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 July 15, 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.

  • Over-the-counter COVID-19 tests

    Starting April 4, 2022, Medicare began covering the cost of eight over-the-counter (OTC) COVID-19 tests per month. This coverage will continue throughout the PHE.

    Medicare members can get this benefit directly through Medicare by presenting their red, white, and blue Medicare card at any participating pharmacy or health care provider; check with your pharmacy to see if they participate and for details on how to get your tests. You can also view this partial list of participating pharmacies.

    Please note that Medicare will not reimburse for tests that you purchase yourself. Before getting your tests, be sure to check with your pharmacy to see if they participate in the program. If the pharmacy does participate, they will bill Medicare for the OTC COVID-19 test on your behalf.

    This OTC COVID-19 fact sheet offers more information on Medicare coverage of tests.

    Additionally, the federal government is offering up to eight 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 July 15, 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 July 15, 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 July 15, 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.

  • VirtualCare

    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 VirtualCare app.

  • Teledentistry

    For members with Capital Blue Cross Dental, we are waiving member fees for certain in-network teledentistry consultations through July 15, 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 vaccinated and stay up to date on your COVID-19 vaccines.
  • Visit CDC's website for additional measures the CDC recommends to protect yourself and others.

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Updated January 4, 2022

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