Updated October 23, 2020
Your well-being is our top priority
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. The following changes apply to individual policies and insured group policies. If your coverage is through a self-insured group plan, look to your plan administrator for details.
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, tracing, or extracurricular activities, such as travel, school, sports or summer 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 at in-network facilities and inpatient medications for COVID-19 without any out-of-pocket costs through Dec. 31, 2020. Read more. 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 90-day refill. Some drugs are not eligible for 90-day refills, including controlled substances and certain specialty drugs. Review our drug lists to confirm your drug is eligible. Drugs in the “Narcotics” section or marked “SP” are not eligible for 90-day refill. Early refills are available through the end of the declaration of the emergency in the state where your coverage is issued.
If you have pharmacy coverage through Regence, you can order home-delivery prescriptions through AllianceRx Walgreens Prime.
We’ve expanded our list of services eligible through virtual care through Dec. 31, 2020.
We’re in contact with high-risk members using our case management services to ensure they have the support they need.
As we learn of members diagnosed with the virus, we are reaching out to provide personalized support.
We have extended grace periods for premium payments as required by state law. Extensions end when those mandates end.
For group plans governed by ERISA*, we’ve extended the deadlines by which you must file any claims or appeals or make any special enrollment changes. The period from March 1, 2020 until 60 days after the conclusion of the National Emergency will not be counted in determining these deadlines.
*As a general rule, a plan is governed by ERISA if it is a plan for employees of an employer that is not a government (including a tribe) or church.
AllianceRx is a separate and independent company that provides home-delivery prescription services for Regence members.