COVID-19 agent hub

Contact your account representative for any questions you have about COVID-19 and your client's coverage. 

Other resources

See our agents COVID Q&A
See our agent COVID vaccine Q&A

9/9/2020

You can offer your commercial clients some peace of mind regarding cost share payments related to in-network hospital care for COVID-19. Prevea360 Health Plan will continue to waive member cost share in such instances through the end of 2020.
 

7/20/2020

Positive cases continue to rise in Wisconsin, and some areas are seeing a much higher rate than earlier in the COVID-19 pandemic. Many patients and community members are continuing to get tested.

It is important to continue sharing the appropriate methods of testing with your employees and their families.

Individuals who are experiencing symptoms of COVID-19 are asked to take a free virtual evaluation at prevea360.com/rightcare. Symptoms of COVID-19 include:

  • fever (100oF or higher)
  • ​chills
  • cough
  • sore throat
  • shortness of breath/chest tightness
  • loss of taste or smell
  • runny nose
  • nasal congestion
  • headache
  • severe fatigue/exhaustion
  • muscle pain.

If the evaluation determines they are at risk for having COVID-19, they will be connected with a Prevea Health provider for details on testing and any appropriate treatments.

Those five and older and not experiencing symptoms of COVID-19, but would like to get tested for COVID-19 should go to a public testing facility. A list of public testing facilities is available from the Wisconsin Department of Health Services.

Reasons for wanting to get tested when not experiencing symptoms include:

  • You’ve been exposed to individuals who have tested positive for COVID-19.
  • You’ve been at an event where individuals have tested positive for COVID-19.
  • You have friends or relatives who have tested positive for COVID-19 or may have been exposed.
  • You have friends or relatives who are at higher risk of complications from COVID-19 and want to make sure you don’t expose them.
  • You have upcoming travel, work or other life events that may require you getting tested.

Regardless of where individuals are tested, they should limit contact with others while test results are pending.
 
It’s also important to recognize that testing alone will not get us through this outbreak. Practicing smart preventive behavior remains the most important step we can take to reduce risk and slow spread in our community, including:

  • Practicing physical distancing. Stay six feet away from people who do not live in your household
  • Wear face coverings, especially if you will be indoors with others (e.g., grocery store)
  • Wash hands frequently with soap and water for at least 20 seconds
  • Stay home if possible, especially if you have any symptoms (e.g. fever, cough)
  • Follow isolation guidelines if you test positive. Follow quarantine guidelines if exposed to someone with COVID-19

Learn more at prevea360.com/coronavirus or prevea.com.


3/27/2020

Cost-sharing waived
Prevea360 Health Plan is waiving in-network cost-sharing, including copayments, coinsurance and deductibles, for COVID-19 diagnostic testing during this public health emergency. We will cover the test and doctor visit at no cost to members when the basis for the visit is related to testing for COVID-19.

This policy applies to our members in all lines of business, including commercial, Medicare, Medicaid and ASO products.

Members are also encouraged to use telehealth services and/or Prevea Care After Hours when possible for COVID-19 screening.

See the latest member updates

3/20/20

Employee eligibility

As businesses experience financial hardship due to the COVID-19 pandemic there may be resulting workforce reductions and temporary layoffs. We have received several questions regarding how this will affect an impacted employee’s eligibility for health insurance.
 
For the duration of the Public Health Emergency, regardless of how many hours an employee works, if the employer continues to classify the employee as an active employee who is eligible for health insurance coverage and pays the premium, the employee’s coverage will continue. 

Premium payment, open enrollment
We have also received several questions regarding potential flexibility around premium payment grace periods and open enrollment period extensions during the COVID-19 Public Health Emergency.

Our aim is to do everything we can to work with you and employers to help with payment so that people have coverage during this crisis. We are advocating at all levels of government, we are partnering with the business community and we will work with you as issues arise.

As soon as we have firm guidelines on available flexibility, we will reach out to you again. Flexibility around open enrollment periods may be available immediately. Please contact your Client Services Representative if you have questions regarding open enrollment period extensions.

Prescription drug refills
To provide members earlier access to prescription medications, we have relaxed our refill policy. Members can get early refills of maintenance and non-maintenance medications, both at a retail pharmacy and through mail order.

Formulary quantity limits have not changed and still apply to 30-day and 90-day fills. Specialty drugs are limited to a 30-day supply.

12/10/2020

We do not expect that the COVID-19 vaccine will be widely available to members or the general public until spring of 2021 or later. Frontline health care workers are the first priority for the vaccine. As we learn more about the availability schedule, we will provide updates.

Prevea360 will cover FDA-approved COVID-19 vaccine(s) (SARS CoV-2) with no member cost-sharing, consistent with the requirements set forth by the CARES Act.

Where will I be able to receive the COVID-19 vaccine?
Once available, options for receiving the vaccine will include doctors' offices, retail pharmacies, hospitals and federally qualified health centers.

Who decides on the priority for receiving COVID-19 vaccinations?
The FDA and CDC make recommendations on COVID-19 vaccine distribution. For more information, your clients can visit the CDC and Wisconsin's Department of Health Services webpages.