Wear a mask. COVID-19 cases are on the rise, locally and nationally. Public officials and health experts are urging us to use face coverings whenever we go out. The virus mainly spreads from droplets released into the air when we cough, sneeze, or talk. Whether you show signs of illness or not, masks prevent these droplets from reaching others and reduce their risk of getting sick.
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 about two arms’ length apart.
Wash your hands regularly. The virus can 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.
Check your symptoms. If you think you’ve been exposed to COVID-19 and develop a fever, cough, or have trouble breathing, call your doctor. Visit the Centers for Disease Control and Prevention (CDC) for more details on symptoms.
Testing is free.¹ AmeriHealth New Jersey will cover the cost for testing, including antibody testing. First, contact your doctor or state health department. They will screen you based on CDC guidelines. Then they may issue a lab order for the test, or they may treat you with a request to self-isolate and use over-the-counter medications. Learn more about the differences between diagnostic and antibody tests in this infographic.
Talk to a doctor from anywhere.² Telemedicine services from your primary care doctor are covered at no cost. You can also schedule a same-day appointment with a doctor 24/7 with MDLIVE². MDLIVE doctors can assess your symptoms and help with next steps at no cost to you. Register or login a mdlive.amerihealthnj.com.
Specialists are available. The CDC recommends that the best way to prevent illness is to avoid being exposed to the virus that causes COVID-19. Ask your in-network specialist if your visit can be done over the phone or video. This also includes urgent care, nutritionists, and therapists (occupational, physical, speech). Physical and occupational therapy must be conducted via video.
Treatment is covered². AmeriHealth New Jersey will waive members’ cost for in-network, acute in-patient treatment of COVID-19 through December 31, 2020. Cost sharing will be applied to post-acute care (e.g. skilled nursing, rehabilitation and long term acute care facilities), outpatient treatment, prescription drugs, ambulance transportation to a post-acute setting, and out of network care.
Pre-authorizations temporarily waived. Pre-authorization is currently not required for acute, in-network, in-patient admissions from the emergency department. Pre-authorization is also being waived for transfers from an in-patient facility to long-term ambulatory care, rehabilitation, or skilled nursing facilities, and transportation between facilities. These temporary changes to our pre-authorization policy are in effect until December 31, 2020. Facilities are still required to notify AmeriHealth New Jersey.
Coverage for pulse oximeters. Pulse oximeters are small, portable devices that monitor oxygen levels in the blood and pulse rate. To help monitor members who have a COVID‑19 diagnosis or are recovering from COVID‑19, AmeriHealth New Jersey will cover consumer‑grade pulse oximeters that are prescribed by your doctor and purchased through an in-network supplier. Member cost sharing will be waived through December 31, 2020.
Keep your health on track. As doctors’ offices re-open, talk with your doctor if you delayed an elective procedure and need to reschedule. Be sure to make an appointment with your doctor if it’s time for your annual check-up or preventive health screenings too.
Check your medications. Check to make sure you have enough medications. Call your doctor if you need refills.
Get Rx delivery. Many neighborhood pharmacies are now offering free home delivery. View a list of locations.
Virtual visits for mental health.² If you have mental health benefits through AmeriHealth New Jersey, you can talk to an in-network mental health counselor online or on the phone at no cost. Call the number on your ID card or visit amerihealthnj.com to find a provider.
Are you a business owner or broker? Check out our COVID-19 Business Hub.
Are you a doctor or health system? Visit the COVID-19 Provider Hub.
Sign up for AmeriHealth New Jersey updates and information. Get connected today.
¹The 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. When the public health emergency referenced by the FFCRA and CARES Act ends, the waiver of cost sharing for out-of-network COVID-19 testing and diagnosis will end. The waiver of cost sharing for in network testing and diagnosis of COVID-19 will continue until 90 days after the end of both the state of emergency and public health emergency declared by the State of New Jersey in response to COVID-19. For High Deductible Health Plans, in-network cost sharing waivers for inpatient COVID-19 treatment detailed above will remain in effect through December 31, 2020 unless prohibited by law.
²For employers who are self-insured, coverages may vary. If you have coverage through your employer, please check with them about how these programs apply.