Member Coronavirus Information

COVID-19 is a respiratory disease that is caused by a new virus called a coronavirus, which has become a public health emergency. The number of cases continue to increase nationally and globally.

COVID-19 is a respiratory illness with symptoms similar to the flu. Symptoms are typically mild to moderate, but there have been cases of severe illness and death due to the virus.

The following symptoms may appear 2-14 days after exposure:

• Congestion or runny nose
• Cough
• Fever or chills
• Headache
• Shortness of breath or difficulty breathing
• Muscle pain
• Sore throat
• New loss of taste or smell
• Fatigue
• Upset stomach or vomiting
• Diarrhea

This list does not include all possible symptoms. The CDC will continue to update information about symptoms as more is learned about COVID-19.

If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.

Yes. When medically necessary diagnostic testing, medical screening services and/or treatment is ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physician’s visit(s) and/or treatment. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.

Any medically necessary treatment related to COVID-19 would be considered a covered benefit. We are committed to ensuring access to COVID-19 treatment services in accordance with federal and state law.

Medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment and the associated physician’s visit will be covered when ordered, referred and/or performed in the following In-Network locations:

• Physician’s/Practitioner’s Office
• Independent Laboratory/Diagnostic Facility
• Urgent Care Facility
• Emergency Department Facility

Are you unsure if you have been exposed to or at-risk of being infected with COVID-19? Schedule a virtual care (also called Telemedicine) visit with a provider. It is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facility.

No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing, medical screening services, and/or treatment when medically necessary services are ordered and/or referred by a licensed health care provider.

No. We will cover medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment at no charge to you, when such services are ordered and/or referred by a licensed health care provider. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment, along with the associated physician’s visit.