How Health Insurance Companies Cover Coronavirus

March 18, 2020

When facing a pandemic like COVID-19, health insurance becomes even more important. Since 1978, Rick Bailey & Company has provided exceptional benefits that protect families and provide access to the greatest health care system in the world.

 

Visit our COVID-19 Information Center for free resources for business owners, HR professionals and employees. 

 

 


Important benefits for all health insurance companies:

 


You can video chat with a physician 24/7 from your home. Most insurance companies have waived copays for virtual visits for the next few weeks. Virtual visits are a great way to get consult for any sickness (and even prescriptions called into your local pharmacy) before going to a doctor's office, urgent care or emergency room. Telemedicine (virtual office visits) benefits

 

IRS Waived Cost-Sharing for Telemedicine on High Deductible Health Plans

If you have a High Deductible Health Plan (HSA), you can have no-cost virtual physician visits, even if you have not met your plan deductible yet. 

 

Member costs waived for COVID-19 testing​
Should you need a diagnostic testing for coronavirus, your insurance company has waived all member costs. ( This represents a $1,000 - $4,000 value to you.) 

 

Mail Order Prescription or Prescription Delivery Service

Insurance companies typically offer mail order as an option for maintenance drugs. Contact your insurance company for help converting your 30-day retail pharmacy prescription to a 90-day mail order prescription. (It will usually reduce your costs also!). Many pharmacies - such as CVS - are offering no-cost or low-cost delivery services. Check with your pharmacy to see what services they are providing to their customers at this time. 

 

 

Here are more specific details from each insurance company:

 

 

 

View information Aetna's website HERE.

 

View Aetna FAQ HERE

 

Information on Paycheck Protection Program HERE.

 

Atlanta-area COVID-19 Testing Site Information HERE.

  • Co-pays for members will be waived for all diagnostic testing related to COVID-19

  • For the next 90 days, Aetna will offer zero co-pay telemedicine visits for any reason.

  • Special open enrollment is scheduled for Monday, April 6,2020 through Friday, April 17, 2020 for commercial Aetna fully insured and Small Group Aetna Funding Advantage customers. The SEP is limited to eligible employees and dependents who did not previously elect coverage. Existing members can add dependents to their plan during the SEP. Enrollees can choose between an April 1, 2020, or May 1, 2020, effective coverage date. During the SEP, current members will not be able to change plansAt this time, the Special Enrollment Period is limited to medical, pharmacy, dental, vision and voluntary products.

  • CVS Pharmacy will waive charges for home delivery of prescription medications.

  • Through Aetna's Healing Better program, members who are diagnosed with COVID-19 will receive a care package.

  • Offering offers 90-day maintenance medication prescriptions and will waive early refill limits on 30-day prescription maintenance medications.

 

 

View information Anthem's website HERE.

 

View Anthem FAQ HERE.

  • Special Enrollment Period (SEP) - Employees and their dependents can join your group plan effective April 1. Please reach out to us for help if an employee would like to enroll. Deadline is April 15. 

  • Co-pays for members will be waived for all diagnostic testing related to COVID-19

  • No charge for virtual office visits through June 14, 2020. Visit LiveHealth Online to have a consult with a physician 24/7 from your smartphone or computer. This will provide access to care from your own home.  

  • A big part of our commitment to you includes making sure you won’t have to worry about the cost of treating this disease. As a result, you won’t have to pay for COVID-19 treatment from doctors, hospitals, and other health-care professionals in your plan’s network from April 1 through May 31, 2020.

  • Anthem is allowing for early refills on prescription medications. 

  • If have a 30-day maintenance prescription, you can contact Anthem for help converting that to a 90-day mail delivery prescription. Many pharmacies -such as CVS – are also offering prescription delivery services and no or low costs.

 

 

View information Cigna's website HERE.

  • Through May 31, 2020, we will waive customers’ out-of-pocket costs for COVID-19 testing-related visits with in-network providers, whether at a doctor’s office, urgent care clinic, emergency room, or by virtual care options such as talking with a doctor or clinician 24/7 by phone, tablet, or computer,

  • If you feel ill for any reason, you can have a virtual visit with a doctor 24/7.

  • Through May 31, 2020, we will make it easier for customers with immunosuppression, chronic conditions or who are experiencing transportation challenges to be treated virtually by in-network physicians with those capabilities.

  • We will ensure delivery of your medications – there is no need to order refills earlier than usual, or to stock up

  • We are available at any time to answer your calls, provide support, and assist your providers

View information Kaiser's website HERE.

 

View Kaiser FAQ HERE

 

Special Enrollment Period (SEP) - Employees and their dependents can join your group plan effective April 1. Please reach out to us for help if an employee would like to enroll. Deadline is April 3.

  • Businesses can make a one-time plan downgrade to be able to lower premiums while still providing healthcare coverage to employees.  

  • Co-pays for members will be waived for all diagnostic testing related to COVID-19

  • No charge for virtual office visits. Visit kp.org to have a virtual consult with a physician 24/7 from your smartphone or computer. This will provide access to care from your own home.  

  • Call and talk with a care professional if you think you have COVID-19 symptoms or believe you’ve been exposed. Calling ahead helps us direct you to the most appropriate care, and take precautions to protect other members, patients, and employees. Find your local information for appointments and 24/7 advice on your membership card or at kp.org/getcare.

  • All non-emergency or elective procedures have been postponed in Kaiser facilities.

 

View information Humana's website HERE.

 

View Humana FAQ HERE.

 

Information on expanded telehealth benefits HERE.

 

Humana's Tips for coping with coronavirus HERE and how to protect yourself from infection HERE.

 

Contact Humana for more COVID-19 questions or assistance: 

Phone : 1-800-592-3005 Email : COVIDquestions@humana.com

  • Co-pays for members will be waived for all diagnostic testing related to COVID-19

  • Waived cost-sharing for COVID-19 treatment. 

  • Waived cost-sharing for COVID-19 treatment: Humana previously announced that it would cover out-of-pocket costs related to coronavirus testing. Now, co-pays, deductibles, and co-insurance related to subsequent treatment for COVID-19 — including inpatient hospital admissions — will be waived for members.

  •  Humana will lift administrative requirements for members infected with coronavirus. The change allows for unencumbered movement from inpatient hospitals to safe, medically appropriate post-acute care settings, including home health, long-term acute care hospitals, skilled nursing facilities, etc. We will continue to evaluate additional measures needed to eliminate administrative burdens across a broader spectrum of care.

  • Humana has an online Coronavirus Assessment Tool. If you think you've been exposed or are experiencing symptoms, take the assessment and be advised on next steps.

  • No charge for virtual visits for the next 90 days. Visit Doctor on Demand and use your Humana ID number to register and waive all fees. Consult with a physician 24/7 from your smartphone or computer. This will provide access to care from your own home.  

  • Humana is allowing early prescription refills.

  • If have a 30-day maintenance prescription, you can contact Humana for help converting that to a 90-day mail delivery prescription. Many pharmacies -such as CVS – are also offering prescription delivery services and no or low costs

 

View information United Healthcare's website HERE.

 

UHC is giving $1.5 Billion in assistance to their customers. Press release HERE

 

 

  • Special Enrollment Period (SEP) - Employees and their dependents can join your group plan effective April 1. Please reach out to us for help if an employee would like to enroll. Deadline is April 6. 

  • Waived all member cost-sharing, including copays, coinsurance and deductibles, for COVID-19 diagnostic testing.

    • Must be at approved locations in accordance with Centers for Disease Control and Prevention (CDC) guidelines for all commercial insured, Medicaid and Medicare members.

  • Request early prescription refills: If you need help obtaining an early prescription refill, call the phone number on your UnitedHealthcare or OptumRx member ID card.

  • Talk to your health care provider about telehealth: We expanded our telehealth access in response to COVID-19. Your local provider may be able to provide a telehealth visit, so you can get your office visit in the safety and comfort of your home. Learn more about telehealth coverage.

  • Schedule a Virtual Visit: If you receive your health plan through your employer, you may have access to a Virtual Visit, which is 24/7 virtual visit urgent care. 

  • Call with COVID-19 benefits questions: If you have health benefits questions or need help finding a health care provider, call the phone number on your UnitedHealthcare member ID card.

  • Get emotional support: Call our emotional support line any time at 866-342-6892. This 24/7 Optum Help Line is staffed by professionally trained mental health experts, is free of charge and open to anyone.

 

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