Coronavirus Disease 2019 (COVID-19)
What you need to know about COVID-19
Coronavirus disease was identified in 2019 as an emerging illness. In the past few years, we have learned a great deal about treatment options, how the virus works, and the total impact of the illness. New information, obtained daily, will further inform the risk assessment, treatment options and next steps.
How do I get an at-home COVID-19 test for free?
You can get an over the counter (OTC), FDA-approved, Emergency Use Authorization (EUA) at-home COVID-19 test at no cost if you visit one of Trillium Community Health Plan’s in-network retail pharmacies.
Visit our website to find an in-network pharmacy.
The following table lists the OTC at-home COVID-19 tests that are covered by Trillium Community Health Plan:
|Product Name||Availability||Manufacturer||Type||No. of Tests|
|Inteliswab Covid-19 Rapid Test||OTC||Orasure Technologies||Antigen Rapid Test||2|
|Binaxnow Covid-19 Ag Card Home Test||OTC||Abbott Diagnostics Scarborough||Antigen Rapid Test||2|
|Quickvue At-Home Covid-19 Test||OTC||Quidel||Antigen Rapid Test||2|
|Clinitest Rapid Covid-19 Antigen Self-Test||OTC||Siemens Healthineers||Antigen Rapid Test||2|
|Ihealth Covid-19 Antigen Rapid Test||OTC||Ihealth||Antigen Rapid Test||2|
|Ellume Covid-19 Home Test||OTC||Ellume Limited||Antigen Rapid Test- used with smartphone||1|
|On/Go Covid-19 Antigen Self-Test||OTC||Access Bio||Antigen Rapid Test- used with smartphone||2|
|Flowflex Covid-19 Antigen Home Test||OTC||Acon Laboratories||Antigen Rapid Test||1|
IMPORTANT: Get the test from the pharmacy itself. Do not get a test and pay for it at the store's normal register. If you pay for the test at the normal register, then you will need to submit a prescription claim form to get reimbursed.
Are there tests not covered through pharmacy?
COVID test kits that are not covered include:
- Kits that have to be sent to a lab (collection kits)
- Kits that are not indicated as “OTC”
- COVID kits obtained outside of the United States
I bought an at-home COVID-19 test on my own, will I be reimbursed?
Yes. If you bought an OTC FDA-approved, EUA at-home COVID-19 test at any place outside of our in-network pharmacies (e.g., Amazon, grocery store, drug store, etc.), you will be reimbursed for the cost of the test kits (up to $12 per test) as follows:
- Purchase an at-home test that is on the FDA-approved EUA list. View the FDA-approved EUA at-home test list. Tests available without a prescription will include “OTC” (for over-the-counter at-home tests) in the Attributes column.
- Complete and submit a separate claim form for each member:
- You must include a copy of your receipt. On your receipt, write or circle (if the information is on the receipt):
- The name of the OTC COVID Test Kit.
- The UPC code found on the box.
- Complete Section I, Section II, Section III and Section IV of the claim form.
For Section IV, include the following information in the fields as numbered below:
- The store where you bought the test kit (Amazon, grocery store name, drug store name, etc.)
- The address of the store if applicable.
- The date you purchased the kit(s).
- The number of test kit(s) purchased
- A single testing kit box that includes two tests would count as two
- The NDC (National Drug Code) of the test kit
- For OTC at-home COVID-19 tests the NDC is the same as the central 10 digits of the UPC (Universal Product Code) which is found on the product barcode.
- The amount being asked for reimbursement.
- Write “COVID-19 Home Test”
Sign and return your claim form (don’t forget the receipt).
Mail to: Trillium Community Health Plan Attn: Pharmacy Department, P.O. Box 11740, Eugene, OR 97440-3940
- You will be reimbursed based on federal guidance set on January 10, 2022 which states:
- The cost of the at-home test – up to $12 per test
- Maximum of 8 tests per covered member in a 30-day period
- A single testing kit box that includes two tests would count as two (e.g. $12 x 2 = $24)
If you purchased a physician ordered, FDA/EUA approved test before January 15, 2022, Trillium Community Health Plan will reimburse you when the claim form is turned in based on what you paid.
If I bought an FDA-approved EUA at-home COVID-19 test on Amazon, how do I show my proof of purchase?
Please print an image of the digital receipt and submit it along with the claim form. If you can’t provide a digital receipt, please put the order or invoice number for the purchase on the claim form. This is for proof of purchase and tracking. See above FAQ on how to be reimbursed.
Will Trillium Community Health Plan limit the number of tests that a member can get for free?
Yes. Trillium Community Health Plan will cover up to 8 OTC FDA-approved, EUA at-home COVID-19 tests purchased over-the-counter per covered member in a 30-day period without PCP order or prior authorization. Unlimited tests will be covered with an order from a licensed healthcare provider. This follows the federal guidance released on January 10, 2022.
Who should I contact if I have any questions?
If you have any questions about coverage of at-home COVID-19 tests or submitting a claim for reimbursement call Member Services at 1-877-600-5472; TTY: 711.
You can visit Get Vaccinated Oregon to find out how to get the vaccine. You may also contact your doctor or pharmacist with questions about when and how you may receive the vaccine.
Local public health agencies and health care systems are working on vaccine distribution. Find vaccine distribution information on the Oregon Health Authority website.
LANE COUNTY Vaccine Clinics
If you are unable to access the Internet, you may call the LCPHA (Lane County Public Health Authority) Call Center at 541-682-1380.
All Oregonians, including senior adults age 65 and over, can sign up to be notified about vaccination events when they are eligible at Get Vaccinated Oregon using the signup tool.
Coronavirus Disease 2019 (COVID-19) is a 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.
COVID-19 is a respiratory disease that is caused by a virus called a coronavirus, which has become a public health emergency. The number of cases continue to increase nationally and globally.
The symptoms of coronavirus include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath, and lower respiratory illness. COVID-19 can be contagious before a person begins showing 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.
If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.
Teladoc® is a convenient way for Trillium Community Health Plan members to obtain telehealth services. You will receive 24-hour access to in-network healthcare providers for non-emergency medical issues. Get medical advice, a diagnosis or a prescription by video or phone. To learn more about Teladoc®, visit https://member.teladoc.com/trilliumchp.
We all have a role to play in protecting our communities and families from the spread of coronavirus. It is similar to other communicable viruses. You can also follow these tips to prevent infection:
- Get vaccinated.
- Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
- Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
- Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
- Promptly dispose of tissues in a wastebasket after use.
- Clean public surfaces thoroughly.
- Stay home when you are sick.
- Avoid shaking hands.
- Avoid close contact with people who are sick.
- Get a flu vaccine.
Yes. When medically necessary diagnostic testing, medical screening services and/or treatment is ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physician’s visit(s) and/or treatment. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.
No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing, medical screening services, and/or treatment when medically necessary services are ordered and/or referred by a licensed health care provider.
Medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment and the associated physician’s visit will be covered when ordered, referred and/or performed in the following In-Network locations:
- Physician’s/Practitioner’s Office
- Independent Laboratory/Diagnostic Facility/Testing Center
- Urgent Care Facility
- Emergency Department Facility
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 facility.
No. We will cover medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment 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, medical screening services and/or treatment, along with the associated physician’s visit.
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.
Yes, members will be able to refill prescriptions prior to the refill date.
There are vaccines now available that will give you the best chance of protecting yourself and your loved ones from getting COVID-19 in the future. The vaccine will have two doses a few weeks in between each shot and a booster given no less than 5 months after completing the first two vaccines. You will get a reminder card so you don’t forget your second shot. It is important to get both doses of the vaccine as instructed.
While it is not a requirement, getting your COVID-19 vaccine will give you the best chance of protecting yourself and your loved ones from getting COVID-19 in the future.
Even if you have already had COVID-19, you should still get the vaccine. It may be possible to be infected more than once so getting the vaccine is a safe choice.
Vaccines are currently available for anyone ages 5 and older.
It will take time for your body to build immunity after the vaccine. It is important to continue to social distance, wear a mask in public and continue handwashing in order to keep from getting sick.
The safety of the COVID-19 vaccine is a top priority! The Food and Drug Administration (FDA) carefully reviews all safety data from clinical trials and authorizes emergency vaccine use only when the expected benefits outweigh potential risks. COVID-19 vaccines were tested in large clinical trials to make sure they meet safety standards.
You may run a fever after you get the vaccine. This is normal as your body builds immunity and fights off future COVID-19 exposures. You may feel sick after getting vaccinated. You could develop a fever, headache or body aches. This is your body reacting to the vaccine, which is a normal response. It is important to know that it is impossible to get COVID-19 from the vaccine. The vaccines currently in use and others being developed do not contain a live virus.
No. Both doses of the COVID-19 vaccine will be at no cost to you. You do not need to get a prior authorization for your vaccine.
Please call the administering facility/provider you received your first dose from to ask about your vaccine information and verify your second appointment/location.
The provider should have scheduled a second appointment with you at the same facility when you received the first dose. However, you can receive your second dose or booster from another provider/facility and you should present your COVID-19 Vaccination Record Card.
Anyone 12+, who has completed their primary vaccine series at least 5 months prior, is eligible for a booster. You will need to present your COVID-19 Vaccination Record at any vaccine site to get your booster.
Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading or the progression of the disease is natural.
- Get vaccinated. Take care of your body. Take deep breaths, stretch or meditate.
- Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships and a sense of hope and positive thinking.
- Share the facts about COVID-19 and the actual risk to others. People who have returned from areas of ongoing spread more than 14 days ago and do not have symptoms of COVID-19 do not put others at risk.
- For more information, see the CDC’s suggestions for mental health and coping during COVID-19