Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. People of all ages can be infected. Older adults and people with pre-existing medical conditions like asthma, diabetes and heart disease may be more likely to become severely ill if infected. Many details about this disease are still unknown, such as treatment options, how the virus works, and the total impact of the illness.
What Are The Symptoms?
The symptoms of COVID-19 include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath. COVID-19 can be contagious before a person begins showing symptoms.
What Else Causes Similar Symptoms?
Influenza (the flu), a contagious respiratory illness caused by the influenza viruses (Type A and Type B), has high activity in the United States at this time. Everyone 6 months of age and older should get a flu vaccine.
I May Have Symptoms. What Do I Do?
If you are sick with COVID-19 or think you might have it, or if you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.
Does My Plan Cover COVID-19 Testing/Screening Services?
Yes. When medically necessary diagnostic testing or medical screening services are ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests and the associated physician’s visit. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing and/or medical screening services.
Is Prior Authorization Required For COVID-19 Testing/Screening Services Under My Plan Coverage?
No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing and medical screening services when medically necessary services are ordered and/or referred by a licensed health care provider.
Where May I Receive COVID-19 Testing/Screening Services Under My Plan Coverage?
Medically necessary COVID-19 diagnostic testing and/or medical screening services and the associated provider’s visit will be covered when ordered, referred and/or performed in the following In-Network locations:
- Provider’s/Practitioner’s Office – List of NextLevel Health’s Preferred Providers
- Independent Laboratory/Diagnostic Facility
- Urgent Care Facility
- Emergency Department Facility
For a list of all available testing sites, please visit: https://coronavirus.illinois.gov/s/testing-sites
Are you unsure if you have been exposed to or at-risk of being infected with COVID-19?
Schedule a virtual care visit with a provider. It is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facilities.
Will I Be Responsible For Any Out-Of-Pocket Costs For COVID-19 Testing/Screening Services?
No. We will cover medically necessary COVID-19 diagnostic testing and/or medical screening services at no charge to you when such services are ordered and/or referred by a licensed health care provider. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing and/or medical screening services along with the associated physician’s visit.
If I Need Treatment For Coronavirus, Is That Covered By My Plan?
Any medically necessary treatment related to COVID-19 would be considered a covered benefit. We are committed to ensuring access to COVID-19 treatment services in accordance with federal and state law.
Will I Be Able To Refill My Prescriptions Before The Refill Date?
Yes, Members will be able to refill prescriptions prior to the refill date.