We want to help our members understand their coverage during the coronavirus (COVID-19) outbreak and use it to help stay healthy.
If you feel sick…
Call your primary care provider (PCP) if you are concerned about exposure or risk of the disease. You will not pay any costs toward diagnostic lab tests for coronavirus or visits – to a doctor’s office, urgent care center, or emergency room – where the test is performed or ordered. No preauthorization or referrals are needed.
You can talk to a doctor – at no charge
You can, temporarily, use telehealth for covered medical and mental health services without paying a deductible, copayment, or coinsurance. Telehealth visits are free for any illness or injury – not just COVID-19 – through Sept. 9, 2020. You can:
Free telemedicine/telehealth visits will continue through Sept. 9, 2020. Please consult your health care providers to see if they can arrange for telehealth visits (not all may be able to). Telehealth is not clinically appropriate for all covered services.
Telemedicine services are available to members with telemedicine benefits in their plans. Some plans may have different coverage. Your benefits administrator can answer any questions you have.
Mental health support is available
You can talk to a mental health professional – at no charge through Sept. 9, 2020. Go to liveandworkwell.com and sign in (you can register for an account with your ConnectiCare membership). You’ll be able to find local mental health professionals or make appointments for virtual visits.
You can also, for no charge, call the Optum support line 24 hours a day, seven days a week, at 1-866-342-6892 for help getting connected to caring professionals.
Have medicine supplies on hand without leaving home
All ConnectiCare members can have prescriptions delivered at home by Express Scripts. Express Scripts will fill 90-day supplies of most maintenance medicines with a doctor’s prescription.*
To start using Express Scripts, members under age 65 or with plans through their employers can visit the website or call 1-877-866-5798. Have your prescription number(s) ready.
Express Scripts has also partnered with CVS and Walgreens for free home delivery of prescriptions. Find more information in the pharmacy section of our frequently asked questions.
Check your plan’s benefits for the costs of prescription drugs.
*Note: Most specialty drugs are not available through Express Scripts home delivery and do not qualify for a 90-day supply. For more information about specialty medications, visit our specialty drug page.
If you feel sick…
Call your primary care provider (PCP) if you are concerned about exposure or risk of the disease. Visits, including telehealth visits, by Medicare Advantage members for a COVID-19 test continue to have no cost share for both in-network and out-of-network health care providers through the declared national public health emergency. Members also have no cost share for the lab test during the public health emergency.
You can meet with a PCP or mental health counselor at no charge
Medicare Advantage members can visit in-network primary care providers (PCPs) and in-network behavioral health clinicians for covered services in person or using telehealth from Aug. 1, 2020 through Dec. 31, 2020 at no cost to them.* This means that you will not have copays, deductibles, or coinsurance for services covered by your plan.
Members whose plan benefits include Teladoc® telemedicine visits will also have no cost share for Teladoc services through Dec. 31, 2020.
This policy does not cover facility-based, behavioral health in-patient or partial hospitalization services.
Visits to medical specialists
Medicare Advantage members can continue telehealth visits with medical specialists for covered services without a cost share through Sept. 9, 2020. After that date, members will be responsible for cost shares for medical specialist visits that take place by telehealth.*
How to have a virtual visit
Check your plan’s benefits to see if they include Teladoc.** Note: Teladoc doctors cannot order lab tests — diagnostic or antibody tests — for COVID-19.
Please consult your health care providers to see if they can arrange for telehealth visits (not all may be able to). Telehealth is not clinically appropriate for all covered services.
Mental health support is available
Go to liveandworkwell.com and sign in (you can register for an account with your ConnectiCare membership). You’ll be able to find local mental health professionals or make appointments for virtual visits.
You can also, for no charge, call the Optum support line 24 hours a day, seven days a week, at 1-866-342-6892 for help getting connected to caring professionals.
Have medicine supplies on hand without leaving home
All members can have prescriptions delivered at home by Express Scripts. Express Scripts will fill 90-day supplies of most maintenance medicines with a doctor’s prescription.***
To start using Express Scripts, Medicare Advantage members can visit the website or call 1-877-866-5828. Have your prescription number(s) ready.
Express Scripts has also partnered with CVS and Walgreens for free home delivery of prescriptions. Find more information in the pharmacy section of our frequently asked questions.
Check your plan’s benefits for the costs of prescription drugs.
*This assumes the Centers for Medicare & Medicaid Services (CMS) will continue to allow health plans to adjust benefits mid-year during the public health emergency. As a result, the end date of the waiver is subject to change.
**Teladoc is not available to members of the Choice Dual (HMO D-SNP) plan. Those members can contact the ConnectiCare Nurseline at 1-877-489-0963 (TTY: 711) with non-emergency questions. Please check your plan documents for more information. Registration with Teladoc is required but free for qualifying members.
***Note: Most specialty drugs are not available through Express Scripts home delivery and do not qualify for a 90-day supply. For more information about specialty medications, visit our specialty drug page.
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You may be able to buy an individual or family plan. Find more information on plans, financial help, and numbers to call.
Last updated on 8/7/2020
While we believe the information in this communication is accurate as of the date published, it is subject to correction or change during the rapidly evolving response to the COVID-19 outbreak.
