Updates to your COVID-19 coverage

Throughout the COVID-19 pandemic, AmeriHealth has been committed to helping you get the care you need. You still have access to vaccines, virtual visits, and testing; however, we have updated how the following benefits are covered:

COVID-19 vaccinations

COVID-19 vaccines are important tools that help reduce the risk of severe disease, hospitalization, and death. The COVID-19 vaccine and booster are covered at no cost when obtained from an in-network provider or pharmacy. If the vaccine is administered by an out-of-network provider or pharmacy, standard cost-sharing will apply. Check your benefits to confirm if you have out-of-network coverage. Log in at amerihealth.com/login to find a provider.

If you received the COVID-19 vaccine at the pharmacy and paid out of pocket for it, you can use the Prescription Reimbursement Request Form to submit for a reimbursement.

Testing

Standard cost-sharing will be applied according to your benefits for FDA-approved COVID-19 diagnostic tests, such as PCR tests. AmeriHealth will no longer reimburse for over-the-counter COVID-19 tests. If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), you can submit for reimbursement through those programs.

Symptoms and treatment

Call your doctor if you think you’ve been exposed to COVID-19 and developed symptoms. Visit the Centers for Disease Control and Prevention (CDC) for more details on symptoms, including those for people who already received a COVID-19 vaccination.

Outpatient treatments for COVID-19 are available. These antiviral drug options can help patients at high risk for severe COVID-19. Speak with your doctor as soon as symptoms appear to learn more about treatment options and determine if you are eligible.

Virtual care for physical and behavioral health

Virtual doctor visits: Standard cost-sharing will apply for all telemedicine visits with your primary care physician (PCP) and specialists. We will no longer waive cost-sharing for a COVID-19 diagnosis. Log in at amerihealth.com/login to find a provider.

Virtual behavioral health visits: Standard cost-sharing will apply for all virtual visits with a behavioral health provider. We will no longer waive cost-sharing for a COVID-19 diagnosis. Log in at amerihealth.com/login to find a behavioral health provider.

Virtual care visits through MDLIVE^®: Standard cost-sharing will apply according to your benefits for virtual care visits through MDLIVE. Get started at MDLIVE.

Resources and links

• Centers for Disease Control and Prevention
• Centers for Medicare & Medicaid Services
• World Health Organization
• Medicare.gov — Medicare and Coronavirus

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