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.

COVID-19 Vaccines

These FAQs provide answers to some of the most frequently asked questions on COVID-19 vaccines.

What is the COVID-19 vaccine?
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. The vaccine will have two doses a few weeks in between each shot. 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.
Where can I get the COVID-19 vaccine?
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 vaccinefinder.org
Am I required to get my COVID-19 vaccine?
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.
I already had COVID-19. Should I still get the vaccine?
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.
Can my child get the vaccine?
Currently, the Pfizer-BioNTech vaccine is recommended for people ages 16 and older.  The Moderna vaccine is currently recommended for those ages 18 and older.
When I get the vaccine, can I stop wearing a mask or social distancing?
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.
Is the vaccine safe?
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.
Will there be any side effects when I get the vaccine?
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.
Do I have to pay for my vaccine? Or get prior authorization?
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.
I lost my COVID-19 Vaccination Record Card. What should I do now?
Please call the administering facility/provider you received your first dose from to ask about your vaccine information and verify your second appointment/location.
I am due for my second dose. I got my first dose from another provider who is not my PCP but I don’t have their contact information. What do I do now?
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 from another provider/facility and you should present your COVID-19 Vaccination Record Card.

Coronavirus (COVID-19) FAQs

Get answers to common questions about symptoms, diagnosis, risk, prevention, testing, and treatment for COVID-19.
What is COVID-19?
Coronavirus (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.
What are the symptoms?
The symptoms of Coronavirus include mild-to-severe respiratory symptoms. Symptoms include fever, cough, shortness of breath, and lower respiratory illness. It may be contagious before a person begins showing symptoms.
Where do I go if I have 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 exposed, what should I do?

• 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.

How do I protect myself and my community?

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.
  • Clean public surfaces thoroughly.
  • Avoid shaking hands.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
How do I cope with the COVID-19 outbreak?

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.
What else causes similar symptoms?
Influenza (the flu), acontagious respiratory illness caused by the influenza viruses (Type A and TypeB), has high activity in the United States at this time. Everyone 6 months ofage and older should get a flu vaccine.
Is prior authorization required for COVID-19 testing, screening services and/or treatment under my plan coverage?

No. We will not requireprior authorization, prior certification, prior notification and/or steptherapy protocols for medically necessary COVID-19 diagnostic testing, medical screening services, and/or treatment when medically necessary services areordered and/or referred by a licensed health care provider.

Where may I receive COVID-19 testing/screening/treatment services under my plan coverage?

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.  

Will I be responsible for any out-of-pocket costs for COVID-19 testing/screening/treatment services?
No. We will covermedically necessary COVID-19 diagnostic testing, medical screening servicesand/or treatment at no charge to you, when such services are ordered and/orreferred by a licensed health care provider. If applicable, your plan’scopayment, coinsurance and/or deductible cost-sharing will be waived formedically necessary COVID-19 diagnostic testing, medical screening servicesand/or treatment, along with the associated physician’s visit.
If I need treatment for coronavirus, is that covered by my plan?
Any medically necessarytreatment related to COVID-19 would be considered a covered benefit. We arecommitted to ensuring access to COVID-19 treatment services in accordance withfederal and state law.

 

 

NY State's COVID-19 Exposure Notification App Available for Download

One way you can help yourself and your community is by participating in New York State's mobile contact tracing app, COVID Alert NY.

COVID Alert NY is a voluntary, anonymous, exposure-notification smartphone app. You will get an alert if you were in close contact with someone who tests positive for COVID-19. Knowing about a potential exposure allows you to self-quarantine immediately, get tested, and reduce the potential exposure risk to your family, friends, neighbors, co-workers, and others.

The more people who download COVID Alert NY, the more effective it will be. 

Help protect your community while maintaining your privacy. The free mobile app is available to anyone 18 or older who lives, works, or attends college in New York or New Jersey and is available for download from the Google Play Store or Apple App Store

COVID Alert NY is available in English, Spanish, Chinese, Bengali, Korean, Russian, and Haitian Creole.

Learn more about how COVID Alert NY works on the State Department of Health’s website.


 

Telehealth: Easy and Convenient

To get started, members can call their network provider toask if they offer telehealth services, and schedule a telehealth visit from theconvenience and safety of their home. A directory of network providers isavailable at fideliscare.org/findadoctor.

In addition to telehealth visits with providers, Fidelis Care Qualified Health Plan members can receive telehealth services through our partner, Babylon.

To learn more, visit babylonhealth.com/us/fidelis. Medicare Advantage and Dual Advantage members can also access telehealth services through Teladoc. Visit member.teladoc.com/fideliscare for more information. Both services are provided at no cost to members.

Telehealth visits are helpful for health concerns like sore throats, earaches, the flu, allergies, sinus infections, rashes, and more. Support for anxiety, depression, post-traumatic stress, and family issues can also be available.


 

Providers Should Not Charge for PPE

Providers should not bill, seek, or accept payment, other than copayments, coinsurance, or deductibles, from Fidelis Care members

PPE consists of personal protective equipment such as masks, gowns, and gloves.  If you have been charged for PPE by your provider, contact your provider’s office or call Fidelis Care at 1-888-FIDELIS. 

  


 

Locate Testing Sites Near You

To check for testing sites near you, please visit Teladoc and enter your address.  Call the coronavirus test site before you go to learn about testing criteria, availability, and hours.

Each coronavirus test provider will determine if testing is right for you, based on your symptoms, risk factors, and test availability. This information may change daily.

Remember, if you have symptoms of COVID-19, such as fever, cough, or shortness of breath, please contact your healthcare provider to discuss whether you should be evaluated for testing. Fidelis Care members may also contact Teladoc (see more information below).


 

Early Prescription Refills and 90-day Supply

Fidelis Care is covering early refills and up to a 90-day supply of most maintenance medications for members.

This includes both prescription and over-the-counter (OTC) medications used for chronic health conditions.   Medicare Advantage, Dual Advantage, Qualified Health Plan, and Essential Plan members are also encouraged to use mail-order pharmacy for 90-day refills.  

For Fidelis Care Medicaid, Child Health Plus, and HealthierLife members, please note:

  • Medication Delivery:
    • Pharmacies that choose to provide delivery to individuals quarantined may confirm receipt of the medications by the member through a phone call, text, or email, in lieu of getting a signature.
  • Prescription transfers:
    • If a Medicaid member has had a prescription filled from a pharmacy that is inaccessible or traveling to that pharmacy is not feasible, then he/she can obtain a new prescription order from the prescriber;

OR

  • A refill of the prescription can be transferred to another Medicaid participating pharmacy where allowed by law.

*Please note, prior authorization may be required for 90-day supplies of some medications


 

Fidelis Care Member Benefits

Our members health and well-being is our number one priority.   Therefore, Fidelis Care has waived all COVID-19 related member cost sharing.

- Including copayments, coinsurance, and deductibles for screening, testing, and treatment provided by network or out of-network providers. As always, Fidelis Care’s Member Services team is here to help members with any questions they may have.


 

Beware of COVID-19 Test Scam

The U.S. government is warns of fake COVID-19 test kits.  Criminals are offering the fake kits in exchange for personal information.

People, especially those who receive Medicare benefits, are being targeted with phone calls, social media messages, and door-to-door visits.

The fake COVID-19 test kits may be harmful to users, and the personal information collected by the criminals may be used for identity theft or to fraudulently bill health care programs.


Remember to:

• Be suspicious of any unexpected calls, emails, messages, or visitors offering COVID-19 tests or supplies. You should talk to your doctor or other healthcare provider about COVID-19 tests.

• Never share login information such as passwords.

For more information, visit https://oig.hhs.gov/coronavirus/fraud-alert-covid19.asp.


 

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