Care and Services Available for COVID-19 (Coronavirus)


COVID-19 vaccinations

Vaccine coverage. COVID-19 vaccines reduce the risk of severe disease, hospitalization, and death, and slow spread of the virus. Independence Blue Cross (Independence) covers the cost of administering vaccines with no cost-share (such as co-pays, deductibles, coinsurance) for members regardless of where the vaccine is given. For a vaccine distribution site near you, visit vaccines.gov.

Booster coverage. A COVID-19 booster shot is an additional dose of the vaccine that is given after the protection provided by the original shot(s) has begun to decrease over time. Independence covers the cost of administering booster shots with no cost-share. You can visit vaccines.gov for a distribution site near you.

If you are a Medicare Advantage member, please see below section.

Learn more



Testing

COVID testing. Independence covers the cost for medically appropriate diagnostic and antibody testing of COVID ordered by an authorized health care professional at no cost to the member. In addition, Independence covers up to eight over-the-counter (OTC), FDA-approved tests per calendar month as required by the Biden Administration².

If you have FutureScripts (OptumRx) coverage:

  • To pay $0: Visit any Walmart, Sam's Club, Rite Aid, or Walgreens location, get your OTC COVID test kit off the shelf and check out at the pharmacy counter. Be sure to present your member ID card and ask to have the OTC test submitted to OptumRx.
  • Order online for $0: Log in at ibx.com. Select Pharmacy in the My Benefits box, then Pharmacy Mail Order/Home Delivery, then Order Now. If you have not accessed the Pharmacy Mail Order/ Home Delivery function previously, you may be required to register your account. There is a minimum order amount required to get free shipping.
  • Get reimbursed if you pay out of pocket. If you purchased an OTC COVID test after January 15, 2022, you can submit for a reimbursement of up to $12 per test. Complete the OptumRx Over-the-Counter Test Reimbursement Form and include your receipts. You will need to submit a separate claim form for each family member.

If you have pharmacy coverage through another company, please contact the phone number on your prescription drug card for information on how OTC COVID test coverage applies.

Additional details can be found in these FAQs. These coverages are in accordance with federal mandates through the end of the public health emergency¹. Independence does not cover tests that are needed for return to work, a condition of employment, return to school, or travel.

If you are a Medicare Advantage member, please see below section.

Find a test location



Symptoms and care

Check your symptoms. If you think you've been exposed to COVID-19 and develop symptoms, call your doctor. Visit the Centers for Disease Control and Prevention (CDC) for more details on symptoms, including those for people who already received a COVID-19 vaccination.

Treatment. Member cost-share applies for in-network, inpatient treatment of COVID-19.

If you are a Medicare Advantage member, please see below section.



Telemedicine

Visit a doctor from anywhere². Telemedicine services for a COVID-19 diagnosis with primary care doctors and specialists are covered at no cost through the end of the public health emergency¹. Telemedicine services from your doctor for a non-COVID diagnosis are also available — cost sharing applies based on your health plan.

MDLIVE.² You can schedule a telemedicine appointment with a doctor 24/7 with MDLIVE at no cost, depending on your plan. MDLIVE doctors can assess your symptoms and help with next steps. Register or login at mdlive.ibx.com.

If you are a Medicare Advantage member, please see below section.



Your emotional health

Feeling stressed? Community health outbreaks may cause stress and anxiety. You can find your way On To Better Health with our interactive cognitive behavioral therapy program for conditions like anxiety, depression, and insomnia. Plus, stay physically active and emotionally balanced with programs to conquer physical distancing in our Achieve Well-being tool. Login to your account at ibx.com.

Virtual visits for mental health². If you have mental health benefits through Independence, you can talk to an in-network mental health counselor online or on the phone and standard cost sharing will apply. If the visit is to diagnose COVID-19, cost-sharing will be waived until the end of the public health emergency. Visit ibx.com to find a provider.

Learn more



Staying healthy

Wear a mask. Public officials and health experts are urging us to wear masks indoors or in large crowds, regardless of vaccination status. COVID-19 and its variants mainly spread from droplets released into the air when we cough, sneeze, or talk.

Practice social distancing. Limit close contact with anyone outside of your household. Even if you’re wearing a mask, it’s still recommended you stay at least six feet from others when in public, or at least two arms’ length apart.

Wash your hands regularly. Viruses can spread from touching recently contaminated surfaces and then touching your face. Washing your hands is one of the most important defenses against the spread of COVID-19 and other illnesses. Keep hand sanitizer on you for when you don’t have access to soap and water.



Medicare Advantage members

Vaccine coverage. As of January 1, 2022, Independence covers the cost of administering vaccines and booster shots with no cost-share (such as copays, deductibles, coinsurance) for Medicare Advantage members. The health care provider administering the vaccine does not need to be part of the Independence network, but must participate in the Medicare program.

Diagnostic and antibody COVID-19 testing. Independence covers the cost for medically appropriate diagnostic and antibody testing ordered by an authorized health care professional. Members are encouraged to contact a medical professional for COVID-19 testing if they suspect illness or exposure.

Over-the-counter (OTC) COVID-19 tests. Original Medicare covers the cost of up to eight OTC, also called at-home, FDA-approved COVID-19 tests each calendar month for individuals with Medicare Part B (Medical Insurance), including those enrolled in a Medicare Advantage plan. This policy went into effect April 4, 2022, and runs through the duration of the public health emergency.

For our Medicare Advantage members, this benefit is covered outside of their Independence Medicare Advantage plan and will be processed through their Medicare Part B coverage. To pay $0, visit any participating eligible pharmacy or health care provider and show your red, white, and blue Medicare card. Visit medicare.gov/medicare-coronavirus for a list of participating pharmacies and health care providers.

You can order two sets of four OTC COVID-19 test kits per household from the federal government by calling 1-800-232-0233 (TTY: 1-888-720-7489) or going online to COVIDtests.gov.

Medicare Advantage members cannot purchase OTC COVID-19 test kits with the IBX Care Card. Availability is being evaluated based on supply. All members will be notified if COVID-19 test kits become available through this benefit.

Note: OTC test kits are those which require no medical professional or laboratory involvement for the supply of the test, completion of the testing, or assessment of results.

Treatment. Medicare Advantage members will have a $0 cost-share for in-network acute inpatient treatment of COVID-19 covered through their plan benefits. Independence will waive the cost for out-of-network acute inpatient treatment of COVID-19 through the end of the public health emergency¹.

Visit a doctor from anywhere². COVID-19 related telemedicine visits with in- and out-of-network primary care doctors, specialists, and behavioral health providers are covered at no cost through the end of the public health emergency¹. Telemedicine services from your doctor for a non-COVID diagnosis are also available & cost-sharing applies based on your health plan.

Talk to a doctor 24/7². Schedule a same-day appointment with a board-certified doctor through MDLIVE® at no cost, depending on your plan. MDLIVE doctors can assess your symptoms and help with next steps. Register or log in at ibxmedicare.com/mdlive.



COVID-19 Videos from Independence Blue Cross

We’re committed to providing information on COVID-19 to help limit its impact on our communities. These videos from our medical directors and our Beat COVID-19 campaign highlight ways to safely and effectively manage the virus and its variants.

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News and updates





Stay connected!

Sign up for Independence updates and information. If you have coverage through your employer or purchased an Individual or Family plan, get connected today.

Medicare members can sign up at ibxmedicare.com/getconnected.




¹ The Families First Coronavirus Response Act (FFCRA) and Coronavirus Aid, Relief, and Economic Security (CARES) Act mandate that member cost sharing (deductible, co-pays and coinsurance) is waived both in and out-of-network for the testing and diagnosis of COVID-19 through the public health emergency. When the public health emergency referenced by the FFCRA and CARES Act ends, the waiver of cost sharing for out-of-network COVID-19 testing and diagnosis will end.

² If you have coverage through your employer, benefits and coverages may vary. Please check with them about how these programs apply.

MDLIVE is an independent company.

Y0041_HM_104303_2022 Website last updated: 5/24/2022

Independence Blue Cross offers Medicare Advantage plans with a Medicare contract. Enrollment in Independence Medicare Advantage plans depends on contract renewal.

Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East and QCC Insurance Company — independent licensees of the Blue Cross and Blue Shield Association.

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