Does my plan cover COVID-19 testing?
Yes, Blue Shield of California (Blue Shield) and Blue Shield of California Promise Health Plan (Blue Shield Promise) will waive out-of-pocket costs for copays, coinsurance, and deductibles for:
- COVID-19 screenings performed:
- Virtually using telehealth options (including Teladoc)
- In a doctor’s office
- At an urgent care center
- In a hospital (including emergency room (ER))
- COVID-19 testing that’s recommended by a doctor
There are no prior approvals needed for COVID-19 screening or testing.
What if I need treatment for COVID-19?
There are no prior approvals needed for COVID-19 treatment. Blue Shield and Blue Shield Promise will waive copays, coinsurance, and deductibles for COVID-19 treatments received between March 1 – May 31, 2020. This applies to the following plan types:
- Medicare Advantage plans
- Medicare Supplement plans
If you have a Cal-MediConnect plan, visit our MediCal and Cal-MediConnect COVID-19 resources.
To find out which plan you have, call the customer service number on your member ID card.
What virtual care options does my plan cover?
If you have a fever, cough, and feel short of breath, we suggest using a virtual care option such as Teladoc, NurseHelp 24/7SM or the Nurse Advice Line before seeking in-person care. This will help reduce the risk of spreading the virus. Through June 30, Blue Shield is covering your costs for Teladoc visits. NurseHelp 24/7SM or the Nurse Advice Line is always available at no additional cost.
- With Teladoc, you can talk to a doctor 24/7 by phone or video to screen for the virus. To setup an appointment or register, either:
- Log in to your online account, or
- Call 1-(800)-Teladoc (835-2362) [TTY: 711]
- You can also talk to a registered nurse anytime with NurseHelp 24/7SM or the Nurse Advice Line.
You can also call your primary care physician (PCP) for advice and they may be able to see you virtually. If your doctor or nurse recommends testing for COVID-19, they can tell you where to go to get tested.
What if I seek care from a non-network provider for COVID-19? Will it be covered?
In the case of a medical emergency, care provided by network and non-network providers will be covered for all plans.
Outside of an emergency situation, you should seek care from network providers to save money and make sure you don’t have to pay more out-of-pocket.
If you have a plan with non-network covered benefits, Blue Shield and Blue Shield Promise will cover both network and non-network copays, coinsurance, and deductibles for COVID-19 covered benefits during this time. Medicare Supplement Plan members may see any provider accepting Medicare.
What if I need to refill my prescriptions?
If you are worried you might run out of prescribed medications, Blue Shield and Blue Shield Promise allows early refills on your prescriptions as long as there are refills available with your prescription. This is for all members with pharmacy benefits through Blue Shield and Blue Shield Promise. If you have specific questions about the medicine you take, call the Member Services number on your member ID card.
To meet your needs and promote social distancing, many retail pharmacies are waiving fees for home delivery of prescriptions. Visit your pharmacy’s website or call your local pharmacy for more information. Also, if available, utilize the drive-thru window when picking up your prescriptions.
You can also fill a prescription for a 90-day supply of maintenance medications at retail pharmacies in addition to our mail service pharmacy.
How can I continue seeing my mental health care provider?
If you are currently seeing a mental health care provider, you can continue seeing that provider virtually, such as over the phone or by video. Your standard coverage and out-of-pocket costs apply.
What resources are available to help me manage stress and my health while at home?
Blue Shield and Blue Shield Promise Medicare Advantage plan members can use their account login information to access Sanvello at Wellvolution.com. Sanvello, a mental and wellness health app in our Wellvolution® program network that helps members manage stress, anxiety, and depression, is providing expanded access and premium programming for members through 7/31/2020. All content – 45 different mindfulness and meditation sessions, coping tools, guided journeys, and community boards – is available at no additional cost during the COVID-19 public health emergency.
In addition to Sanvello’s mental health resources, our virtual Wellvolution programs also provide nutrition and fitness support to help you eat better, move more, and even treat chronic conditions like diabetes.
Questions about medical or prescription coverage?
Call the number on your member ID card.