Frequently Asked Questions

For the most up-to-date information about COVID-19, please refer to the Center for Disease Control’s (CDC) website. The situation is rapidly evolving and the CDC is updating its website regularly as new information becomes available.

Information around health plan coverage of COVID-19 is also evolving so please check back for updates on the ways we are trying to assist our members.

Fraud Alert: In light of recent events you may get fake requests or messages from scammers asking for your personal information. As always, please use caution when taking any action with your health care. If you’re not sure whether something is coming from one of our official channels, please contact us to confirm.

The symptoms for the flu and COVID-19 are very similar and include:

  • Fever
  • Achiness
  • Fatigue
  • Chills
  • Cough
  • Chest pain
  • Sore throat
  • Runny or stuffy nose
  • Headache

There are things that you can do to help keep yourself, family and community healthy.

  • If you think that you may be sick or you’ve been in close contact with someone who has coronavirus, you should first call your primary care physician (PCP). They’ll be able to tell you what steps to take based on your situation.
  • Cover your sneezes and coughs with your sleeve, not your hand.
  • Wash your hands frequently to reduce the spread of germs. Wash with soap and water for at least 20 seconds. If soap and water are not available, you can use an alcohol-based hand sanitizer with at least 60% alcohol.
  • If you feel sick, stay home, and avoid travel.
  • Avoid close contact with people with flu-like symptoms whenever possible.
  • Avoid large gatherings if you are at a higher risk
    •  Higher risk includes these groups:
      • Older adults
      • Anyone with underlying health conditions, such as heart disease, lung disease, or diabetes
      • Anyone with weakened immune systems
      • Anyone who is pregnant
For the most up-to-date information, please refer to the CDC website.

At this time there is no vaccine to prevent against COVID-19. For the most up-to-date information, please refer to the CDC website.

The first step is to contact your PCP and let them know about your concerns. Your PCP will be able to advise you on what steps you should take next based on your symptoms/situation.

In order to get tested for COVID-19 you will first need to contact your doctor. If they believe that testing for the virus is necessary, they will provide you with further instructions about the testing process.

For the most up-to-date information, please refer to the CDC website.

Yes, but there is an exception. As your health insurance plan we'll cover the cost of you being tested for coronavirus or coronavirus antibodies if it's recommended by your PCP. Your doctor will provide you with instructions about the testing process that you need to follow specifically for COVID-19. Please note that BMC HealthNet Plan does not cover the cost of COVID-19 testing in situations where an employer requires it as a condition of employment for their staff.

Please note that an antibody test tells you if you have been infected with COVID-19 at some point in the past. The Massachusetts Department of Public Health has declared that antibody tests are not able to show if someone is currently COVID-19 positive. If your PCP recommends an antibody test be done, the results should not be used for return-to-work purposes or to stop self-isolating.

As a member you can receive COVID-19 testing and medically-necessary treatment at no cost. If your plan type has cost-sharing responsibility, your copays will be waived for treatment of the virus. If your plan has copayments, deductibles, and co-insurance for services, those will also be waived for COVID-19 treatment.

Please note:

  • The above applies if testing and treatment comes from an in-network provider.
  • If testing or treatment is not available through an in-network provider, we will cover services from out-of-network providers at no cost to you.

If you are not feeling well and have COVID-19 symptoms or believe you need emergency assistance you should call 9-1-1. Just let the operator know what your symptoms are so that the ambulance and hospital can plan ahead for your arrival.

Ride-Share: All ride-share drivers will continue to follow the safety and sanitation guidelines issued by their service. Lyft will not be able to transport members with COVID-19 symptoms. An ambulance should be called for emergency transportation to a hospital.

Yes, telehealth visits continue to be covered if you use a network provider that offers telehealth appointments. 

Not all providers offer a telehealth option. To find out if your provider offers telehealth appointments you should call their office and ask. We also cover telepsychiatry visits for our members. To find out if your psychiatrist offers a telehealth option, please call and ask them.

Yes, BMC HealthNet Plan members may request early refills of medication if you have refills remaining on your prescription should there be in a situation requiring quarantine. This would allow a member to request up to a 30-day supply of a medication before their next scheduled refill due date if needed.  Please contact your pharmacy to refill your medication or contact your provider for a new prescription if you do not have any refills left on you prescription.

We also want to remind you that you may also have certain medications delivered by mail so that you do not have to pick them up at a local pharmacy.  This option is available for maintenance medications which are filled regularly and used to treat conditions such as diabetes, asthma, high cholesterol and high blood pressure. You can receive a 90-day supply of medication delivered to your home.  Our mail order pharmacy can assist you with transferring your prescriptions or reaching out to your provider for a new prescription. Sign up to get your medications by mail.

Yes, you can sign-up with for our Mail Order Pharmacy program to have a 90-day supply of maintenance medications delivered to your door. Maintenance medications are medications that filled regularly and used to treat conditions such as diabetes, asthma, high cholesterol and high blood pressure. With the Mail Order Pharmacy Program, MassHealth members can get a 90-day supply of medications for the same cost as a 30-day supply. Sign up to get your medications by mail.

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