Updated December 17, 2020
- COVID-19 vaccines and vaccine administration will be covered with no out of pocket costs to members
- If a doctor believes you need to be tested for COVID-19, no pre-authorization is required.
- We will cover the cost of COVID-19 diagnostic testing and treatment at in-network health care providers, including in-patient medications, with no cost share to members, including those with high-deductible health plans and HSAs. Out-patient medications treating COVID-19 will be covered at the normal member cost share.
- We will also cover the cost of COVID-19 antibody tests when they are ordered by a provider and part of appropriate medical care.
- COVID-19 tests must be performed at a CLIA-certified lab or have FDA-Emergency Use Authorization.
- COVID-19 tests for public health tracking, employment, surveillance, or extracurricular activities, such as travel, school, sports or summer camps are not covered by BridgeSpan.
- We’re in contact with high-risk members using our case management services to ensure they have the support they need.
- As we learn of members hospitalized with COVID-19, we are reaching out to provide personalized support.
- We’ve waived early refill restrictions for most medications so members can make sure they have plenty on hand.
- For medications that treat chronic conditions, such as heart disease, asthma, diabetes and others, you may also request a 90-day refill. Some drugs such as narcotics are not available for 90-day refill.
Members with pharmacy coverage through BridgeSpan can have their prescriptions delivered to their homes through AllianceRx Walgreens Prime home delivery pharmacy.
During the COVID-19 state of emergency, we have expanded access to virtual care for members into 2021. Services may include virtual office visits through telehealth, instant messaging with doctors and nurses, and home health visits in select areas. This includes primary care and behavioral health appointments for both routine preventive services and COVID-19-related concerns. These convenient virtual care options help minimize the spread of infection and ease pressure on providers' offices and emergency rooms.
If you need an appointment, you can:
- Call your doctor's office and ask about virtual care options,
- Call BridgeSpan Customer Service for available solutions according to your plan and health needs,
Please, also refer to the Centers for Disease Control and Prevention (CDC) guidelines for more prevention information and COVID-19 updates.
Symptoms reported in patients with COVID-19 include mild to severe fever, cough, difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell, nausea, vomiting or diarrhea. Symptoms may occur 2-14 days after exposure to COVID-19. For the latest information about COVID-19, please visit the CDC website.
If you have symptoms like those listed above, limit your exposure to others and call your doctor or urgent care. If you need help finding a doctor or urgent care center, call us at the number on the back of your BridgeSpan member ID card.
Molecular and antigen tests to diagnose COVID-19 and testing for antibodies are covered if they’re ordered by a provider or pharmacist and are part of appropriate medical care. Tests must be performed at a CLIA-certified lab or the test manufacturer must have FDA Emergency Use Authorization (EUA) to be covered. Tests are covered at no cost to members. This includes the office visit for molecular and antigen diagnostic testing.
Yes. BridgeSpan covers antigen and molecular diagnostic tests and antibody tests at no cost to members if they’re ordered by the member’s provider or pharmacist and are part of appropriate medical care. The associated office visit for antigen and molecular diagnostic tests is also covered at no cost to members.
Just as we don’t cover drug tests for employment purposes, we don’t cover testing for public health tracking, employment, surveillance, or extracurricular activities, such as travel, school, sports or summer camps.
Doctors, pharmacists and other health care providers can order tests.
If you feel sick with fever, cough or have difficulty breathing, call your doctor, pharmacist, health care provider or urgent care center instead of going in person. That way, they can set up a safe space for when you arrive. If your provider believes you need to be tested, there is no pre-authorization required.
We’ve created a go-to guide with answers to common questions and links to trusted information sources to help you stay safe and informed as the testing landscape changes.
In December 2020, the U.S. Food and Drug Administration (FDA) provided emergency use authorization for distribution of the first COVID-19 vaccine.
Vaccines will be released in phases, with priority populations determined by the Centers for Disease Control and Prevention (CDC) and each state. The first phase will include health care workers and people who live and work in long-term care facilities. While additional phases may vary by state, the CDC recommends that other essential workers such as first responders get the vaccine, followed by those older than age 65 or who have high-risk medical conditions, and then the general public.
Visit your state’s health department website for information about prioritization and distribution.
You may also contact your doctor or pharmacist with questions about when and how you will may receive the vaccine. When it becomes available to you, the COVID-19 vaccine and related office visit will be covered at no out-of-pocket costs to BridgeSpan members.
Visit our vaccines page for more information.
Some treatments have been approved or granted emergency use authorization by the U.S. Food and Drug Administration (FDA). Treatment for COVID-19 is patient specific and directed by the attending provider.
In-patient treatment for COVID-19 by in-network providers is covered with no member cost-share through March 31, 2021.
Once a COVID-19 vaccine is available to you, talk with your doctor or pharmacist about getting vaccinated. In the meantime, the best way to prevent illness is to avoid exposure. Everyday preventive actions can help prevent the spread of all respiratory diseases. These actions include:
- Wearing a face mask when you’re in public or when you’re with people outside your household and can’t maintain a six-foot distance from them.
- Avoiding crowds, especially indoors.
- Washing your hands often with soap and water for at least 20 seconds, especially after going to the bathroom, before eating, and after blowing your nose or coughing.
- If soap and water are not readily available, using an alcohol-based hand sanitizer with at least 60% alcohol. Always wash your hands with soap and water if your hands are visibly dirty.
- Staying home when you’re sick.
- Avoiding close contact with people who are sick.
- Avoiding touching your eyes, nose and mouth.
- Covering your cough or sneeze with a tissue, then throwing the tissue in the trash.
The CDC has the most relevant and up-to-date resources for people who think they may have been exposed to COVID-19.
Trusted sources for the most up-to-date information about COVID are the Centers for Disease Control and Prevention, the World Health Organization, and the health department in your state.
If you have been postponing routine care, such as childhood immunizations or care for a chronic condition, now may be a good time to reach out to your doctor to check in. Some visits can be held using telehealth, but others may require an in-person visit. It is important to avoid delays in follow up clinical care with your doctor. This is especially true for people with chronic conditions such as diabetes, heart disease or chronic lung issues such as asthma or COPD.
Many doctor’s offices have established new protocol for scheduling routine visits, keeping waiting areas safe, and requiring personal protective equipment, such as masks, for all visitors.
Questions to ask your doctor when scheduling a follow up visit include:
- Can this visit be conducted through telehealth or virtual care?
- What is the protocol to park, check in and be seen for an in-person office visit?
- What are the precautions being taken (such as wearing masks, limiting patient volume or disinfection practices) to guard against COVID-19 for your patients and staff?
- Are sick patients separated from well patients when seen for in-person office visits?
- Do you have separate waiting areas for well visits or elective procedure follow up visits?
- Does a separate staff support routine clinical visits versus those assisting in sick patients?
- Are you scheduling well patient visits or elective procedure check ins at specific times of day, separating them from sick visits?