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COVID-19 Coverage for Members

Testing and Treatment | Prescription Coverage | Mental Health Services | Telehealth

Your health is always our priority. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic.

With a BCBSIL health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSIL health plan’s provider network for:

  • Tests to diagnose COVID-19
  • COVID-19 testing-related doctor’s visits  
  • COVID-19 treatment

Most changes will end with the end of the public health emergency. Some may end sooner, depending on your plan. View effective coverage dates.

Testing & Treatment

Getting Tested

If you think you may have the virus or have been exposed to someone who has it:

  • Call your doctor. Your doctor can order a COVID-19 diagnostic test and coordinate your testing at an in-network lab.
  • If you don’t have a primary care doctor, we can help you find one. Call us at the Customer Service number on your BCBSIL member ID card.
  • You can also find an in-network doctor by logging in to Blue Access for MembersSM or downloading the BCBSIL app1 to use our Provider Finder®.

Some things to know about testing:

  • Your health plan covers FDA-authorized diagnostic testing for the COVID-19 virus.
  • Some testing locations may not be in your health plan’s network.
  • Some labs may not provide testing without a doctor’s order.

A note about antibody tests: Serology tests detect the presence of antibodies produced after exposure to the virus. While the tests are available, it remains uncertain whether antibodies will protect you against reinfection with COVID-19. The Centers for Disease Control and Prevention (CDC) does not recommend serology tests to determine when it is safe for a person to return to work or school.

Office Visits and Treatment

Your doctor will help guide your care. If you test positive for COVID-19, follow up with your doctor’s office so they can plan next steps. If you start to feel worse, let your doctor know. Telehealth is a convenient way to get medical care without leaving home.

Your health plan also covers emergency and inpatient hospital care for COVID-19. Seek emergency medical care immediately if you have:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability or difficulty waking or staying awake
  • Bluish lips or face

For those times when you can’t get in to see your doctor and it’s not an emergency, you can visit an in-network urgent care center. They offer primary care services and the wait time can be much shorter than an ER visit. And they can let you know if you need emergency care.

COVID-19 Costs

BCBSIL is waiving your share of the costs for COVID-19 testing and testing-related visits until the end of the Health and Human Services COVID-19 public health emergency order.

This means:

  • Lab tests to diagnose COVID-19 are covered at no cost.
  • Testing-related visits are covered at no cost to you when you see a primary care provider in your health plan’s network, either in person or using telehealth.
  • Cost-sharing is also waived for COVID-19 treatment if you are a member in a fully insured group, individual, Medicare (excluding Part D), Medicare Supplement, or Medicaid health plan. The waiver covers treatment from April 1 through Dec. 31, 2020.

Many self-funded groups are also waiving cost-sharing for COVID-19 testing and treatment. Their dates for cost-sharing waivers may differ.

If you are unsure what your plan covers, contact your company’s benefits administrator or call BCBSIL Customer Service at the number listed on your member ID card.

Remember to use your BCBSIL member ID card for your doctor’s visit and testing to help with the reimbursement process.

Prescription Coverage

With BCBSIL pharmacy benefits2, you can temporarily get an early refill on many of your current prescriptions because of COVID-19. You may also be able to get up to a 90-day fill (based on plan benefits) of covered non-specialty medications at select drugstores or by mail order.

  • At your drugstore: Call your pharmacy directly to ask for an early fill or 90-day fill, and about any delivery options they offer.
  • By mail: You can also sign up online or call the number on your BCBSIL member ID card for mail-order delivery with AllianceRx Walgreens Prime.

If you're a member of these Medicare or Medicaid plans, you can get 90-day fills through mail order:

Mental Health Services

Coping with the stress and anxiety of COVID-19 can be overwhelming. Remember to take care of your mental health. Your health plan covers mental health services, including counseling.

  • If you need help, call your primary care doctor. They may be able to see you without you having to leave home, using telehealth. Or they may refer you to someone who specializes in mental health counseling and treatment.
  • Many BCBSIL health plans include 24/7 phone access to licensed mental health care specialists as part of the mental health coverage. The number may be listed on your member ID card, or you can call Customer Service to find out if you have this benefit.
  • Find free COVID-19 mental wellness support from Livongo’s myStrength3.

Telehealth

Need to see a doctor? Depending on your health plan, you may be able to see a provider in your health plan’s network virtually.

Our telehealth benefits give you access to care while reducing the risk of exposure to COVID-19. And you won’t pay copays, deductibles or coinsurance on covered services when you use a provider in your health plan’s network.

Call your doctor’s office to learn more about its telehealth offerings.

Our Bilingual 24/7 Nurseline4 is also here to discuss any health concerns and can guide you if you think you’ve been exposed to COVID-19 or have symptoms. Nurses are available 24 hours a day, 7 days a week.

  • Call: 800-581-0368

Blue Cross Community Health PlansSM and Blue Cross Community MMAISM members

  • Call: 888-343-2697 (TTY/TDD 711).

Telehealth benefits may differ based on your plan. Call the Customer Service number listed on your member ID card if you have questions about your coverage.

1To download the app, text BCBSILAPP to 33633 or search for BCBSIL in the Apple App Store or Google Play. Message and data rates may apply.

2Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with Prime Therapeutics® to provide pharmacy benefit management and related other services. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics. MyPrime.com is an online resource offered by Prime Therapeutics.

3myStrength is an independent website for Behavioral Health sponsored by Livongo. You acknowledge that you are voluntarily accessing and using the resources found on the site and consent that Livongo may provide Blue Cross and Blue Shield of Illinois with an aggregate number of individuals who accessed the website link.

4The 24/7 Bilingual Nurseline may not be available with all plans. Check your benefits booklet for details.