What you need to know about COVID-19

There is now a vaccination available that will give you the best chance of protecting yourself and your loved ones from getting COVID-19 in the future. Some COVID-19 vaccines will have two doses a few weeks in between each shot. 

You will get a COVID-19 Vaccination Reminder Card that will help you keep track of which vaccine you receive and when to get a second dose, if needed. If you receive a vaccine that requires two doses, it is important to get both doses.

The vaccine is being administered to different populations in a tiered approach.  When you are able to get the vaccine, call your doctor with any questions and ask when you can make an appointment with them or at your local pharmacy.  Or, find out where to get your vaccine at cdc.gov/coronavirus/2019-ncov/vaccines or vaccinefinder.org.

Currently, the Pfizer-BioNTech vaccine is recommended for people ages 12 and older. The Moderna and Johnson & Johnson vaccines are recommended for those ages 18 and older.

The CDC announced on March 8 that fully vaccinated Americans can discontinue masking and social distancing with other fully vaccinated people indoors in small groups. Or, visiting with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors.

Fully vaccinated is considered two weeks past final dose, meaning the second dose of the Moderna or Pfizer mRNA vaccine, or, two weeks past the single dose Johnson & Johnson vaccine.

Fully vaccinated people can resume activities without wearing a mask or physically distancing, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.

If you are fully vaccinated and have a known exposure to someone with COVID-19, the CDC says that you may refrain from quarantine and testing if you are asymptomatic. It is recommended to continue to monitor for symptoms for 14 days.

• Fever
• Headaches
• Body aches

This is your body reacting to the vaccine. It 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. The COVID-19 vaccine will be at no cost to you. You do not need to get a prior authorization for your vaccine.

According to the CDC, people who are pregnant and part of a group to receive the COVID-19 vaccine may choose to be vaccinated. If you have questions about getting the vaccine, it is recommended to discuss with your doctor to make an informed decision.

You may be able to receive transportation by contacting United Way-211 to access local community resources for transportation, which may include the Lyft Vaccine Alliance Program.

In addition, Lyft and Uber offer free rides to anyone going to a vaccination site to get vaccinated. Using the Lyft or Uber app, you can select a vaccination site near you and follow simple directions to redeem your ride. The ride will take you to and from a nearby vaccination site free of charge. The feature will run until July 

COVID-19 is a respiratory disease and a type of virus called a coronavirus. It has become a public health emergency. 

• Mild to severe respiratory symptoms
• Fever
• Cough
• Shortness of breath
• Lower respiratory illness

COVID-19 can be contagious before a person begins showing symptoms.

Contact your provider if you develop a fever, have a cough, or have difficulty breathing. Let your provider know if you’ve been in close contact with a person known to have Coronavirus.

For additional information, you can also contact The New York State Department of Health toll-free Novel Coronavirus Hotline at 1-888-364-3065.

• If you think you have COVID-19 or have been exposed to someone who has been diagnosed with COVID-19, call your provider’s office or contact Teladoc for guidance on next steps.

• Call ahead before going in person to any doctor’s office.

• Don’t go to your local emergency room for COVID-19 testing. The ER is only for those who need the most critical care.

Members who have questions about their telehealth benefit should call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711.

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:

• Stay home when you are sick.
• Avoid close contact with people who are sick.
• If you are sick, you should wear a facemask when around other people.
• 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.
• Wear a face covering/mask when in public and/or around others who do not live in your home if you are not fully vaccinated
• Clean public surfaces thoroughly.
• Avoid shaking hands.
• Avoid touching your eyes, nose, and mouth with unwashed hands.

Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where the spread of COVID-19 is progressing is natural. Some recommendations to help manage your feelings include the following:

• 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, a sense of hope and positive thinking and use technology to stay connected.
• 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.

No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing and medical screening services when 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 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 and medical screening services 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 and medical screening services 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. 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 and medical screening services. 

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.