COVID-19 Resources

Stay safe, stay informed

We’re here for you as we continue to work through the COVID-19 pandemic together. When it comes to your care and the health and well-being of our communities, Capital Blue Cross can be counted on—like we have been for more than 80 years.

Here's how we’re helping:

COVID-19 vaccines and boosters

  • Safety measures like COVID-19 vaccines are making a difference in the fight against the pandemic. People who get a vaccine are at lower risk of serious illness and hospitalization.
  • Three COVID-19 vaccine types are now available nationally from Pfizer-BioNTech, Moderna, and Johnson & Johnson. Please check our COVID-19 vaccine FAQ for up-to-date information.
  • Beneficiaries with Medicare pay nothing for COVID-19 vaccines and their copayment/coinsurance and deductible are waived. If you haven’t received your shot yet, consider getting it — to protect yourself and your loved ones as the virus continues to circulate.
  • Find out the benefits of getting a vaccine from the Centers for Disease Control and Prevention (CDC). Use this map to find COVID-19 vaccines near you.

Temporary coverage changes

  • Diagnostic tests

    During the national Public Health Emergency (PHE), currently scheduled to end April 16, 2022, declared by the U.S. Secretary of Health and Human Services, Capital Blue Cross health plans will cover the cost of a COVID-19 diagnostic test without applying member cost share (such as deductibles, copays, and coinsurance) if performed as a result of an individualized clinical assessment, such as a test ordered by a provider or when a provider refers you for a test. We recommend you use MyCare Finder to find an in-network provider that accepts your plan’s benefits. Please keep in mind that member cost share might apply after the end of the PHE.

    We will not cover the cost of tests performed for public health surveillance or employment purposes. Weekly tests required as a condition of employment are not a covered benefit and will not be paid by us.

    Additionally, we are not providing reimbursement for the purchase of over-the-counter, at-home COVID-19 tests. The federal government is offering up to four free over-the-counter COVID-19 tests per household. Order your household’s tests.

  • Provider visits

    In accordance with statutory guidance, we are waiving the member costs of the provider visit that results in a COVID-19 test, whether in an office, emergency room, telehealth, or urgent care center during the federal public health emergency, currently scheduled to end April 16, 2022. That means you are not responsible for paying the copay, coinsurance, or deductible for this specific visit while the federal public health emergency is in effect.

  • Increased access to prescription drugs

    For members with our prescription drug benefit, we are temporarily waiving early refill limits on prescription drugs, whether filled at a retail pharmacy or through home delivery, through April 16, 2022. Early refills aren’t available for a small number of prescription drugs. If you’re not able to get an early refill, call the Member Services number on the back of your member ID card (TTY: 711) for assistance.

  • Prior authorizations

    In accordance with statutory guidance, we are waiving prior authorizations for COVID-19 diagnostic tests and for covered services that are consistent with the Centers for Disease Control and Prevention (CDC) guidance for members if diagnosed with COVID-19 during the federal public health emergency, currently scheduled to end April 16, 2022.

Telehealth and teledentistry

  • Telehealth

    Members may use telehealth to connect remotely by video with in-network providers for services covered under your health plan. Members may also connect with providers by phone, and we temporarily expanded the types of providers whose services are covered through telehealth.

  • Virtual Care

    Members with Capital Blue Cross Medicare Advantage individual will continue to have unlimited visits at $0 copay for medical, psychiatry, and counseling services using the Capital Blue Cross Virtual Care app.

  • Teledentistry

    For members with Capital Blue Cross Dental, we are waiving member fees for certain in-network teledentistry consultations through April 16, 2022. That means you are not responsible for paying a copay, coinsurance, or deductible for a teledentistry visit. During this time, we are waiving frequency limits for these evaluations, and visits will not count toward your annual visit amount. Members may call their dentist to see if they provide teledentistry and if their visit is eligible.

Need health coverage?

We can help you find coverage. Call 800.990.4201 to speak to one of our licensed agents about your options.

How to stay safe

The best way to stay safe and healthy is to get a COVID-19 vaccine.

Here are additional measures recommended by the Centers for Disease Control and Prevention (CDC).

Wash your hands often with soap and water for at least 20 seconds, even if they look clean.

  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.
  • Avoid touching your eyes, nose, and mouth.

Stay six feet away from others

  • Inside your home: Avoid close contact with people who are sick.
  • Outside your home: Put six feet of distance between yourself and people who don’t live in your household.
  • Avoid crowds and poorly ventilated spaces.

Cover your mouth and nose with a mask when around others.

According to the CDC, those who are not fully vaccinated and aged 2 or older should wear a mask in indoor public places. If you are fully vaccinated and live in an area of substantial or high transmission or you have a weakened immune system, consider wearing a mask to protect yourself and others.

Clean and disinfect

  • Clean high-touch surfaces daily.
  • If someone is sick or has tested positive for COVID-19, disinfect frequently-touched surfaces.

Monitor your health.

  • Watch for symptoms such as fever, cough, shortness of breath.

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Updated January 4, 2022

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