Who's eligible. Everyone ages 5 and older is encouraged to receive a COVID-19 vaccine. The FDA has authorized, and the CDC has recommended, vaccines and booster shots from Pfizer-BioNTech, Moderna, and Johnson & Johnson Janssen for anyone ages 16 or older. Children ages 5 and older get an age-appropriate dose of the Pfizer-BioNTech COVID-19 vaccine.
Vaccine coverage. COVID-19 vaccines reduce the risk of severe disease, hospitalization, and death, and slow spread of the virus. Your Group Health Plan covers the cost of administering vaccines with no cost share (such as co-pays, deductibles, coinsurance) for members as per their ACA Preventive Care benefit.View our COVID-19 FAQs for more details.
Booster coverage. COVID-19 booster shot is an additional dose of the vaccine that is given after the protection provided by the original shot(s) has begun to decrease over time. Your Group Health Plan covers the cost of administering the Pfizer and Moderna booster shots.
COVID testing. Your group health plan covers the cost for medically appropriate diagnostic and antibody testing of COVID ordered by an authorized health care professional at no cost to the member. In addition, your plan covers up to eight over-the-counter (OTC), FDA-approved tests per calendar month as required by the Biden Administration².
If you have FutureScripts (OptumRx) coverage:
If you have pharmacy coverage through another company, please contact the phone number on your prescription drug card for information on how OTC COVID test coverage applies.
Additional details can be found in these FAQs. These coverages are in accordance with federal mandates through the end of the public health emergency¹. This coverage does not cover tests that are needed for return to work, a condition of employment, return to school, or travel.
Check your symptoms. If you think you've been exposed to COVID-19 and develop symptoms, call your doctor. 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.
Treatment. Member cost-share applies for in-network, inpatient treatment of COVID-19.
Pre-authorizations. Pre-authorization is temporarily suspended for transfers from acute, in-network, inpatient facilities to post-acute in-network facilities for any diagnosis through Jan. 31, 2022.
Visit a doctor from anywhere.¹ Telemedicine services for a COVID-19 related diagnosis from your primary care doctor are covered at no cost through the end of the public health emergency². Telemedicine services from your doctor for a non-COVID diagnosis are available — cost sharing applies based on your health plan.
MDLIVE. You can also schedule a telemedicine appointment with a doctor 24/7 with MDLIVE¹. MDLIVE doctors can assess your symptoms and help with next steps. Register or login at mdlive.com/qccbluelink.
Virtual visits for mental health.¹ If you have mental health benefits through your Group Health Plan, you can talk to an in-network mental health counselor online or on the phone at no cost for COVID-19 related services until the end of the public health emergency. Visit myqccbluelink.com to find a provider.
Wear a mask. Public officials and health experts are urging us to wear masks indoors or in large crowds, regardless of vaccination status. COVID-19 and its variants spread from droplets released into the air when we cough, sneeze, or talk.
Practice social distancing. Limit close contact with anyone outside of your household. Even if you're wearing a mask, it's still recommended you stay at least six feet from others when in public, or at least two arms length apart.
Wash your hands regularly. Viruses also spread from touching recently contaminated surfaces and then touching your face. Washing your hands is one of the most importance defenses against the spread of COVID-19 and other illnesses. Keep hand sanitizer on you for when you don't have access to soap and water.
Login at myqccbluelink.com/login to find a doctor.
¹ Please note: For employers who are self-insured, coverages may vary. If you have coverage through your employer, please check with them about how these programs apply.
² The Families First Coronavirus Response Act (FFCRA) and Coronavirus Aid, Relief, and Economic Security (CARES) Act mandate that member cost-sharing (deductible, co-pays and coinsurance) is waived both in and out-of-network for the testing and diagnosis of COVID-19 through the public health emergency.
MDLIVE is an independent company.