Medicare Advantage COVID-19 Coverage
Keeping You in The Know
The U.S. Food and Drug Administration (FDA) has granted authorization for several COVID-19 vaccines. The state of Maryland is offering vaccinations to residents in phases according to health, risk and other factors. Learn more about who is currently eligible for vaccination.
As larger quantities of the vaccines become available in the coming weeks and months, each state will communicate how and where the vaccines are available and when you can receive one.
CareFirst members will pay $0 for any authorized vaccine, regardless of manufacturer.
For answers to frequently asked questions about the vaccines, information about the science behind them and more, visit our COVID-19 webpage.
Please note, there has been an increase in COVID-19 related scams promising early access to the vaccine in exchange for money or personal information. These tips can help you recognize, avoid and report COVID-19 vaccine scams.
CareFirst BlueCross BlueShield Medicare Advantage Coverage During COVID-19
The COVID-19 pandemic has probably changed your day-to-day in unimaginable ways. With all the uncertainty, it’s important that you know we’re here for you. Significant strain on healthcare systems across the U.S. mean it’s more important than ever to understand how to get care when you need it. We’re working to make sure that there are few barriers to important COVID-19 testing and treatment. See the chart below for updates to your CareFirst BlueCross BlueShield Medicare Advantage plan benefits:
| CareFirst BlueCross BlueShield (CareFirst) Medicare Advantage Coverage | |
|---|---|
| COVID Testing |
CareFirst BlueCross BlueShield Medicare Advantage will cover a majority of COVID-19 testing with no cost for members. Certain at-home tests administered by trained medical personnel may be subject to additional cost. |
| COVID Treatment |
During the Public Health Emergency, CareFirst BlueCross BlueShield Medicare Advantage will waive copayments and coinsurance costs for specific treatments related to COVID-19 when a member is diagnosed with COVID-19. Therefore, your CareFirst BlueCross BlueShield Medicare Advantage insurance plan will cover treatments for COVID-19 at no cost to you. |
| Telehealth visits |
Members have access to telehealth services with in-network primary care providers (PCPs), specialists, mental health providers and more. The same cost share fees that apply to in-person appointments also apply to these services. Members can also enjoy expanded telehealth coverage through the CareFirst Video Visit app for urgent care services and behavioral health needs. The same cost share fees that apply to in-person appointments also apply to virtual telehealth. Members also have access to a no-cost 24-Hour Nurse Line for any questions: 833-968-1773. |
| Vaccination |
The COVID-19 vaccine and administration will be no cost for members. |
| Prior Authorizations |
Prior authorizations are not required for COVID-19 testing or treatment. |
| Extended Supplies of Medication |
Members can request a 90-day (3-month) supply of covered Part D prescription drugs. Please contact our pharmacy member services team at 888-970-0917 for more info. |