Member Access to Care - CA

Enhanced Benefits Due to COVID-19

Health insurers are responding to the Coronavirus threat by offering members no-cost screening and diagnostic testing. In addition, some are now waiving member cost-share for all COVID-19 treatment.

CARRIER	ENHANCED BENEFITS¹	RESOURCES
Aetna	Screening/diagnostic testing provided at no cost when recommended by a provider. Aetna crisis response lines for all members. Just call 1-833-327-AETNA (1-833-327-2386) (TTY: 711). All Aetna members have access to the 24-Hour Nurse Line at 1-800-556-1555 (TTY: 711).	Extra Benefits for You Member Resources COVID-19 FAQ Aetna & CVS Health Plan Sponsor Email Plan Sponsor Rx Letter
Anthem Blue Cross	Cost-sharing for diagnostic tests and treatment specific to COVID-19 are waived through the end of the public emergency. Relaxed early prescription refill limits for members who wish to refill most maintenance medications, where permissible. Sydney Care Mobile App has a COVID-19 Assessment. Based on results, members can triage to a telehealth doctor for further care guidance. Anthem Coronavirus website includes helpful resources such as a COVID-19 Test Facility Finder to quickly locate a testing facility near you.	COVID-19 External FAQ Member Resources Anthem Coronavirus Microsite Member Flyer Coronavirus Facts
Blue Shield of California	Screening/diagnostic testing provided at no cost when recommended by a provider. Early refill limits are waived on maintenance medications.	Testing FlowChart Member Resources News Center Broker Connections COVID-19 Coronavirus FAQ
Cigna	Screening/diagnostic testing provided at no cost for in-network fully-insured and Administrative Services Only (ASO) plans through April 20, 2021.	COVID-19 Resource Center Customer FAQ Payment Status for Statutory Disability, Sick and Paid Leave & FMLA
CCSB	Members should refer to their enrolled carrier for guidance.	Resource Center
Health Net	Screening/diagnostic testing provided at no cost when recommended by a provider.. Prior authorization for lab work will be waived for screening and testing. Cost-sharing is waived for doctor office, urgent care and outpatient hospital (including emergency dept) visits for medically necessary COVID-19 related services. Waived prescription refill limits for medically necessary COVID-19 related services, and relaxed restrictions on home and mail delivery of prescriptions. Mental Health Resources: MHN maybe contacted 24 hours a day, seven days a week at 1-800-227-1060.	Health Net Broker Alerts What you Need to Know What you Need to Know (PDF) Member Resources Employer Alert Member Alert
Kaiser Permanente^®	Screening/diagnostic testing provided at no cost when recommended by a provider. Free mental health app, mY Strength, for all members.	Member Resources Member Flyer Article: Coronavirus preparedness News Clip
MediExcel Health Plan	Screening/diagnostic testing provided at no cost when recommended by a provider.	COVID-19 website Mediexcel's Response What you Need to Know
Oscar Health	Screening/diagnostic testing provided at no cost, through the end of the pandemic, when recommended by a provider. No out-of-pocket costs for all COVID-19 treatment received. Members can visit this site to access mental and behavior health benefits through their partnership with Optum. Emotional support helpline available from Optum 1-866-342-6892. Available to anyone, including family and friends. Oscar teamed up with Calm to offer all members 40% off an annual subscription.	Member Resource Center Member FAQ COVID-19 Risk Assessment
Sharp Health Plan	Screening/diagnostic testing provided at no cost when recommended by a provider. This includes hospital (including emergency dept), urgent care, provider office visits, and telehealth appointments for the purpose of screening and/or testing for coronavirus. No out-of-pocket costs for all COVID-19 treatment received through March 31, 2021.	Member Resources Member FAQ
Sutter Health Plus	Screening/diagnostic testing provided at no cost when recommended by a provider.	Member Resources
UnitedHealthcare	Screening/diagnostic testing provided at no cost when recommended by a provider through end of the public health emergency. Self-referral not permitted. Free Emotional-Support Help Line available for members suffering from fear or stress due to COVID-19, open 24/7.	COVID-19 FAQ Broker FAQ Site Member Resources SimplyEngaged Gym/Activity Check In FAQ
Western Health Advantage	Screening/diagnostic testing provided at no cost when recommended by a provider. Coverage for treatment costs associated with COVID-19 care through March 31, 2021. Behavioral health crisis line for members who need help during tumultuous times	Member Resources

Ancillary Carriers

CARRIER	Enhanced Benefits	RESOURCES
Cypress Ancillary Benefits	-	FAQ
Guardian	Enhanced frequency limits on cleanings, exams, and fluoride treatment to a minimum of 2 per calendar year. Applies July 1, 2020 through December 31, 2021. For plans with Maximum Rollover: For the remainder of 2020, members no longer have a requirement to submit a claim in order to roll over funds Effective January 1, 2021, members will have $100 added to their Maximum rollover account so they have more to spend on care ASO customers should contact their Guardian Service Rep to participate in this enhancement.	FAQ Pandemic Support Program Flyer
Humana	-	Employer Resources FAQs Member Resources
MetLife	Dedicated COVID-19 Hotline through December 2020. Available to groups under 500 lives, provided by LifeWorks (MetLife's EAP vendor). 1-800-366-1192. Financial Wellness Hub available to groups under 100 lives. To help guide employees as they navigate life choices and manager their finances in this hostile environment. No cost for 90 days and through partnership with Ernst & Young	Frequently Asked Questions Best Practices Above 500 Lives Best Practices Below 500 lives
Premier Access / Avesis	-	COVID-19 FAQ - Brokers
Principal	Members and their household are encourages to have a confidential telephonic consultation with a therapist through calling the Employee Assistance Program at (800) 450-1327	FAQ page Navigating Business Now COVID-19 and Our Insurance Solutions COVID-19 Market Insights and More
Unum	-	Member Resources HR Trends Podcast Webinar Recording: FFCRA COVID-19 Outbreak Response Unum COVID-19 FAQ Unum COVID-19 Managing Fear Flyer

Enhanced Benefits: Telemedicine

Health insurers are responding to the Coronavirus threat by offering members no-cost telemedicine benefits.

CARRIER	ENHANCED TELEMEDICINE BENEFITS	TELEMEDICINE
Aetna	$0 copay telemedicine through January 31, 2021	Teladoc in 3 Easy Steps Teladoc Member FAQ Heal Flyer
Anthem Blue Cross	$0 copay telemedicine through March 31, 2021	Sydney Care Info LiveHealth Online LiveHealth Online COVID-19 Flyer LiveHealth Online for Kids Heal Flyer
Blue Shield of California	$0 copay telemedicine with Teladoc is a standard benefit effective Jan. 1, 2021	Teladoc Flyer Teladoc Flyer (Trio HMO) Teladoc Member Page Heal Flyer
Cigna	$0 telemedicine for visits related to screening, diagnosis, and testing for COVID-19 through April 21, 2021.	Find Virtual Care Options on myCigna
CCSB	Members should refer to their enrolled carrier for guidance.	-
Health Net	$0 telemedicine offered during the state of emergency. In addition to Teledoc, Health Net has partnered with Babylon Health to offer telehealth services; sign into the Babylon Health app using code HNCOM.	Teladoc Flyer Teladoc FAQ Heal Flyer
Kaiser Permanente^®	-	Video Visits Flyer
MediExcel Health Plan	-	Call The Doctor Line Heal Flyer
Oscar Health	-	Doctor on Call
Sharp Health Plan	-	Video and Phone Visits
Sutter Health Plus	-	Video Visits
UnitedHealthcare	Virtual Visits through Teladoc, Doctor on Demand and AmWell Effective October 1, 2020 through the end of the public health emergency: Members will pay the cost-share for all visits up front. For visits that are due to COVID-19, members will be reimbursed for their cost-share. No action is required on the members part; the reimbursement will be automated. Telehealth Expanded telehealth is extended through April 20, 2021. Member cost-share applied for non-COVID-19 visits. Expanded telehealth allows members to connect with their doctor through live, interactive audio-video or audio-only visits. This includes physical therapy, occupational therapy, speech therapy and chiropractic services (audio-visual only).	Virtual Visits Flyer Heal Flyer
Western Health Advantage	-	Virtual Visits

¹ Screening/diagnostic testing when ordered by the physician.
“Kaiser,” “Kaiser Permanente,” “Kaiser Foundation Health Plan” and the Kaiser Permanente Logo are registered trademarks or service marks of Kaiser Foundation Health Plan, Inc., in the United States.