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What You Need to Know About Coronavirus (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.

ABOUT CORONAVIRUS

Coronavirus illness 2019 (COVID-19) is an emerging illness. Many details about this disease are still unknown, such as treatment options, how the virus works, and total impact of the illness.

  1. What is the coronavirus?
    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.

  2. What are the symptoms?
    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

  3. What else causes similar 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. Contact your PCP to get a flu vaccine.

PREVENTION AND SCREENING

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:

  1. Protect yourself and your community.
    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.
  2. I may have symptoms. What do I do?
    If you have been exposed or begin showing symptoms of the coronavirus or flu, contact your healthcare provider or health department immediately.

  3. Where may I receive COVID-19 testing/screening/treatment services under my Health Net Plan coverage?
    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

    If you are unsure if you have been exposed to or at-risk of being infected with COVID-19 (coronavirus), scheduling a virtual care visit with a provider is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facility.

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

  4. How else can I get healthcare services?
    Teladoc® is a convenient way for Health Net 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 telehealth services, please visit the Teladoc® website or call 1-800-835-2362.

  5. Will I be able to refill my prescriptions before the refill date?
    Yes, members will be able to refill prescriptions prior to the refill date.

  6. Are there strategies for coping with the COVID-19 outbreak?
    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.

INSURANCE AND COST

Health Net is committed to the health of our members. Your Health Net plan will cover the cost of medically necessary of COVID-19 tests and the associated physician’s visit. We do not require prior authorization for these services.

  1. Does my Health Net plan cover COVID-19 testing/screening/treatment services?
    Yes, when medically necessary diagnostic testing, or 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 requirements will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.

  2. Is prior authorization required for COVID-19 testing, screening services and/or treatment under my Health Net plan coverage?
    No, our Health Net plans 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 health care provider.

  3. Will I be responsible for any out-of-pocket costs for COVID-19 testing/screening/treatment services?
    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 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 and/or medical screening services and/or treatment, along with the associated physician’s visit.

  4. If I need treatment for coronavirus, is that covered by my Health Net Plan?
    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.

ADDITIONAL INFORMATION

For more information, including travel advisories, please visit the CDC website.