Medicare Advantage Plans

April 30, 2020

Protecting members and reducing the spread of COVID-19

CarePlus has announced a series of steps aimed at protecting our members and reducing the spread of the new coronavirus disease, or COVID-19.

According to the U.S. Centers for Disease Control & Prevention (CDC), older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing serious complications from COVID-19 illness.1

The situation involving the outbreak of COVID-19 is rapidly evolving, and we are implementing the following measures to protect our members and reduce the spread of COVID-19.:

Expanded coverage effective March 29, 2020

CarePlus is continuing to expand our coverage to help protect our members and reduce the spread of COVID-19. To that end, we are waiving all medical costs related to COVID-19 for our members.

The following measures were announced March 24, 2020:

  • Testing is fully covered. COVID-19-related testing, which includes both the COVID-19 test and viral panels that rule out COVID-19, will be fully covered with no out-of-pocket costs for members who meet CDC guidelines for testing at approved laboratory locations. This includes laboratory testing, specimen collection and certain related services that result in the ordering or administration of the test, including, physician office or emergency department visits. This change will be retroactive to apply to any members who were tested on or after February 4, 2020.
  • Telehealth visits for all medical care needs are fully covered. To help reduce the risk of infection and spread of disease, CarePlus is encouraging members to use telehealth (either video or phone) as their first option for care, including routine visits for primary care or specialty care. We will waive our members’ out-of-pocket costs for telehealth visits with participating in-network providers for 90 days, beginning March 6, 2020. This will apply to all CarePlus’ Medicare Advantage Drug Plans (MAPD).
  • Preauthorizations for care have been removed in many cases. CarePlus Medicare Advantage Prescription Drug Plan (MAPD) members who test positive for COVID-19 will not need to seek preauthorization to begin treatment immediately.
  • Early prescription refills allowed beginning March 10, 2020 through July 25, 2020 – CarePlus is allowing early refills on prescription medicines so our members can prepare for extended supply needs—an extra 30 or 90-day supply as appropriate.
  • Home delivery of prescriptions may be available to members. Members should check with their current network pharmacies to see if they offer local prescription delivery to support patients in social isolation. As an alternative, members may use PrescribIT Rx*, CarePlus’ preferred cost-sharing mail order pharmacy, to have their prescription drugs delivered to them. Members can register for PrescribeIT Rx’s mail order delivery by calling 1-800-526-1490. Their hours of operation are Monday through Friday from 8 a.m. to 6 p.m., Eastern Time. Please keep in mind that first-time setup takes approximately five to ten days for processing and delivery after prescription orders are received. To see a list of our network mail-order pharmacies, please refer to our Provider Directories located in our website at www.careplushealthplans.com/members/pharmacy-directories.

*Other pharmacies are available in our network.

If you suspect that you have been exposed to coronavirus or are experiencing symptoms, please call your healthcare provider to seek testing recommendations and treatment.

Everyone is encouraged to wash their hands frequently and thoroughly, avoid close contact with people who are sick, put distance between yourself and others, cover your mouth and nose with a cloth face cover when around others, clean and disinfect frequently touched surfaces daily and cover your mouth and nose when you cough or sneeze1. Here is an easy-to-follow illustration (PDFEnglish (PDF opens in new window) ) / (PDFSpanish (PDF opens in new window) ), of some steps you can take to help maintain your health.

More information on how to protect yourself is available from the Centers for Disease Control and Prevention(opens in new window). The CDC offers specific advice for people who are at higher risk(opens in new window), of serious illness, as well as a guide to steps everyone can take to help keep their home, workplace or school(opens in new window), safe.

More information about COVID-19 and how to protect yourself

COVID-19: Frequently asked questions

Be aware of COVID-19 scams

Sources:

  1. How to Protect Yourself & Others. (2020, April 4). Retrieved April 7, 2020, from Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html(opens in new window)
  2. When and How To Wash Your Hands (2020, April 2). Retrieved April 7, 2020, from Centers for Disease Control and Prevention, https://www.cdc.gov/handwashing/when-how-handwashing.html(opens in new window)
  3. What to Do if You Are Sick. (2020, April 5). Retrieved April 7, 2020, from Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html(opens in new window)
  4. How to Protect Yourself & Others. (2020, April 4). Retrieved April 7, 2020, from Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html(opens in new window)