Important COVID-19 Information

The Health Plan is committed to serving our members, while also ensuring the safety and health of our staff and the communities we serve. As such, we are implementing a number of best-practice protocols to protect individuals while guaranteeing business continuity and making certain that no gaps in service or support exist. We continue to monitor state and local health department action and guidance.


Frequently Asked Questions

What are the symptoms of COVID-19?

Common signs include respiratory symptoms, fever, cough, shortness of breath, and breathing difficulties. The CDC & Apple released a coronavirus self-checker guide to help you make decisions and see appropriate medical care.


How can I stop the spread?

  • Wash your hands often with soap and water for at least 20 seconds
  • Use hand sanitizers when you cannot wash your hands
  • Avoid touching your eyes, nose or mouth with your hands
  • Stay home when you’re sick
  • Cover your coughs and sneezes with a tissue and throw it away
  • Clean frequently touched surfaces

Where can I get more information about symptoms, what to do if I am sick and how to protect myself?

If you develop trouble breathing, persistent pain or pressure in the chest, confusion or the inability to get up, or bluish lips or face, get medical attention immediately. Call 911 if you have a medical emergency.


Is testing for COVID-19 a covered benefit?

The Health Plan will cover the cost of copays, co-insurance and deductibles specifically for COVID-19 testing for Commercial, Medicare and Medicaid members when recommended by a medical professional. The Health Plan’s self-funded (ASO) members will have cost-sharing for diagnostic testing related to COVID-19 waived unless the group does not implement this temporary relief option.


Where can I get testing?
If you think you have been exposed to COVID-19 and have a fever, cough or have trouble breathing, call your doctor. Most testing sites require a doctor’s order before testing. Residents of West Virginia: Check out the latest test sites.


Do I have to get pre-approval (prior authorization) for a COVID-19 test?
No, prior authorization is not required for COVID-19 testing but you will need a doctor’s order.


What do I do if I am waiting for test results?

If you are sick and waiting test results or tested positive for COVID-19, follow these steps to help prevent the disease from spreading.


Can I continue to receive my medications?

Medicare and fully-insured members can fill 90-day supplies of long-term medications through mail order or local retail pharmacies. The Health Plan’s Pharmacy Services Department is available to assist you if medication shortages or access issues arise. Please call the pharmacy number on the back of your THP ID card.


What happens if I run out of my medications?

Call The Health Plan Pharmacy Service number on your ID card. Don’t stop taking your medicines as prescribed and get your refills on time.

Medicaid members: Call 1.888.483.0797 if you need information about your pharmacy or your pharmacy benefit.


What is telemedicine?

Telemedicine is a safe and effective way for you to see a doctor to receive health guidance from your home via a smart phone, tablet or computer-enabled web cam.


Can I use telemedicine?

You may use telemedicine if it is available in your plan. West Virginia Medicaid members can also use Teladoc. Additional information on this benefit can be found here.


Will I be charged for using telemedicine?

Commercial members will be responsible for their applicable physician visit copay for telehealth visits with physicians in The Health Plan network. Groups that have HealthiestYou, members do not have a copay for telehealth services received through HealthiestYou.


Will I have to pay for the COVID-19 vaccine?
No. The Health Plan will cover the administration cost of COVID-19 vaccines that have received emergency use authorization by the FDA at no cost to all Commercial, Medicare, Medicaid and Self-Funded (ASO) members.
Will The Health Plan have a COVID-19 vaccine clinic?
No. There are no plans to set up a vaccine clinic.
How soon can I receive the vaccine?
The vaccine will be available in phases to different populations as determined by each state's public health system and based on the recommendations from the CDC. Consult your PCP or local public health authorities with any questions about the vaccine.


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