What you need to know about COVID-19
Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. People of all ages can be infected. Older adults and people with pre-existing medical conditions like asthma, diabetes and heart disease may be more likely to become severely ill if infected. Many details about this disease are still unknown, such as treatment options, how the virus works, and the total impact of the illness.
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.
The symptoms of coronavirus include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath, and lower respiratory illness. COVID-19 can be contagious before a person begins showing symptoms.
Influenza (the flu), a contagious respiratory illness caused by the influenza viruses (Type A and Type B), has high activity in the United States at this time. Everyone 6 months of age and older should get a flu vaccine.
If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.
Teladoc is a convenient way for Allwell members to obtain telehealth services. You will receive 24-hour access to in-network healthcare providers for non-emergency medical issues. Get medical advice, a diagnosis or a prescription by video or phone. For more information about Allwell services, please visit/call, www.teladoc.com/allwell and/or 1-800-835-2362 (TTY: 711).
We all have a role to play in protecting our communities and families from the spread of coronavirus. It is similar to other communicable viruses. You can also follow these tips to prevent infection:
- Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
- Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
- Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
- Promptly dispose of tissues in a wastebasket after use.
- Clean public surfaces thoroughly.
- Stay home when you are sick.
- Avoid shaking hands.
- Avoid close contact with people who are sick.
- Get a flu vaccine.
Yes. When medically necessary diagnostic testing, or medical screening services and/or treatment is ordered and/or referred by a licensed healthcare provider, we will cover the cost of medically necessary COVID-19 tests, screenings, and the 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, and/or medical screening services and/or treatment.
No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing and medical screening services, and/or treatment when medically necessary services are ordered and/or referred by a licensed healthcare provider.
Medically necessary COVID-19 diagnostic testing and/or 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 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 cover medically necessary COVID-19 diagnostic testing and/or medical screening services and/or treatment at no charge to you, when such services are ordered and/or referred by a licensed healthcare provider. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing and/or medical screening services and/or treatment along with the associated physician’s visit.
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.
Yes, members will be able to refill prescriptions prior to the refill date.
Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading or the progression of the disease is natural.
- Take care of your body. Take deep breaths, stretch or meditate.
- Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships and a sense of hope and positive thinking.
- Share the facts about COVID-19 and the actual risk to others. People who have returned from areas of ongoing spread more than 14 days ago and do not have symptoms of COVID-19 do not put others at risk.
- For more information, see the CDC’s suggestions for mental health and coping during COVID-19.
For more information, including travel advisories, please visit cdc.gov.
Coronavirus disease 2019 (COVID-19) is an emerging illness. Many details about this disease are still unknown, such as treatment options, how the virus works, the total impact of the illness, and many other factors.
If you have been exposed to COVID-19 or begin showing symptoms of the virus or flu, contact your healthcare provider immediately.
Signs and symptoms of COVID-19 include:
- Shortness of breath
You do not have to leave your home to visit with a doctor. You can have a video visit using your phone or computer with an Allwell from Superior HealthPlan provider that offers telehealth services. This will help to prevent your illness from spreading to people in your community.
Telehealth visits with a doctor in Allwell’s network are available at no cost and no cost sharing for members. Additionally, COVID-19 testing per CDC guidelines is available at no cost or cost sharing for members.
While a doctor will not be able to make a COVID-19 diagnosis during a telehealth visit, the doctor will be able to assess your condition and make recommendations for recuperating at home or visiting a clinic or hospital.
To schedule a telehealth visit, you can:
- Call your primary care provider’s (PCP) office to find out if they can schedule a telehealth visit with you. Make sure your provider is in Allwell’s network.
- Contact Teladoc for 24-hour access to health-care providers in Allwell’s network. You can get medical advice, a diagnosis or a prescription by video or phone for non-emergency medical issues. Call 1-800-835-2362 (TTY: 711) 24 hours a day, 7 days a week.
For any questions or help scheduling a telehealth visit, contact Member Services at 1-844-796-6811 (HMO), 1-877-935-8023 (HMO SNP) (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays.
Due to Coronavirus in the United States HHS Secretary Alex M. Azar declared a Public Health Emergency.
Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.
For our members, 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 or April 27, 2020 whichever is earlier.