Novel Coronavirus (COVID-19)

Virtual Care COVID-19

Stay home, stay safe

Social distancing and staying at home helps to stop the spread of COVID-19. We can work together to protect each other, our loved ones, our communities, and our healthcare workers.

The more diligent we are with these preventive measures, the greater our success at curbing this health crisis.

If you need healthcare during this pandemic

We encourage members who need nonemergency healthcare to use telehealth for covered services with in-network providers.

Telehealth uses phone or video conferencing to connect the healthcare provider and patient. It’s not limited to a specific platform, app, or provider. Members may contact their in-network doctors directly to find out how to schedule a phone or video appointment.

The Capital BlueCross Virtual Care is an option at $0 copay for all Medicare members.

How we’re helping

We are monitoring the disease threat and working with health professionals and government agencies to coordinate our efforts.

We also put these temporary coverage changes into effects:

  • Diagnostic tests

    We are covering the member costs of diagnostic tests for COVID-19, according to statutory guidance. That means you are not responsible for paying any fees (copay, coinsurance, and deductible) for the covered test.

  • Provider visits

    We are waiving member costs of the provider visit that results in a COVID-19 test, whether in an office, emergency room, telehealth, or urgent care center. That means you are not responsible for paying the copay, coinsurance, or deductible for this specific visit.

  • In-network inpatient treatment

    We are waiving member costs for in-network, inpatient hospital treatment for COVID-19 through July 31. That means you are not responsible for paying a copay, coinsurance, and deductible for this treatment. (Includes care from acute care hospitals, critical access hospitals, inpatient rehabilitation facilities, long-term care hospitals, inpatient care as part of a qualifying clinical research study, and inpatient mental healthcare given in a psychiatric hospital or psychiatric unit with a hospital.)

  • Increased access to prescription drugs

    For our Medicare Advantage members and others with our prescription drug benefit, we are waiving early refill limits on prescription drugs, whether filled at retail or through home delivery. 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 for assistance.

  • Prior authorizations

    We are waiving prior authorizations for COVID-19 diagnostic tests and for covered services that are consistent with the Centers for Disease Control (CDC) guidance for members if diagnosed with COVID-19.

  • Telehealth

    Members may use telehealth to connect remotely, either by phone or video, with in-network providers for services covered under your health plan. We expanded the types of providers whose services we are covering through telehealth during this health emergency.

  • Virtual Care

    Capital BlueCross Virtual Care will continue to have unlimited visits and $0 copays for our Medicare members through 2020.

  • Teledentistry

    We are waiving member fees for certain in-network teledentistry consultations through July 31. 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. In some cases, dentists may determine there’s a need for a tooth extraction or other in-office emergency procedure and if the state where the dentist is located allows for such in-office service during the emergency. Members may call their dentist to see if they provide teledentistry and if their visit is eligible.

How to protect you and your family

As your partner in health, we want to help you sort through the noise and give you information to help keep you and your family healthy.

Most people who get the virus that causes COVID-19 don’t have to go to the hospital, and some people don’t get any symptoms at all, according to the CDC. But even these people may be carriers and can unknowingly spread the virus to older adults and people with underlying health conditions, putting them at risk of getting very sick. Here are some ways you and your family can help prevent the spread of this disease.

  • Wash your hands with soap and water for at least 20 seconds, even if they look clean. Definitely wash them after going to the bathroom, before eating, and after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.
  • Cover your mouth and nose with a cloth face cover when around others
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect frequently touched objects and surfaces.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Stay home when you are sick.

Take extra precautions

The Center for Disease Control and Prevention (CDC) advises older adults and people with a serious chronic health condition like heart disease, diabetes, or lung disease, to take extra precautions.

Other reliable information

The situation across the globe continues to evolve. You can find additional information about this virus, tips to stay healthy, and travel advisories on the CDC website For information about Pennsylvania’s response, visit its COVID-19 website.

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Updated March 26, 2020


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