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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.

Chair Yoga – Thursday, June 3, 2021, from 1:00pm to 1:30pm (ET)
Chair yoga is a gentle form of yoga that is beneficial for all ages and abilities. It can be done sitting in any type of chair and/or uses a chair to support and help modify poses. It can be a useful tool while sitting at a desk all day or for those with limited mobility to stretch and strengthen muscles. During the four-week series, a yoga instructor will guide you through 30 minutes of poses to increase flexibility and strength and promote good posture.

Chair Yoga – Thursday, June 10, 2021, from 1:00pm to 1:30pm (ET)

Chair Yoga – Thursday, June 17, 2021, from 1:00pm to 1:30pm (ET)

Chair Yoga – Thursday, June 24, 2021, from 1:00pm to 1:30pm (ET)

RAQ YOUR CARDIO BARRE! – Thursday, July 8, 2021, from 1:00pm to 1:30pm (ET)
Power up your barre burn with a cardio barre full body flow! This method seamlessly layers hip and torso fundamentals with each layered progression. Body weight only, or optional light weights help increase your intensity.

RAQ YOUR TABATA! – Thursday, July 15, 2021, from 1:00pm to 1:30pm (ET)
This is a perfect method to keep fit anytime, anywhere! Power up your workout with barre interval training with a mix of cardio and muscle. Body weight only or add optional fit props: light- or medium-intensity weights, sponge fit ball and band for extra chisel.

RAQ THE BARRE®, by RAQISA® – Thursday, July 22, 2021, from 1:00pm to 1:30pm (ET)
Classic RAQ THE BARRE® session mixing cardio core barre, mat work and a simple, fun cool down featuring a miniature “hip-happy” dance combo.

RAQ WITH STRENGTH & GRACE! – Thursday, July 29, 2021, from 1:00pm to 1:30pm (ET)
This week will focus on boosting your barre burn with minute progressions, with layered joint articulations as a graceful release, and a mat series. Add ball and band for extra chisel.

» 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.

Adventurous Fruits and Veggies – Wednesday, June 2, 2021, from 1:00pm to 1:30pm (ET) 
The best way to get all of the vitamins and nutrients you need is to eat a variety of colorful fruits and vegetables. But, did you know that many shoppers buy the same five or six produce items each week, even though the produce department offers some of the best variety in the grocery store? Does this sound like you? In this program, we will introduce you to a variety of lesser known fruits and vegetables to spice up your meals.

Fun With Yogurt – Wednesday, June 9, 2021, from 1:00pm to 1:30pm (ET) 
Learn ways to use yogurt in ways you may not have thought of. Have you tried yogurt bark? Or how about a 2-ingredient pizza dough (that can even be made gluten free)?

How to Build a Perfect Picnic Basket – Wednesday, June 16, 2021, from 1:00pm to 1:30pm (ET)
The warm and sunny days are finally here, and it’s time to spend some time outside! Whether at the beach or the park, we’ll be making some easily portable recipes to help you build a beautiful and delicious picnic to bring along on your next adventure.

Snack Boards – Wednesday, June 23, 2021, from 1:00pm to 1:30pm (ET)
Snacking doesn’t need to spoil your dinner, it can be your dinner. Snack boards are all the rage and can be enjoyed for appetizers, dinner, dessert, movie-nights, and more. Learn tips and tricks for creating appealing, satisfying and delicious snack boards.

Fun in the Sun: Ideas for Kids – Wednesday, June 30, 2021, from 1:00pm to 1:30pm (ET) 
Summer is finally here, and while most days fly by, some days can very be long. In this webinar, we’ll talk about several fun ideas for kids and the whole family, such as a scavenger hunt, outdoor activities, as well as some easy snacks and summer treats kids can make themselves. Leave with some inspiration for a very fun summer!

Beat the Heat With Hydration – Wednesday, July 7, 2021, from 1:00pm to 1:30pm (ET) 
Staying hydrated is critical for a healthy body and brain, but drinking water throughout the day can be a challenge. Learn how hydration affects your health and ways to stay hydrated by spicing up your water and eating hydrating foods.

Staying Safe While in the Sun – Wednesday, July 14, 2021, from 1:00pm to 1:30pm (ET)
Sun safety is the practice of taking simple steps to reduce overexposure to UV rays while still enjoying the outdoors. Everyone can practice sun safety. This webinar reviews seven sun-safe solutions to help prevent skin cancer.

Healthy Cookouts – Wednesday, July 21, 2021, from 1:00pm to 1:30pm (ET)
No better time than now to fire up the grill for a cookout! In this food demo, you’ll learn some tips to make your grilling healthier, as well as how to prepare some delicious side dishes!

Summer Food Safety – Wednesday, July 28, 2021, from 1:00pm to 1:30pm (ET)
Summer promises sunshine, heat and gatherings with family and friends. It can also mean an increased risk of food poisoning, as warmer temperatures cause foodborne pathogens to thrive. Learn how you can keep your summer safe and free from foodborne illness.

» 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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