org/.

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