Care and Services Available for COVID-19 (Coronavirus)


COVID-19 vaccinations

Vaccine coverage. COVID-19 vaccines reduce the risk of severe disease, hospitalization, and death, and slow spread of the virus. AmeriHealth New Jersey covers the cost of administering vaccines with no cost share (such as co-pays, deductibles, coinsurance) for members regardless of where the vaccine is given. For a vaccine distribution site near you, visit vaccines.gov.

Booster coverage. A 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. AmeriHealth New Jersey covers the cost of administering booster shots with no cost-share. You can visit vaccines.gov for a distribution site near you.

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Testing

COVID testing. AmeriHealth NJ 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, AmeriHealth NJ 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:

  • To pay $0: Visit any Walmart, Sam’s Club, Rite Aid, or Walgreens location, get your OTC COVID test kit off the shelf and check out at the pharmacy counter. Be sure to present your member ID card and ask to have the OTC test submitted to OptumRx.
  • Order online for $0: Log in at amerihealthnj.com. Select Pharmacy in the My Benefits box, then Pharmacy Mail Order/ Home Delivery, then Order Now. If you have not accessed the Pharmacy Mail Order/ Home Delivery function previously, you may be required to register your account. There is a minimum order amount required to get free shipping.
  • Get reimbursed if you pay out of pocket. If you purchased an OTC COVID test after January 15, 2022, you can submit for a reimbursement of up to $12 per test. Complete the OptumRx Over-the-Counter Test Reimbursement Form and include your receipts. You will need to submit a separate claim form for each family member.

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. AmeriHealth NJ does not cover tests that are needed for return to work, a condition of employment, return to school, or travel.



Telemedicine

Visit a doctor from anywhere.² In-network telemedicine services for a COVID-19 diagnosis are covered at no cost until the end of the federal state of emergency. All other in-network telemedicine services are subject to your plan’s standard cost sharing.

MDLive.² You can also schedule a telemedicine appointment with a doctor 24/7 with MDLIVE¹ at no cost, depending on your plan. MDLIVE doctors can assess your symptoms and help with next steps. Register or login at mdlive.amerihealthnj.com.



Symptoms & care

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.



Your emotional health

Feeling stressed?  Community health outbreaks may cause stress and anxiety  You can get On To Better Health, our online program for conditions like anxiety, depression, and insomnia. Our holistic wellness program, Embrace Well-being, also provides incentives and tools to help you get well and resources to help you stay well. Login to your account at amerihealthnj.com.

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 and standard cost sharing will apply. If the visit is to diagnose COVID-19, cost-sharing will be waived until the end of the federal state of emergency. Visit amerihealthnj.com to find a provider.

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Staying healthy

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 mainly spreads 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 are wearing a mask, it’s still recommended you stay at least six feet from others when in public, or about two arm’s length apart.

Wash your hands regularly. Viruses can 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.



Beat COVID-19 Videos

AmeriHealth New Jersey is committed to providing its members with comprehensive information and resources on COVID-19. These videos from our Senior Medical Director, Dr. Frank Urbano discuss important health and wellness topics related to COVID-19.



News and Updates

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.





Stay Connected!

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.

²If you have coverage through your employer, benefits and coverages may vary. Please check with them about how these programs apply.