Updated December 18, 2020
- To help ensure you and your loved ones get the COVID-19 coverage you need without worrying about cost, we have taken the following steps to support our Medicare members:
- No-cost tests and no pre-authorization–we will cover the cost of a COVID-19 antigen or molecular diagnostic test if a provider determines one is necessary, forgoing prior-authorization.
- No-cost treatment–we will cover the cost of treatment at in-network providers and in-patient medications for COVID-19 without any out-of-pocket costs through Dec. 31, 2020. Out-patient medications treating COVID-19 will be covered at the normal member cost share.
- 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 diagnosed with the virus, we are reaching out to provide personalized support.
- For medications that treat chronic conditions, such as heart disease, asthma, diabetes and others, you may also request extended supplies.
- If you have a Medical and Pharmacy Benefits (MAPD) plan, you may request a 100-day refill.
- If you have a Prescription Drug only (PDP) plan, you may request a 90-day refill.
- Some drugs are not eligible for extended supply. You may reference the formularies (drug lists) at the bottom of our homepage to confirm your medicine is eligible. Drugs listed as tier 5 or 6 and all opioids in the “Analgesics" section are not eligible for extended supply. Sign in to see your plan’s specific drug list.
You may also order home-delivery prescriptions through Alliance Rx Walgreens Prime; or Postal Prescription Services, 1 (800) 552-6694. Please note: Call times may be longer than usual due to increased volume.
If you’re not experiencing flu-like symptoms, the best action you can take to protect yourself and others is to wash your hands with soap and water for at least 20 seconds, wear a face mask when in public, cover your mouth and nose with a tissue when sneezing or coughing, and avoid touching your eyes, mouth and nose. Also, make sure your immunizations—including flu and pneumonia shots if appropriate—are current.
We offer a variety of convenient care options, so you can talk to providers without leaving home. Calls, video chats, and in some geographic locations, mobile care units are available to answer questions and concerns about your health and well-being. Sign in to your asuris.com account to see what options are available to you. If you haven’t yet registered for an account, now is a good time to do so.
Please, also refer to the Centers for Disease Control and Prevention (CDC) guidelines for more prevention information and COVID-19 updates.
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 feel sick with fever, cough, or difficulty breathing, it’s best to call your doctor or urgent care center instead of going in person. That way they can set up a safe space for when you arrive. If your doctor believes you need to be tested, there is no pre-authorization required and testing will be covered at no member cost share.
If you’re not experiencing flu-like symptoms, the best thing you can do is to keep practicing healthy habits like like wearing a face mask when in public, regular hand washing, covering your mouth when sneezing and coughing, etc.
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 the number on the back of your Asuris member ID card.
There is no vaccine currently available.
The US Food and Drug Administration (FDA) has issued Emergency Use Authorization (EUA) for specific drugs that have shown promise in treating COVID-19. Treatment for COVID-19 is patient-specific and directed by the attending provider. In-patient treatment for COVID-19 is covered with no member cost-share through Dec. 31, 2020.
There is currently no vaccine to prevent COVID-19. The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, the CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:
- Wear a face mask when you are in public or with people outside your household and you cannot maintain a six-foot distance from them.
- Stay home when you are sick.
- Avoid close contact with people who are sick.
- Avoid touching your eyes, nose, and mouth.
- Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
- Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
- Wash 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, coughing, or sneezing.
- If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.
- The CDC now recommends everyone use face masks in public settings where it’s difficult to maintain a six foot distance from other people. Follow CDC recommendations for use and washing of face masks.
- Your state may have additional requirements about wearing a face mask. Please make sure you are following local requirements.
- When you’re wearing a face mask, it’s still important to continue physical distancing, hand washing, and avoiding close contact with those who are sick.
The CDC has the most relevant and up-to-date resources for people who think they may have been exposed to COVID-19.
Asuris is working with our network providers, care managers and customer service professionals to ensure they have the latest information about the virus and can support our members who have questions or concerns. We are covering the cost of COVID-19 antigen or molecular diagnostic testing, the associated office visit, and COVID-19 treatment, including in-patient medications, at no cost share. Out-patient medications treating COVID-19 will be covered at the normal member cost share. We also cover COVID-19 antibody tests at no member cost share when they are ordered by a licensed medical professional and part of appropriate medical care. For medications that treat chronic conditions, members may also request an extended supply. Our employees remain highly focused on planning and readiness to ensure we are here to support members and customers. This includes reaching out to provide personalized support as we learn of members diagnosed with the virus.
Last updated 12/02/2020