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What You Need To Know About Coronavirus

COVID-19 is a respiratory illness that is caused by a new virus called a coronavirus, which has become a public health emergency.

  • Your health plan will cover the cost of medically necessary COVID-19 tests and the cost of the doctor’s visit.
  • No prior authorization is required for these services.

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, the total impact of the illness, and many other factors.

The symptoms of Coronavirus include mild to severe respiratory symptoms. They also include fever, cough, and shortness of breath, and lower respiratory illness. It may be contagious before a person begins showing symptoms. Even if you do not feel sick yet, you could have COVID-19.

Just because you have the symptoms related to COVID-19, you may not have it. Other illnesses can cause these symptoms too. 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 shot. If you do get sick, getting a flu shot can help you recover more quickly. Contact your doctor to get a flu shot.

Prevention and Screening

We all have a role to play in protecting our neighbors, coworkers, friends and families from the spread of coronavirus. There are steps you can take to slow the spread of coronavirus and stay healthy. Contact your doctor or the Arkansas Department of Health immediately if:

  • You have been around someone who has flu-like symptoms or
  • If you start having flu-like symptoms.

You can help protect yourself and others by doing the same kinds of things you would do if you had the flu. Follow these tips to help prevent infection:

  • Wash your hands well and often. Use soap and water, and wash your hands for at least 20 seconds.
  • Use an alcohol-based hand sanitizing rub that is made up of at least 60 percent alcohol.
  • Cover your mouth when you cough. If you don’t have a tissue, cough or sneeze into your elbow.
  • Throw away tissues in a trash can 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.

If you are unsure if you have been around someone who might have V, schedule a virtual care visit with a doctor. Scheduling a virtual visit lets you talk with a doctor about your health without going to the doctor’s office. We want you to get the care you need, and want to be sure you aren’t exposed to other illnesses. This helps you and others avoid COVID-19.

If you have been around someone who is sick or if you start having symptoms of the coronavirus or flu, contact your doctor or the Arkansas Department of Health right away.

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

  • Doctor’s/Practitioner’s Office
  • Independent Laboratory/Diagnostic Facility   
  • Urgent Care Clinic
  • Emergency Room

If you think you might have been near someone with COVID-19, schedule a virtual care visit with a doctor. This option lets you stay away from others and still get the care you need.

If you have been around someone who has flu-like symptoms, or if you start to get sick, call your doctor or the Arkansas Department of Health right away.

Yes, members will be able to refill prescriptions before the refill date.

Insurance & Costs

We want you to get the care you need. Your plan will cover the cost of medically necessary COVID-19 tests and the doctor’s visit for the test. We do not need Prior Authorization for these two services.

Yes, when medically necessary diagnostic testing or medical screenings are ordered and/or referred by a licensed health care provider, your plan will cover the cost of COVID-19 tests and the doctor’s visit. Your plan’s copay, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 tests and screenings.

No, our 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, when medically necessary services are ordered and/or referred by a licensed health care provider.

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

Any medically necessary treatment related to COVID-19 would be considered a covered benefit, consistent with benefit coverage provisions of your policy for treatment of an illness. Plan cost-sharing will apply for treatment related services. We will provide access to COVID-19 treatment services in accordance with federal and state law.