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Guide to COVID-19 Coverage

HPI is monitoring the coronavirus (COVID-19) outbreak and what it means for our members, clients, business partners and communities.

The Centers for Disease Control and Prevention (CDC) website is the best source for up-to-date information. The outbreak is evolving quickly, and the CDC and health departments in each state are working on public health policies to help prevent the spread of the illness.

Stay safe. If you need to see a doctor, call first. Many providers that you have always seen in person are now offering appointments over the phone. If your doctor or urgent care facility doesn’t offer phone or video visits, you have access to telemedicine through other providers.

Try the CDC’s symptom checker to help you make decisions about seeking appropriate care.

HPI has implemented the following coverage for medically necessary COVID-19-related services at in-network doctor’s offices, urgent care centers, telemedicine providers or emergency rooms:

  • Testing*: covered in full, no member cost-sharing
  • Treatment: covered in accordance with member's plan and applicable member cost-sharing
  • Telehealth services: covered in full, no member cost-sharing
  • Prior authorizations: not required for COVID-19 testing
  • Vaccine**: covered in full, no member cost-sharing

*Cost-sharing for testing received from out-of-network providers also will be waived should the urgent services be unavailable from in-network providers.

**A vaccine will be covered after it has received an A or B recommendation from the United States Preventive Services Task Force (USPSTF) or a recommendation from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention.

HPI will continue to review coverage and cost-sharing policies to ensure that members can receive the appropriate COVID-19 testing and treatment without difficulties.

 

HPI Case Management is here to help

Assistance is available to eligible members who are having difficulty managing their current medical needs during this pandemic. Case Managers can help to obtain currently approved medications, medical equipment or accessing and coordinating needed medical care. Please contact your case manager directly or send an email to casemanagement@healthplansinc.com. Please include your name, contact information and best day/time, and our case manager will attempt to contact you.

If you have health concerns, check in with your health care provider to see if they offer virtual visits from home (via smartphone, tablet or computer). If your provider doesn't offer virtual visits, providers such as Doctor On Demand are covered under all plans. Members can also receive outpatient behavioral health care through virtual visits.

PDF icon Download instructions for registering for Doctor On Demand

Telehealth visits may help limit the spread of the disease and provide crucial behavioral health care to those in need. It may also be an option for individuals in self-imposed quarantine to check in with a health care provider.

HPI is taking steps to ensure all plans provide coverage for telehealth services as follows:

  • All plans, including Qualified High Deductible Health Plans (QHDHPs), will cover COVID-19-related testing, treatment and counseling via telemedicine providers with no member cost-share.
  • All plans, excluding QHDHPs, will cover all other services received via telehealth providers with no member cost-share*.
  • All QHDHPs will continue to cover non-COVID-19 related telehealth services with applicable member cost-sharing, as the IRS has not changed the regulations governing these plans to date.

*This may vary by client. Please refer to the client’s Plan Document to confirm how these services are covered.

United Behavioral Health/Optum offers a Public Crisis Line for those needing emotional support. Open 24/7, this help line is free of charge and available to anyone.
Call (866) 342-6892

SAMHSA’s Disaster Distress Helpline provides 24/7, 365-day-a-year crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters, and infectious disease outbreaks.
Call (800) 985-5990

Living Well at Home with Virtual Wellness Classes

Well-being programs here for you when you need them the most.

Whether you are looking to shake it up, stretch it out, or get centered, we’ve got you covered with Zumba®, yoga, guided mindfulness, and wellness sessions. All are available at no cost to you and will be easy to access via Zoom.

Note: You will be able to access these webinars immediately if you have Zoom downloaded on your device. If you have not downloaded Zoom, the links will take you to Zoom’s home page to download the tool. Once you’ve downloaded and launched Zoom on your device, you will be prompted to enter your name and email in order to join the webinar, but you are not required to enter your real name or email. Please know that HPI is not responsible for the availability, privacy or security of the Zoom platform. We recommend that you use caution when sharing any personal or identifying information with online meeting applications, including any interactive features.

 

Strength Classes

These live classes involve full body workouts that can help you increase strength, mobility and flexibility. Try something new or enjoy a form of exercise you already love.

Tabata Thursday Workouts – Thursdays from 1:00pm to 1:30pm (ET)
Tabata training is a form of interval training that involves performing an exercise at a high intensity for 20 seconds followed by a 10-second rest period. Performed in eight rounds for four minutes each, Tabata is great way to spice up your workouts, burn more calories and get more out of your exercise time. Because the intervals are so short, you really feel them, but the workout flies by. Join in for a great half-hour Tabata workout involving body weight and/or light weights.

» To access these sessions, visit https://us02web.zoom.us/j/88213176780.

 

Yoga Classes

Yoga – Mondays and Wednesdays at 5:15pm to 6:15pm (ET)
Breathe in, breathe out and stretch it out with a relaxing yoga practice. These live yoga sessions are accessible to all fitness levels and are the perfect way to whine down after a long day.

» To access these sessions, visit https://zoom.us/j/528276681.

 

Zumba® Classes

Zumba® – Tuesdays and Thursdays at 5:15pm to 6:15pm (ET)
Dance like nobody’s watching! Our Zumba® classes will be the most fun you’ve ever had working out. Enjoy upbeat music and moves anyone can try!

» To access these sessions, visit https://zoom.us/j/959837402.

 

Guided Mindfulness Sessions

Mind the Moment – Tuesdays and Thursdays from 8:30am to 9:00am (ET) 
Mindfulness can help us feel connected and get centered. Experiment with short bursts of mindfulness instruction, followed by mini meditations, led by a team of expert instructors.

» To access the Tuesday sessions, visit https://zoom.us/j/946535238.

» To access the Thursday sessions, visit https://zoom.us/j/580279161.

Access past mindfulness sessions at any time by visiting the Mind the Moment YouTube Channel.

  

Health and Wellness Webinars

This series of classes takes a holistic look at health to help you stay physically and mentally resilient.

Happiness: A Recipe – Wednesday, April 7, 2021, from 1:00pm to 1:30pm (ET) 
More than an emotion, happiness is a skill that can be learned. Drawing from the latest research in the field of positive psychology, participants will discover the essential “ingredients” of happiness. They will debunk deeply rooted happiness myths and formulate new, empowering definitions. Participants will learn how to change their perspectives on people and events and how to take back ownership of their emotions. This session will help participants utilize their character strengths, develop gratitude, find meaning and gain resiliency.

Overcoming Procrastination – Wednesday, April 14, 2021, from 1:00pm to 1:30pm (ET) 
Feeling overwhelmed with unfinished tasks? Learn several simple techniques that allow you to conquer your avoidance behavior, easily organize your life, find more energy and accomplish more than you could ever dream possible. What you resist, persists. Do it now and feel good about yourself! 

Pressure Point – Wednesday, April 21, 2021, from 1:00pm to 1:30pm (ET)
A general stress management program that will engage participants in learning more about stress as a general concept, identify where their stress comes from and learn more about how to prevent stressful situations.

Power of Positivity – Wednesday, April 28, 2021, from 1:00pm to 1:30pm (ET)
What happens when you discover how to view your cup as half full? Join this program to learn about research on positivity. Positivity impacts our health, our co-workers and overall success. The webinar also provides participants with an interactive exercise on creating a positive mindset. 

» To access these sessions, visit https://us02web.zoom.us/j/996948529.

Access past health and wellness webinars at any time by visiting the well-being webinar playlist on YouTube.

The federal rule issued on May 4, 2020, entitled Extension of Certain Timeframes for Employee Benefit Plans, Participants and Beneficiaries Affected by the COVID-19 Outbreak, provides participants in certain employee benefit plans* additional time to:

  • Elect COBRA coverage
  • Make COBRA premium payments
  • Notify the Plan of second qualifying events under COBRA
  • File medical, dental, vision, Medical Care Reimbursement Account (MCRA )(aka health FSA), and disability claims for covered benefits/eligible expenses
  • Appeal denials of medical, dental, MCRA and disability claims
  • Make a Special Enrollment Request under HIPAA rules for medical or dental coverage

The deadlines for taking any of the actions described above that would ordinarily have been due on or after March 1, 2020, are extended to the earlier of the following dates:

  • One year from original due date shown in your Explanation of Benefits, COBRA Election Notice or response to your request for an appeal, or
  • At least 60 days after the end of the pandemic National Emergency, (the pandemic National Emergency was declared by the President to begin on March 1, 2020, and will continue until the current President ends it).

 

This message will be updated when the pandemic National Emergency has ended.

 

What’s not affected

The new rule does not apply to the deadlines related to:

  • Active employees initially enrolling in a plan
  • Change in status events, except a change in status that also qualifies under the HIPAA Special Enrollment rules (see your Plan Document for information about HIPAA Special Enrollment)

*Plans sponsored by government entities or churches are not required to extend these deadlines. If you are covered by a government or church-sponsored plan, please call the member service number on your Plan Identification Card to find out if the deadline extension applies to your plan.

*Medical, dental, vision and Medical Care Reimbursement Account plans only

Benefits and coverage questions:
Contact the phone number listed on the back of your Member ID Card, or call:

800-532-7575
Monday through Friday, 8am to 5pm (ET)

 

COVID-19 -specific questions:
877-213-5225
Monday through Friday, 8am to 5pm (ET)

If you are not feeling well, please contact your primary care provider to discuss active symptoms.

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