Novel Coronavirus (COVID-19)

Capital Health Plan Updates, Updates are current as of 10/23/20

Capital Health Plan Member Testing Options

LabCorp now offers an at-home COVID -19 swab test kit through Pixel by LabCorp online. This test is for individuals 18 and older who have COVID-19 symptoms or meet the testing criteria established by the CDC. View the COVID-19 home collection swab kit for more information and to complete a brief questionnaire to see if you qualify for the test. As a CHP member there is no cost for this test.

Capital Health Plan Service Changes

  • Capital Health Plan is now offering telehealth visits! If your Primary Care Physician (PCP) is located at one of our three health centers, please contact your PCP's office to determine if this service is available to you.
  • Capital Health Plan's Urgent Care Center is now providing a telehealth option to all Capital Health Plan members! In order to utilize this new service, please contact Urgent Care to schedule your appointment. 
  • Capital Health Plan has issued a copayment waiver for telehealth visits through March 31, 2021.

Capital Health Plan Member Services Changes

  • Capital Health Plan is accepting limited customer service or Medicare Sales inquiries at our Metropolitan Member Service Center by appointment only. To schedule an appointment, please contact our Member Services Department.
  • Medicare Sales seminars have been transitioned to online with a few in-person options available. To RSVP for an upcoming seminar, click here.
  • All Savvy Senior classes are canceled until further notice.

Capital Health Plan Employer Group Policy Changes

  • To make sure our CHP members who need care are able to better focus on their health, there is no cost share for the COVID-19 test and CHP is waiving all member cost share (copays and/or coinsurance) for medical treatment related to a positive COVID-19 diagnosis, including in-patient and outpatient hospital admissions (emergency room and observation). This has been extended through December 31, 2020.
  • Capital Health Plan has issued a copayment waiver for telehealth visits through March 31, 2021.

Capital Health Plan Frequently Asked Questions (FAQs) during COVID-19

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What You Need to
Know About COVID-19

As concern about coronavirus (COVID-19) grows globally and right here in Florida, Capital Health Plan is ready to do its part to help protect the community. That includes providing members with access to the best advice from health care professionals so they can take appropriate preventive steps.

If you or a family member has recently traveled to an area of risk or if you think you may have been exposed to the virus and have symptoms of respiratory illness, you should call your Primary Care Physician (PCP) for further instructions. It's important to call your PCP ahead of time rather than coming directly into their facility. By calling ahead, they can direct you to the most appropriate care and take precautions to protect other members, patients, and employees.

What

The Centers for Disease Control (CDC) defines COVID-19 as a respiratory illness that can spread from person to person. According to the CDC, the potential public health threat posed by COVID-19 is very high. At this time, however, most people in the United States will have little immediate risk of exposure to this virus as it is not currently widespread in most communities in the United States.

Symptoms

The signs of COVID-19 are similar to those of the common cold or flu, including fever, cough, and shortness of breath. In more serious cases, the virus can cause pneumonia and be fatal. Authorities say those most at risk are the elderly and individuals who already have underlying health conditions, including cardiovascular diseases, diabetes, chronic kidney diseases, cancer and hepatitis B.

Guidance for people at higher risk for severe COVID-19 illness

The CDC recommends that people at higher risk of severe illness should:

  • Avoid public and private crowds of any size.
  • Avoid persons coming to your home who are ill or may have been exposed to the virus.
  • Avoid visiting health care facilities (like nursing homes, clinics, and hospitals) except to get medical care.

People at higher risk include those:

  • Over 65 years of age
  • With underlying health conditions include heart disease, lung disease, or diabetes
  • With weakened immune systems
  • Who are pregnant

There is no evidence that children are more susceptible to COVID-19. In fact, most confirmed cases have occurred in adults. Caregivers of children with underlying health conditions should consult their doctor about whether their children should stay home. Anyone who has questions about whether their condition puts them at risk for COVID-19 should call their primary care physician.

Testing & Costs

Capital Health Plan, as an HMO, uses a defined network. This means Capital Health Plan has contracted with facilities, providers and suppliers to provide you with health care services, helping to ensure your premiums and out-of-pocket costs remain affordable. Please note the COVID-19 testing sites listed below that are within the network. These are places where you can seek COVID-19 testing:

  • Your Primary Care Physician (PCP) will be able to discuss your testing options, even if you are not experiencing symptoms. Please call your PCP first to make arrangements for testing.
  • If you are seeing a Specialist within the network, you may seek testing from their office. Please call your physician first to make arrangements for testing.
  • If you are in a hospital, they may also test you. However, only those with a serious emergency should go to the ER, as you could be infected or possibly infect others. For COVID-19 testing, please contact your PCP first for instructions.
  • LabCorp is the only laboratory in Capital Health Plan's network and if a doctor orders an antibody test for you, you will go to one of their Patient Service Centers for the blood sample collection. LabCorp also as an at-home testing kit that can be ordered online.

There are two types of tests that your doctor may recommend for COVID-19 testing: viral swab tests and antibody tests.

  • A viral swab test tells you if you have a current infection.
    • LabCorp offers at at-home swab test kit. This type of COVID-19 test is for individuals who have COVID-19 symptoms or meet the testing criteria established by the CDC. The COVID-19 home collection swab kit, to detect an active COVID-19 infection, is available through Pixel by LabCorp online. 
    • LabCorp does not administer the viral swab testing at the Patient Service Centers; you will have to seek the test from one of your in-network doctors.
  • An antibody test may tell you if you have had a previous infection.
    • An antibody test may not be able to show if you have had a current infection, because it can take 1-3 weeks after the infection to make antibodies. We do not know yet if having antibodies to the COVID-19 virus can protect someone from getting infected with the virus again, or how long that protection might last.
      • An antibody test should not be used as the sole basis to diagnose or exlcude infection.
    • An antibody test must be ordered by a physician. Do not go directly to a LabCorp Patient Service Center directly for testing.

The CDC does not recommend testing people who are not showing signs of COVID-19 (cough, fever, difficulty breathing). For members with symptoms that meet the criteria, you will not have to pay for laboratory costs related to COVID-19 testing. We believe that cost should not be a barrier to testing for our members who may have been affected by this virus. Capital Health Plan will not charge member cost-sharing (including, but not limited to, copayments, deductibles, and coinsurance) for all medically necessary laboratory testing for COVID-19.

In the event you are diagnosed with COVID-19, additional services including hospital admission (Emergency Room and Observation) for both in-patient and outpatient may be waived. Additional services including hospital admission (if applicable) will be covered and charged according to your normal plan coverage rules.

Prescriptions

It is a good idea to fill your prescriptions through a mail-order service, especially during the COVID-19 outbreak, not only because you can avoid standing in line at the pharmacy but also because with most prescriptions you can get a 3-month supply.

Capital Health Plan members are allowed to obtain early refills up to a 30-day supply of routine medications at any participating pharmacy nationwide. This means you can get your medications filled earlier than normal, if necessary. Controlled substance medications are not included in this early refill. Members who are impacted by this should work directly with the prescribing physician and their pharmacy.

Telehealth Visits

Capital Health Plan has waived all copayments for covered telehealth services, including Amwell and any CHP contracted provider that provides telehealth services through March 31, 2021. 

Capital Health Plan is now offering telehealth visits! If your Primary Care Physician (PCP) is located at one of our three health centers, please contact your PCP's office to determine if this service is available to you. Additionally, Capital Health Plan's Urgent Care Center is now providing a telehealth option to all Capital Health Plan members! In order to utilize this new service, please contact Urgent Care to schedule your appointment.

If you do not have a PCP at one of our three health centers, it's easy to get care and advice through our telehealth provider Amwell -- without an in-person visit. Amwell allows a patient to have live, on-demand video visits with a physician that is available 24 hours a day. To take advantage of this service, please visit Amwell online or download their app for Apple or Android devices. 

This is now a covered benefit for State of Florida employees.

Prevention

COVID-19 is primarily spread from person to person, which means that to become infected, a person must be within six feet of someone who has the virus. There is no medical cure at the moment and utilizing common preventive practices when you are sick are still important.

  • Wash your hands with soap and warm water for at least 20 seconds. Alcohol-based hand sanitizers are also effective.
  • Cover your mouth when coughing or sneezing, preferably into a disposable tissue or into your elbow.
  • Sanitize any public area you are in.
  • Stay home when you are sick.
  • Avoid close contact with anyone showing symptoms of respiratory illness.

According to the CDC, these preventive measures are simple but effective ways to help keep the common cold, flu, and coronavirus from spreading.

Resources

Please visit the Florida Department of Health’s dedicated COVID-19 webpage at www.FloridaHealth.gov/COVID-19. This remains the best and most up-to-date resource for information and guidance regarding COVID-19 in Florida.

For other questions related to COVID-19 in Florida, please contact the Florida Department of Health’s dedicated COVID-19 Call Center by calling 1-866-779-6121 or emailing COVID-19@flhealth.gov. The Call Center is available Monday through Friday, 8:00 a.m. to 5:00 p.m.

For additional information on the latest news on the coronavirus from state, federal, and world health authorities, visit: