Last updated on 01/12/2021
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.
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Care and coverage for coronavirus (COVID-19)
We want to help our members understand their coverage during the coronavirus (COVID-19) outbreak and use it to help stay healthy and be vaccinated when supplies are available for them.
Important information for our members
Vaccine information
States are creating distribution plans for vaccines. You can see if you are in a category of people eligible to receive a vaccine by visiting the website for your state or city: Connecticut, Massachusetts, New York City, and New York state. You will not pay anything out of your own pocket to receive an FDA-approved vaccine. Find more information about vaccines.
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.
This benefit is available until the end of the federal public health emergency.
If you are treated for COVID-19…
Your plan’s deductible, copays, and/or coinsurance apply.*
You can use telehealth to help stay well
We all must continue to take precautions to prevent the spread of COVID-19. You can use telehealth, or virtual visits, to see in-network medical and mental health care providers for services covered by your plan. Your plan’s deductible, copay, or coinsurance for office visits will apply to telehealth visits.
Talk to your doctors to see if they can arrange for telehealth visits.
Many plans also include telemedicine through Teladoc®. Note: Telemedicine doctors cannot order lab tests — diagnostic or antibody tests — for COVID-19.
Telehealth is not clinically appropriate for all covered services and restrictions may apply. 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
To find mental health clinicians, visit liveandworkwell.com and sign in (you can register for an account with your ConnectiCare membership). You’ll be able to search for mental health professionals in your plan’s network. You can also make appointments for virtual visits. Your plan’s deductible, copay, or coinsurance for office visits will apply to telehealth 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.
Passage plan members, note:
Please ask your PCP for referrals to visit certain specialists as outlined in your plan documents.
Have medicine supplies on hand without leaving home
All ConnectiCare members can have many 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, visit the website or call 1-877-866-5798. Have your prescription number(s) ready.
Check your plan’s benefits for the costs of prescription drugs.
For more information, visit our answers to frequently asked questions.
*Members of plans underwritten by ConnectiCare of Massachusetts, Inc. may have different end dates of cost share waivers for in-network COVID-19-related telehealth and treatment.
**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.
© 2021 Teladoc Health, Inc. All rights reserved. Teladoc and the Teladoc logo are registered trademarks of Teladoc Health, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services. Teladoc medical visits cost $45 or less depending on your plan benefits. Please check your benefit summary, available when you sign in to connecticare.com. Telemedicine is not appropriate for all covered services, and restrictions may apply.
Vaccine information
States are creating distribution plans for vaccines. In Connecticut, vaccine eligibility is being expanded to individuals age 75 and older. You can see if you are in a category of people eligible to receive a vaccine by visiting the website for your state or city: Connecticut, Massachusetts, New York City, and New York state. You will not pay anything out of your own pocket to receive an FDA-approved vaccine. Find more information about vaccines.
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.
Use telehealth to help stay well
You can use telehealth, or virtual visits, to see in-network medical and mental health care providers for certain services covered by your plan. Your plan’s deductible, copay, or coinsurance for office visits will apply to telehealth visits. Talk to your doctors to see if they can arrange for telehealth visits.
Many plans also include telemedicine through Teladoc®. Note: Telemedicine doctors cannot order lab tests — diagnostic or antibody tests — for COVID-19.
Telehealth is not clinically appropriate for all covered services and restrictions may apply. Telemedicine services are available to members with telemedicine benefits in their plans.
How to have a virtual visit
- Contact your doctor’s or mental health counselor’s offices. The office staff will arrange appointments and instruct you on how to connect with the health care professional. OR
- Use Teladoc® to consult with a board-certified doctor.* To arrange a visit, go to teladoc.com/connecticare, download and activate the Teladoc mobile app, or call 1-800-835-2362 (TTY: 711). You will first have to register, if you already haven’t.
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 and restrictions may apply.
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.
Waivers of copays for telehealth services ended on Dec. 31, 2020. Check your plan’s benefits for the costs of prescription drugs.
*Teladoc is not available to members of the Choice Dual (HMO D-SNP) or Choice Dual Basic (HMO D-SNP) plans. Choice Dual members can contact the ConnectiCare Nurseline at 1-877-489-0963 (TTY: 711) with non-emergency questions. Nurseline is not available for Choice Dual Basic members. 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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