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Coronavirus Disease 2019 (COVID-19)

What you need to know about COVID-19
Coronavirus Disease 2019 (COVID-19) is a new 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. Many details about this disease are still unknown, such as treatment options, how the virus works, and the total impact of the illness. 

On July 23, 2020, HHS Secretary Alex Azar renewed the COVID-19 Public Health Emergency (PHE). This extends flexibilities and funding tied to the PHE to continue for another 90 days.  

With this renewal the various testing, screening, billing, and telehealth coverages that were implemented in response to the COVID-19 PHE earlier this year will be extended to our members. This extension will go through late October, until the PHE is either terminated or extended again. This extension does not affect coverages that had already been made effective through December 31, 2020.  

Do you have any questions about this extension or the covered benefits impacted by it? Please contact Member Services.

 

COVID-19 is a respiratory disease that is caused by a new 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.

Your doctor may have a telehealth option for you. You can get medical advice, a diagnosis or a prescription by phone or video. You can use telehealth for illnesses such as:

  • Colds, flu and fevers
  • Rash, skin conditions
  • Sinus problems, allergies
  • Upper respiratory infections, bronchitis
  • For questions about your health, call the 24/7 nurse advice line: 1-866-439-2038.
  • For questions about your health, talk with a doctor in Oregon by phone or video 24/7 using Teladoc®. To learn more about Teladoc®, visit https://member.teladoc.com/trilliumchp.
  • Note: For fastest support, contact Teladoc® by mobile app or web. You can download the app on the App Store or Google Play. Before your first Teladoc® virtual visit, you will need to set up an account and share your medical history on the app or the account set up page.

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:

  • 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   
  • Urgent Care Faciliy
  • 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.

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.

  • 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
  • For questions about your health, call the 24/7 nurse advice line: 866-439-2038.
  • For questions about your health, talk with a doctor in Oregon by phone or video 24/7 using Teladoc®. If you are having mild symptoms that you think may be COVID-19, Teladoc® doctors can answer questions about the disease, evaluate your risk, and provide support by phone or video to help relieve symptoms for affected patients. Teladoc® is a new benefit from Trillium Community Health Plan. To learn more about Teladoc®, visit our Telehealth webpage.
  • For questions about your benefits, call Trillium Member Services at 1-877-600-5472.
  • Call 911 if you are having a medical emergency.

For more information, including travel advisories, please visit cdc.gov:
CDC General Information on COVID-19
WHO General Information on COVID-19
CDC Information on Travel
CDC Videos on COVID-19
CDC Print Resources

For local information, please visit the Oregon Health Authority:
Oregon Health Authority: COVID-19