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COVID-19 (Coronavirus) Coverage

Your health is important to us. Here's what you need to know.

COVID-19 Coverage


Regardless of your plan, in-network testing and treatment for COVID-19 (novel coronavirus) is covered 100%.
There is no member cost-sharing—that means no copays, coinsurance, or deductibles. All plans provide coverage for treatment and services related to COVID-19. Medications administered as part of a hospital stay for COVID-19 are also covered 100%.

 

Instacare

If you are insured on an Individual and Family plan, a Large or Small Employer plan, or FEHB plan and need to be screened and/or tested for COVID-19, we recommend you choose an in-network provider. These costs will be waived when these services are received through Intermountain Connect Care, office visits, urgent care (such as Intermountain InstaCare), hospital emergency rooms, or from the Department of Health. If you have out-of-network benefits, cost-sharing for screening and/or testing will also be waived.

All related emergency services and in-network COVID-19 treatments will be covered with no member cost sharing. If your plan has out-of-network benefits, regular plan guidelines will apply to non-emergent COVID-19-related treatments rendered by out-of-network providers.

Please note: If you are insured through an employer with a self-funded plan, your benefits may be different. Please verify your benefits through your Human Resources team.

 
Treatment

SelectHealth Advantage members are covered according to the Centers for Medicaid and Medicare guidelines under a national emergency. Screening and/or testing for COVID-19 is covered in- and out-of-network for a $0 copay. All emergency services and in-network COVID-19 treatments will also be covered for a $0 copay.

 
Network Coverage

For Medicaid members (those on a SelectHealth Community Care plan), testing and treatment for COVID-19 is covered as an emergency service and can be received from in- and out-of-network providers. No copay is required.

 
Zero Copay icon

If your child is covered by a CHIP plan, testing and treatment for COVID-19 is covered as an emergency service and can be received from in- and out-of-network providers. No copay is required.

 
RX Covered

When your 30-day medication is 60% finished, call the pharmacy for a refill request. Regular copay/coinsurance is still required. This early refill option does not apply to opioids. If you’re on Medicare (SelectHealth Advantage), early refills are also an option at your standard copay. Ask your pharmacist to contact SelectHealth Pharmacy Services with any questions.

 
Pharmacy Delivery

As always, Intermountain Home Delivery is a great option to have your maintenance medications delivered to your home. Intermountain Specialty can deliver your specialty medications. More information can be found at https://selecthealth.org/pharmacy/home-delivery-and-specialty-pharmacy.

  
Prescriptions Covered

We've changed frequency and refill limits for certain Miscellaneous Medical Supplies and Durable Medical Equipment like enteral formula and oxygen.

 
Connect Care

We’ve expanded our telehealth services and coverage to help you seek services safely and to help ensure important continuity of care.

 

 

COVID-19 Screening and Testing 

Utah

If you believe you have been exposed to COVID-19 and have mild-to-moderate symptoms, use the symptom checker at intermountainhealthcare.org, visit Intermountain’s coronavirus resources, or call the COVID-19 Hotline at 844-442-5224. A healthcare professional will screen you for COVID-19. If testing is appropriate, they will provide information on testing options and availability.

Intermountain Healthcare offers community testing in approximately 20 locations across our service areas in hopes of targeting the most affected communities. Locations found at the following link are for all community members, regardless of whether or not they have a testing order: https://intermountainhealthcare.org/covid19-coronavirus/get-testing/. These sites are prepared to collect samples for those who arrive with an order (having called the COVID-19 Hotline prior to their arrival) as well as ask screening questions of those who have not called ahead. Those who meet qualifications for certain symptoms will be tested through a nasal or mouth swab. Both screening and testing at these locations take place while a person remains in their vehicle. Not all people who are screened (over the phone or in person) will be tested. 

Please note: To manage patient volumes at community testing sites, the Utah Department of Health and Intermountain Healthcare continue to urge the community to use the online symptom checker and COVID-19 Hotline first to learn if they should be tested. Callers are connected with medical professionals through the Hotline or Connect Care for assistance. Those who need to be tested be directed to their preferred testing location (list included at link above).

Idaho

In Idaho, you can visit coronavirus.idaho.gov, St. Luke’s Health System COVID-19 Resources page, or call your healthcare provider, 2-1-1, or the St. Luke’s Health System COVID-19 Hotline at 208-381-9500. 

Nevada

In Nevada, you can visit p3hp.org/coronavirus or nvhealthresponse.nv.gov for more information.

You can also visit CDC.gov/coronavirus or your state's Department of Health website.

 

The information and updates contained in this communication reflect current knowledge and policy for the date indicated. Information evolves on a day-to-day basis during the COVID-19 pandemic. SelectHealth will provide updates with additional information as it becomes available from providers, state officials, federal officials, etc.