Coronavirus Updates

CoronavirusUpdate as of June 1, 2020:

The State Health Plan continues to work with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), CVS Caremark and UnitedHealthcare to ensure you have benefits in place and remove any barriers to needed care.

For Members on the 80/20 Plan, 70/30 Plan and High Deductible Health Plan:

The State Health Plan will be extending the following COVID-19 benefits until July 31, 2020:

COVID-19 Testing, Treatment & Tobacco Attestation

  • The Plan is waiving the cost of treatment (medical treatment only) for members diagnosed with COVID-19, including associated deductibles, copayments and coinsurance. Any medications prescribed to treat COVID-19 will be subject to the copay/coinsurance. 
  • The Plan is waiving the cost associated with the testing of COVID-19 regardless of site of service (where you receive the test) to ensure there are no cost barriers to testing.
  • CVS Pharmacy is now offering drive-through, self-swab COVID-19 testing at select North Carolina CVS Pharmacy locations. Members must register in advance to schedule an appointment and follow instructions provided during registration process.
  • The Plan is waiving the copay for in-person and virtual Primary Care Provider (PCP) visits to screen for COVID-19. Screening visits will not be subject to your deductible or coinsurance, even if your deductible has not been met.
  • The Plan is waiving the requirement for tobacco users to visit a CVS MinuteClinic for a tobacco cessation counseling session in order to receive a $60 premium reduction on their subscriber monthly premium on the 80/20 and 70/30 plans. 

As a reminder, many providers are now offering tele-health or virtual visits. These types of visits are covered under your Plan benefits. The applicable copay for a PCP office visit will apply. If you are outside of North Carolina, please confirm with your provider as each state may have different rules regarding tele-health services. 

Early Medication Refills Limit Waiver ends June 15, 2020

  • The Plan will waive early medication refill limits on 30-day prescription for maintenance medications only until June 15, 2020. Member cost-sharing will apply as normal.
  • If you are trying to refill a non-maintenance medication early, it will be denied.
  • Click here for a reference list of what is considered a maintenance medication. This is a standard, non-State Health Plan specific list, but it will give you a reference of what drug categories are considered maintenance. 
  • If you have questions, please call CVS Caremark at 888-321-3124 or your pharmacy.

For UnitedHealthcare (UHC) Medicare Advantage Members:

  • There will be no cost to members for the treatment of COVID-19 until at least September 30, 2020.
  • There will be no cost to you for the COVID-19 test. If you think you have been exposed to the virus, contact your Primary Care Provider. Copays and coinsurance are also waived for visits associated with the COVID-19 testing, regardless if care is furnished in physician office, urgent care or ER.
  • Beginning May 11, 2020, until at least September 30, 2020, there will be no cost for in-network, non-COVID-19 telehealth visits for members.
  • If you need an early prescription refill, you may request one through your pharmacy. Look at your current supply of medications, as well as what you might need in the near future, to decide if you should refill early. Check to see if home delivery is an option with local pharmacy or use Optum Home Delivery through UHC.
  • The UHC HouseCalls program was suspended for the health and safety of our members and clinicians. However, to ensure that members continue to receive their HouseCalls visits even during the COVID-19 national health emergency, UHC has introduced HouseCalls Virtual Visit. You will need to have an email and proper webcam capability to be offered a virtual visit. To find out more about HouseCalls Virtual Visit, please call Customer Service at 866-747-1014.
  • Please note there is a $0 copayment for each Medicare covered Virtual Doctor visit and a $20 copayment for each Virtual Behavioral Visit. You may use Virtual Visit through your computer or a mobile device like a tablet or a smart phone any time, day or night. To find a list of participating Virtual Visit providers or Virtual Behavioral Visit providers, go to www.UHCRetiree.com/ncshp. If you have questions, especially about where to get care or making sure you get your prescriptions if you are at risk, please call Customer Service at 866-747-1014.
  • UHC is also offering free emotional support for those who feel extra stress or fear due to COVID-19. You can call the Emotional-Support Help Line from Optum at 866-342-6892, TTY 711, 24 hours a day, seven days a week.
  • For the most up-to-date information from UnitedHealthcare, please visit us online or visit the CDC website.

All Members

Plan members are advised to follow the same precautions as the Centers for Disease Control and Prevention recommends:

  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Wash your hands often with soap and water for at least 20 seconds.

The Plan continues to monitor the ongoing developments around this virus. If other precautions or actions are warranted, additional information will be communicated to Plan members via email and posted on the Plan’s website. You can view a recording of our member webinar, "Update on Your State Health Plan Benefits and COVID-19", by clicking here.

For more details and updates, visit the Centers for Disease Control and Prevention (CDC) website.

Previous updates:

Member Alert, June 1, 2020: COVID-19 Update - CVS Pharmacy Provides Drive-Through COVID-19 Testing

Member Alert, May 26, 2020: Update on Your State Health Plan Benefits and COVID-19

Member Alert, April 2, 2020: State Health Plan to Waive Costs Associated with COVID-19

Member Alert, April 2, 2020: COVID-19 Update for UnitedHealthcare Members

Member Alert, March 25, 2020: Update on Your State Health Plan Benefits and COVID-19

Member Alert, March 13, 2020: State Health Plan Board Approves Emergency Authority to Respond to COVID-19