Benefits & Coverage

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

 

What is the coverage for COVID-19-related provider appointments?

We are waiving cost sharing through the duration of the public health emergency 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 remote access to providers available?

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 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?

It 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.

 

Can I obtain an early refill of medications from Accredo Specialty?

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 the general Accredo Specialty phone number 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.

 

Contact us:

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