Capital Health Plan Updates:
- Bulletin to Agents & Employer Groups regarding COVID-19 and important benefit information
- Capital Health Plan Eye Care is transitioning all of their care to the Governor's Square Health Center location. The Centerville Place Eye Care facility will be closed temporarily. At this time, Capital Health Plan Eye Care will only see patients for emergent issues Monday - Friday, 8:00 a.m. - 5:00 p.m.
- Capital Health Plan will no longer accept customer service or Medicare sales walk ins at our Metropolitan Member Service Center. We hope to again provide this service once the COVID-19 situation subsides. If you need assistance, please contact our Member Services Department.
- All Savvy Senior classes are canceled until further notice.
- All Yoga classes are canceled until further notice.
- All Medicare Sales seminars are being transitioned to online. To RSVP for an upcoming seminar, click here.
- Capital Health Plan Frequently Asked Questions (FAQs) during COVID-19:
Updates are current as of 4/02/20
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.
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.
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 60 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
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 will be waived through June 1, 2020. After this date, additional services including hospital admission (if applicable) will be covered and charged according to your normal plan coverage rules.
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.
Capital Health Plan has waived all copayments for covered telehealth services, including Amwell and any CHP contracted provider that provides telehealth services. 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.
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.
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 [email protected]. 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:
- Florida Department of Health COVID-19 Information
- Centers for Disease Control General Information
- Centers for Disease Control Resources
- Center for Disease Control Community Mitigation Guidance for Coronavirus
- World Health Organization General Information
- World Health Organization Video
- Water Quality & Health Council FAQ
- Healthwise COVID-19 Information