Stay up to date on COVID-19

Stay up to date on COVID-19

The COVID-19 pandemic is likely to raise questions about what your plan covers. Several frequently asked questions (FAQs) are addressed below, along with information on medication availability, and other useful links to COVID-19 information. For additional questions or concerns, contact the Member Services team at (855) 624-6463, Monday through Friday, 8 a.m. to 6 p.m., or via email memberservices@healthoptions.org.

 

COVID-19 related healthcare coverage

 

What is Health Options’ coverage for COVID-19-related provider appointments?

Through the duration of the COVID-19 health emergency, we are waiving cost sharing for provider-recommended COVID-19 testing and associated lab processing fees, the office, ER, or urgent care visit to collect the specimen, COVID-19 telehealth screening services with your provider's office, and COVID-19 treatment among our in-network acute care facilities. All other testing, treatment, and services are subject to applicable cost share.

 

Is the COVID-19 vaccine free?

Vaccine doses will be available with no out-of-pocket cost.

 

Will my vaccination be free even if I don’t receive it from my in-network primary care provider?

Vaccine doses will be available with no out-of-pocket costs, even if you get vaccinated from a facility or provider other than your PCP.

 

Where can I get tested for COVID-19?

The Maine Department of Health and Human Services (DHS) offers testing for residents and visitors through "swab and send" sites. These sights offer specimen collection and testing free of charge to individuals, with or without symptoms, who believe they may have COVID-19 or could have been exposed.

●  If you think you may have COVID-19 symptoms, visit the Federal CDC Coronavirus Self-Checker.

●  For testing site information, go to Get-Tested-COVID19.org.

 

As a reminder, please bring your health insurance ID card with you whenever you seek medical care, including any appointments for testing or vaccine administration.

 

Where can I get help for COVID-19 related stress and anxiety?

Click here to use the Health Options’ provider lookup tool to find a behavioral health provider near you. Some providers offer telehealth services. Ask the provider if this option is available. If you are in an emergency, dial 911, go to a local emergency room, or call the State of Maine Crisis Hotline at 1-888-568-1112.

 

Non-COVID-19 care during the pandemic

 

Is remote access to providers available during the pandemic?

Some providers offer telehealth services that enable you to get advice via remote access. Contact your provider’s office to see if this option is available.

 

Are telehealth visits covered?

A telehealth visit with your in-network provider is treated in the same manner as an in-person appointment. Coverage is based on your plan benefits.

 

Can I receive infusion therapy at home as a covered service?

Home infusion may be possible. Health Options partners with local companies that provide infusion services in your home. Find out what medications are eligible for home infusion services by calling Member Services at (855) 624-6463, Monday through Friday, 8 a.m. to 6 p.m.

 

Can I obtain an early refill for my medications?

In many cases, due to the virus outbreak, you can receive an early refill on medications taken regularly. Contact your local pharmacy or take advantage of our home delivery pharmacy here.

 

Can I obtain an early refill of medications from Accredo?

You can request, and in many cases, obtain what pharmacists call an “emergency refill too soon” order by calling the phone number on your prescription label or call Accredo at (877) 895-9697.

 

Can I use Home Delivery for my medication needs?

Yes, you can sign up for Home Delivery by calling (800) 282-2881. You can request, and in many cases, receive an early refill from Home Delivery by calling their pharmacy at (877) 861-0376 and asking for an early refill due to the virus outbreak.

 

If you have other questions, please contact Member Services at (855) 624-6463 or memberservices@healthoptions.org.

 

COVID-19 updates and information

 

Where can I find updates about COVID 19 vaccine availability?

For updated information about COVID-19 vaccine availability, including where to find vaccines and how to schedule a vaccine, search by county here.

 

How do I know if I need to quarantine?

Quarantine keeps people who might have been exposed to COVID-19 away from others to help prevent the spread of disease. Not everyone infected shows or feels symptoms. If you think you may have been exposed to COVID-19 or have traveled out of the state, please check Maine’s quarantine guidelines here.

 

Other sources of COVID-19 information

●  For the latest information about Maine’s response to the COVID-19 pandemic, data, and other resources: https://www.maine.gov/dhhs/mecdc/

●  Maine’s COVID-19 vaccination updates can be found here:   https://www.maine.gov/covid19/vaccines/vaccination-sites  

●  If you are feeling stress and anxiety and need COVID-19 coping strategies, we recommend visiting   https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

●  For information and updates on the federal response to COVID-19:        https://www.maine.gov/dhhs/mecdc/

●  If you are helping friends or family who do not have internet access, dialing 211 will access the United Way’s services in your area.

The posted content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your provider or another qualified health provider with any questions you may have regarding a medical condition.