On December 18, 2024, a declaration of a state of emergency (“SOE”) by the Governor, or a health of emergency by the State Public Health Officer was declared and updated pertaining to the Bird Flu, statewide. Western Health confirms that it has not experienced or expects to experience any disruption to the operation of the plan.
The following WHA service area counties have been impacted:
- Statewide
WHA's network medical group providers and staff are ready to assist you in the event of an emergency.
At times, there are natural disasters that may impact Western Health Advantage members. Please use the information and resources on this page to assist in getting the care you need. You can find your doctor's contact information by logging into MyWHA or WHA's mobile app, or call or visit your medical group's website to get more information on how they might be addressing the emergency in your area. Both of these online resources also include digital ID cards in case yours is missing or damaged.
hillphysicians.com
mymercymedicalgroup.org
dhmf.org/woodland
northbay.org
meritagemed.com
providence.org
- Hospitals: At this time, all hospitals and medical centers remain open. Check with your PCP office before any regularly scheduled appointment as this is a rapidly changing situation.
- Expedited Care and Services: In the event of an emergency, WHA recommends that you contact your primary care physician (PCP) or affiliated medical group for urgent needs, such as authorization to replace medical equipment/supplies.
- Out-of-area Care: If you are unavailable to receive care from a network provider due to the emergency or if you have been displaced outside of WHA's service area, call WHA Member Services at 888.563.2250 for assistance.
Prescription Medications
WHA wants to ensure that you get your medications without interruption. Emergency supplies of needed medications can be obtained from your pharmacy or from OptumRx. If you need help refilling or getting access to prescriptions because your pharmacy or physician’s office is closed or you are evacuated, call WHA Member Services at 888.563.2250.
24/7 Urgent Care
WHA members now have the option* of getting care 24/7 virtually in nonemergency situations through Teladoc, the global leader in telemedicine. From anywhere at any time, you can reach a doctor 24/7 by secure video chat or phone—often within 10 to 15 minutes—to get a diagnosis and treatment. Teladoc lets you connect with an urgent care healthcare professional for minor injuries and illnesses such as cold or flu, minor cuts or burns, muscle strains or sprains, upset stomach or skin rashes, without having to go to an urgent care facility.
*When receiving urgent care telehealth services through Teladoc, all services shall be provided consistent with existing appointment standards and access requirements. If your plan has out-of-area benefits, members can access services either via telehealth or on an in-person basis. Certain conditions apply. Review your plan documents available at mywha.org/myplan for details on cost-sharing and balance billing protections.
Anytime Nurse Advice Line
WHA provides 24/7 access to a nurse advice line staffed with registered nurses through our Nurse Advice phone line service. You can speak directly with a nurse at 888.656.3574.
Billing & Payments
- Employer Groups: Stay in contact with your broker or call WHA Group Sales at 888.499.3198 for questions about your monthly premium payments and continuing coverage.
- Individual and Covered CA members: Please contact WHA Member Services at 888.563.2250 regarding questions about continuing coverage and premium bill payments.
Mental Health
WHA’s behavioral health provider is Optum. Please visit mywha.org/bh for access to providers and programs. Members can call Optum directly for assistance during an emergency or crisis at 800.765.6820 (group/individual members) or 855.857.9748 (Medicare Advantage members).
Acupuncture and Chiropractic Care
Landmark Healthplan is relaxing its requirement that members utilize only providers that are in Landmark’s networks. If a member needs care but cannot access a network provider due to an emergency, they may seek care from an out-of-network provider and will only be responsible for the usual copayment. Should this situation arise, please notify Landmark Healthplan as soon as you reasonably can by calling Customer Service at 800.298.4875, Option 2, to let us know of the details of your case, and your impacted case will be excepted from our usual in-network requirement.
Dental Care
Delta Dental will help provide access to care and customer support if enrollees and their family members face dental emergencies or require ongoing dental treatment in cases where emergencies impact their regular providers. In addition, Delta Dental is working to maintain the timely payment of claims and offer assistance in obtaining dental records if needed. They will ensure enrollees do not owe unreasonable costs at an out-of-network dentist.
Additional Resources
Emergency Power Planning
People Who Use Electricity and Battery-Dependent Assistive Technology and Medical Devices
Air Quality
If you are in an area affected by a fire, you should limit your time outdoors. Stay up to date on the current air quality in your region.
Others
National weather watch at weather.gov to stay informed
CAL Fire mobile app so for up-to-date alerts on nearby fire danger
PG&E outages alert
SMUD outages map
Last review date: June 25, 2024