Does my plan cover COVID-19 testing?
Yes, Blue Shield of California will waive your out-of-pocket costs (copays, coinsurance, and deductibles) for:
- Screenings for COVID-19 performed virtually using telehealth (including Teladoc), or in a doctor’s office, urgent care center, or emergency room (ER)
- Doctor-recommended testing for COVID-19
While the costs for COVID-19 screenings and tests will be covered by Blue Shield, you will be responsible for any other out-of-pocket costs related to your treatment.
There are no prior approvals needed for COVID-19 screening, testing, and treatment.
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 or NurseHelp 24/7SM before seeking in-person care. This will help reduce the risk of spreading the virus. Through May 31, Blue Shield is covering your costs for Teladoc visits. NurseHelp 24/7SM 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. Learn how Teladoc can help.
- You can also talk to a registered nurse anytime with NurseHelp 24/7SM.
Not all plans have access to these services. Log in to your online account to see what benefits your plan covers.
You can also call your primary care physician (PCP) for advice. If your doctor or nurse recommends testing for COVID-19, they can tell you where to go to get tested.
Some plans also include Heal for on-demand house calls in select cities. Learn how Heal can help. If Heal is included in your plan, there is no copay for remote screenings. If you don’t have Heal in your plan, you can request a remote call for $19 cash price to screen for COVID-19. If the doctor comes to your home, different costs apply. See if Heal is available for you.
What if I need treatment for COVID-19?
If you test positive for COVID-19, your care will be covered, and your standard plan benefits will kick in. You will be responsible for any out-of-pocket costs related to your treatment. Log in to check your coverage or call the number on your Blue Shield member ID card.
What if I need to refill my prescriptions?
If you are worried you might run out of prescribed medications, Blue Shield 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. If you have specific questions about the medicine you take, call the Member Services number on your member ID card.
Blue Shield Commercial members should consider ordering a 90-day supply through our mail service pharmacy, CVS Caremark. 90-day supply prescriptions are available for maintenance medications used to treat chronic conditions for most lines of business. Call your doctor to switch to a 90-day prescription.
Medicare and Cal-MediConnect members can also fill a prescription for a 90-day supply of maintenance medications at retail pharmacies in addition to our mail service pharmacy. Call your local pharmacy to ask about delivery or utilize the drive-thru window when picking up prescriptions, if available.
Medi-Cal members can fill a prescription for up to 100-day supply of medications at retail pharmacies or through our mail service pharmacy. Call your doctor to switch to 100-day prescription and to ask about mail service pharmacy.
Can I continue seeing my mental health care provider?
If you are currently seeing a mental health care provider, you can continue to see that provider virtually, such as over the phone or by video. Your standard coverage and out-of-pocket costs apply.
Questions about medical or prescription coverage?
Call the number on your member ID card.