Updated November 25, 2020
Regence is working with our network providers, care managers and customer service professionals to ensure they have the latest information about COVID-19 and can support our members who have questions or concerns. The following mid-year changes are intended to reduce barriers to care for COVID-19.
As of Nov. 20, 2020, 54 vaccines are in clinical trials on humans.
When the initial vaccines are approved by the FDA, there won’t be enough vaccine to immunize everyone immediately. The Centers for Disease Control and Prevention (CDC) will determine priority populations once a vaccine is approved. States and providers will follow federal guidance.
Once available, the vaccines will be provided with no out-of-pocket costs to Medicare members.
If a doctor believes you need to be tested for COVID-19, we’ll cover the cost of the COVID-19 antigen or molecular diagnostic test and related office visits with no member cost-share or pre-authorization.
We’ll also cover the cost of COVID-19 antibody tests with no member cost-share when they are ordered by your attending provider and part of appropriate medical care.
COVID-19 tests must be performed at a CLIA-certified lab or have FDA-Emergency Use Authorization. COVID-19 tests for public health tracking, employment, surveillance, or extracurricular activities, such as travel, school, sports or camps are not covered by Regence.
Testing coverage at no member cost-share is in effect through the end of the proclaimed federal Health and Human Services Public Health Emergency.
We’ll cover the cost of treatment and inpatient medications for COVID-19 without any out-of-pocket costs through March 31, 2021. Outpatient medications treating COVID-19 are covered at the normal member cost-share under your benefits plan.
For medications that treat chronic conditions, such as heart disease, asthma, diabetes and others, you may also request a 3-month refill. Some drugs are not eligible for 3-month refills, including controlled substances and certain specialty drugs. Early refills are available through the end of the declaration of the emergency in the state where your coverage is issued.
We’ve expanded our list of services eligible through virtual care into 2021.
As we learn of members hospitalized with COVID-19, we are reaching out to provide personalized support.
AllianceRx is a separate and independent company that provides home-delivery prescription services for Regence members.
Symptoms include mild to severe fever, cough, difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell, nausea, vomiting or diarrhea. Symptoms may occur 2-14 days after exposure to COVID-19. Some people never have symptoms, but still carry the coronavirus and can infect others. For the latest information about COVID-19, please visit the CDC website.
Call your doctor, pharmacist or urgent care. If you need help finding a health care provider, call us at the number on the back of your Regence member ID card and we can help connect you.
Molecular and antigen tests to diagnose COVID-19 and testing for antibodies are covered if they’re ordered by a provider or pharmacist and are part of appropriate medical care. Tests must be performed at a CLIA-certified lab or the test manufacturer must have FDA Emergency Use Authorization (EUA) to be covered. Tests are covered at no cost to members. This includes the office visit for molecular and antigen testing.
Yes. Regence will cover antigen and molecular diagnostic tests and antibody tests at no cost to members if they’re ordered by the member’s provider or pharmacist and are part of appropriate medical care. The associated office visit for antigen and molecular diagnostic tests is also covered at no cost to members.
COVID-19 tests for public health tracking, employment, surveillance, or extracurricular activities, such as travel, school, sports or camps are not covered by Regence.
Doctors, pharmacists and other health care providers can order tests. Tests can be performed at a medical facility or a pharmacy.
If you feel sick with fever, cough or have difficulty breathing, call your doctor, pharmacist, health care provider or urgent care center instead of going in person. That way, they can set up a safe space for when you arrive. If your provider believes you need to be tested, there is no pre-authorization required.
We’ve created a go-to guide with answers to common questions and links to trusted information sources to help you stay safe and informed.
Treatment for COVID-19 is patient specific and directed by the attending provider. The U.S. Food and Drug Administration (FDA) has approved or issued emergency use authorization for some treatments for patients hospitalized with COVID-19.
In-patient treatment for COVID-19 is covered with no member cost-share through March 31, 2021.
Once a COVID-19 vaccine is available, get vaccinated! In the meantime, the best way to prevent illness is to avoid exposure. Everyday actions can help prevent the spread of all respiratory diseases. These actions include:
- Wearing a face mask when you’re in public or when you’re with people outside your household and can’t maintain a six-foot distance from them.
- Avoiding crowds, especially indoors.
- Washing your hands often with soap and water for at least 20 seconds, especially after going to the bathroom, before eating, and after blowing your nose or coughing.
- If soap and water are not readily available, using an alcohol-based hand sanitizer with at least 60% alcohol. Always wash your hands with soap and water if your hands are visibly dirty.
- Staying home when you’re sick.
- Avoiding close contact with people who are sick.
- Avoiding touching your eyes, nose and mouth.
- Covering your cough or sneeze with a tissue, then throwing the tissue in the trash.
The CDC has the most relevant and up-to-date resources for people who think they may have been exposed to COVID-19.
We rely on these sources and suggest you do, too:
- Centers for Disease Control and Prevention (CDC)
- U.S. Food and Drug Administration (FDA)
- World Health Organization (WHO)
- Washington State Department of Health
- Oregon Health Authority
- Utah Department of Health
- Idaho Department of Health
Unfortunately, COVID-19 has also attracted its share of bad actors selling 21st century “snake oil.” The Blue Cross Blue Shield Association offers what to look for to avoid getting scammed.
Last updated 11/25/2020