Coronavirus Updates

Coronavirus

Update as of March 31, 2020:

The State Health Plan continues to work with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) and CVS Caremark 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:

Primary Care Provider (PCP) Visits & COVID-19 Testing

  • 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.
  • You will need to call your provider to determine if these services are offered. Many providers are offering virtual services for behavioral health, physical therapy and wellness visits. Virtual visits are not just for when you’re feeling sick, so if your provider offers them, please take advantage of the service.
  • The Plan is waiving the costs for the COVID-19 test regardless of site of service (where you receive the test) to ensure there are no cost barriers to testing.
  • The Plan is also waiving the copay for in-person and virtual 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.

Prescription Medication Reminder

  • The Plan is waiving the early medication refill limits on 30-day prescription for maintenance medications only. 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.
  • Several pharmacies have waived home delivery charges for medications, so members do not have to leave their homes to pick up their medications. You are encouraged to check with your pharmacy to find out if they also offer prescription delivery services.
  • 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 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.
  • 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.

Members who have concerns about whether they have been exposed to the virus are encouraged to contact their Primary Care Provider.

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:

State Treasurer Dale R. Folwell, CPA, announced that the State Health Plan Board of Trustees authorized the Treasurer and executive administrator to take actions within their authority to preemptively address and quickly respond to COVID-19 for the benefit of Plan members without consultation with the Board.