Updated February 2, 2021
Your well-being is our top priority
We’re covering COVID-19 vaccinations, testing and treatment, expanding virtual care (telehealth) services, allowing early medication refills, and reaching out to members hospitalized with COVID-19 to provide extra support. We’ve made the following changes to individual policies and insured group policies. If your coverage is through a self-insured group plan, consult your plan administrator for details.
In December 2020, the U.S. Food and Drug Administration (FDA) provided emergency use authorization for national 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.
Visit Washington 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 may receive the vaccine. When it becomes available to you, the COVID-19 vaccine and administration will be covered with no out-of-pocket costs to Asuris members. Visit our vaccines page for more information.
If a doctor believes you need to be tested for COVID-19, we’ll cover the cost of the COVID-19 antigen or molecular diagnostic test and related office visits with no member cost share or pre-authorization.
We’ll also cover the cost of COVID-19 antibody tests with no member cost share when they are ordered by your attending 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 Asuris.
Testing coverage at no member cost share is in effect through the end of the proclaimed federal Health and Human Services Public Health Emergency.
We’ll cover the cost of treatment at in-network facilities and inpatient medications for COVID-19 without any out-of-pocket costs through March 31, 2021. Out-patient medications treating COVID-19 are covered at the normal member cost share under your benefits plan.
For medications that treat chronic conditions, such as heart disease, asthma, diabetes and others, you may request a 90-day refill. Some drugs are not eligible for 90-day refill, including controlled substances and certain specialty drugs. Review our drug list to confirm your drug is eligible. Drugs in the “Narcotics” section or marked “SP” are not eligible for 90-day refill. Early refills are available through the end of the declaration of emergency in the state where your coverage is issued.
If you have pharmacy coverage through Asuris, you can order home-delivery prescriptions through AllianceRx Walgreens Prime.
We’ve expanded our list of services eligible through virtual care into 2021.
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 the virus, we are reaching out to provide personalized support.
We have extended grace periods for premium payments as required by state law. Extensions end when those mandates end.
For group plans governed by ERISA*, we’ve extended the deadlines by which you must file any claims or appeals or make any special enrollment changes. The period from March 1, 2020 until 60 days after the conclusion of the National Emergency will not be counted in determining these deadlines.
*As a general rule, a plan is governed by ERISA if it is a plan for employees of an employer that is not a government (including a tribe) or church.