The Governor of Tennessee has declared a state of emergency for the following counties due to tornado/severe weather: Clay, Davidson, Decatur, Dickson, Gibson, Houston, Humphreys, Lake, Macon, Montgomery, Obion, Rutherford, Stewart, Sumner, Weakley, and Wilson. Aetna (the Plan’s Administrator) waives precertification/prior approval requirements for members identified as potentially being affected. If you are impacted by the emergency or have questions regarding precertification/prior approval, please call us at 1-800-593-2354.
Express Scripts (the Plan’s Pharmacy Benefit Manager) has activated an emergency benefit override that allows pharmacies, at the point of sale (POS), to override certain benefit coverage/edits such as an early refill during a government-defined emergency. In addition, if your home delivery of medications is affected by the emergency, you may provide a temporary alternate address (either online at www.express-scripts.com or by calling 1-800-818-6717) or request a local fill as needed. The Emergency Access to Benefits/Refill Too Soon override process is implemented with an effective date of Dec. 11, 2021, and expiration date of Jan. 11, 2022.