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Stay up-to-date with coverage and benefits

Your health is our top priority. So, we are continuing to look for ways to provide you with additional services to support your well-being.  

Starting July 1, 2020, and for the rest of the calendar year, we are expanding your benefit coverage and waiving out-of-pocket costs for certain services beyond COVID-19 related testing and treatment.  We are also expanding coverage for select extra benefits until the end of the year (2020).

Changes to benefits and coverage

  • No copays, coinsurance and deductibles for:
    • In-network primary care doctor visits for in-office, clinics, or in-home visits.
    • In-network outpatient, non-facility based behavioral health visits.
    • In-network telehealth or virtual visits with primary care, specialty, and behavioral health providers.

We’ll continue to cover the costs for medically necessary COVID-19 testing, screenings and/or treatment when ordered and/or referred by a licensed healthcare provider.

  • Additional meals delivered to your home: if meal delivery benefits are already included with your plan you may qualify to receive a one-time shipment of 14 additional meals. To qualify for the additional meal delivery you must:
    • Currently have a care/case manager for one or more of the following (as determined by your plan's coverage):
      • Recent discharge from an in-patient stay in a hospital or skilled nursing facility 
      • Chronic condition requiring nutritional support

    • Your case manager must also determine a need for the additional meal benefit

Members that meet the above criteria may receive a one-time delivery of an additional 14 meals. This program will run July 1st through December 31st, 2020. Eligibility will be determined by your care manager.

Check your Summary of Benefits to see if meal delivery is included in your plan or call Member Services.

  • Extra money for Over-the-Counter (OTC) benefit: Additional money will be automatically added to your OTC account at your current benefit schedule.  This benefit is only available for certain plans. To qualify, you:
    • Must have OTC as part of current plan benefit AND
    • Are not enrolled in a plan that is at the maximum OTC benefit level.

Check your Summary of Benefits to see if OTC benefits are included in your plan or call Member Services.

The following plan(s) are excluded from the OTC benefit update:

  • Allwell Dual Medicare (HMO D-SNP) H5294-002-002
  • Allwell Dual Medicare (HMO D-SNP) H5294-002-004

If you have any questions about these benefits, please call Member Services.  We’re here to help.