Your Health Insurance and COVID-19
University of Utah Health Plans is always concerned about the health and well-being of our members. Our hearts go out to all people in the US and worldwide who are suffering directly from COVID-19 or indirectly by the measures that have been taken to contain its spread.
The following is a list of benefits that have temporarily been updated in order to support our community. If you have any questions about these updated benefits please call the customer service phone number listed on your health insurance ID card. If you believe you are having symptoms, or you have questions about your health, please call your physician or the following hotline:
Coronavirus Hotline: 801-587-0712 or Toll Free 844-745-9325.
You can get at home COVID-19 tests directly from the federal government. These tests will be delivered directly to your house at no cost to you. For more information and to order your tests visit: https://www.covidtests.gov/.
Self-testing is one of several risk-reduction strategies to reduce the chances of COVID-19 transmission. They may be used regardless of vaccination or symptom status.
Advantage U Members
The following list of Medicare benefits have been updated in response to COVID-19 and will be extended through May 11, 2023.
| Benefit Description | Coverage |
|---|---|
| Vaccination | Covered 100% |
| Booster (when available) | Covered 100% |
| Home-Based testing when ordered by a physician (frequency limit: 1 test every 6 months) | Covered 100% |
| Serology (Antibody) testing ordered by a physician | Covered 100% |
| In-person office visits, urgent care and emergency room related to COVID-19 | Covered at the current benefit level |
| Testing related to COVID-19 ordered by a physician (no limit on the number of tests) | Covered 100% at an in-network provider and a out-of-network provider |
| Treatment related to COVID-19 | Covered at the current benefit level |
Healthy U Members
The following list of Medicaid benefits have been updated in response to COVID-19 and will be extended through May 11, 2023.
| Benefit Description | Coverage |
|---|---|
| Vaccination | Covered 100% |
| Booster (when available) | Covered 100% |
| Serology (Antibody) testing ordered by a physician | Covered 100% |
| In-person office visits, urgent care and emergency room related to COVID-19 | Covered at the current benefit level |
| Testing related to COVID-19 ordered by a physician (no limit on the number of tests) | Covered 100% at an in-network provider |
| At-Home Over-the-Counter FDA-approved COVID-19 Tests must be ordered by a physician, with a prescription (limited to 8 per month). To be eligible for coverage, these must be processed through an in-network pharmacy under the plan. For a list of FDA-approved OTC COVID-19 tests, call pharmacy customer service at 855-856-5694. | Covered 100% at an in-network pharmacy |
| For more information, see our FAQs. | |
| Treatment related to COVID-19 | Covered at the current benefit level |
| Telehealth visits with your doctor (audio or video) related to COVID-19 | Covered at the current benefit level |
Individual & Family Marketplace Members
The following list of benefits have been updated in response to COVID-19 and will be extended through May 11, 2023.
| Benefit Description | Coverage |
|---|---|
| Vaccination | Covered 100% |
| Booster (when available) | Covered 100% |
| Serology (Antibody) testing ordered by a physician | Covered 100% |
| At-Home Over-the-Counter FDA-approved COVID-19 Tests (up to 8 tests per member per month). You do not need a prescription. To obtain at NO COST, click here to order online and have mailed to you or use your insurance card at an in-network pharmacy counter to obtain an approved test through the plan. If you use an out-of-network pharmacy or order online outside of the plan, your maximum reimbursement will be $12. For a list of FDA-approved OTC COVID-19 tests or for help to get reimbursed for a test, call pharmacy customer service at 855-869-4769. Click here for a lists of network pharmacies. | Covered 100% if purchased on January 15, 2022 or later |
| For more information, see the CMS FAQs. | |
| In-person office visits, urgent care and emergency room visits related to COVID-19 | Covered 100% at an in-network provider |
| Testing related to COVID-19 ordered by a physician (no limit on the number of tests) | Covered 100% at an in-network provider |
| Treatment related to COVID-19 | Covered at the current benefit level |
| Telehealth visits with your doctor (audio or video) related to COVID-19 | Covered 100% at an in-network provider |
| Telehealth medical visits through MDLive (COVID-19 related or non-COVID-19 related) | Covered 100% |
| All telehealth behavioral health visits through MDLive (COVID-19 related or non-COVID-19 related) | Covered at the current benefit level |
Employer Group Members
The following list of benefits have been updated in response to COVID-19 and will be extended through May 11, 2023 and applies to individuals whose employers sponsor their insurance.
| Benefit Description | Coverage |
|---|---|
| Vaccination | Covered 100% |
| Booster (when available) | Covered 100% |
| Serology (Antibody) testing ordered by a physician | Covered 100% |
| At-Home Over-the-Counter FDA-approved COVID-19 Tests (up to 8 tests per member per month). You do not need a prescription. To obtain at NO COST, click here to order online and have mailed to you or use your insurance card at an in-network pharmacy counter to obtain an approved test through the plan. If you use an out-of-network pharmacy or order online outside of the plan, your maximum reimbursement will be $12. For a list of FDA-approved OTC COVID-19 tests or for help to get reimbursed for a test, call pharmacy customer service at 855-869-4769. Click here for a lists of network pharmacies. | Covered 100% if purchased on January 15, 2022 or later |
| For more information, see the CMS FAQs. | |
| In-person office visits, urgent care and emergency room related to COVID-19 | Covered 100% at an in-network provider |
| Testing related to COVID-19 ordered by a physician (no limit on the number of tests) | Covered 100% at an in-network provider |
| Treatment related to COVID-19 | Covered at the current benefit level |
| Telehealth visits with your doctor (audio or video) related to COVID-19 | Covered 100% at an in-network provider |
| Telehealth medical visits through MDLive (COVID-19 related or non-COVID-19 related) | Covered 100%
Check your ID card for the Telehealth vendor that your employer has selected. |
Telehealth Partners
If you want to access providers through Telehealth, your insurance ID card will tell you which of our Telehealth partners your plan participates with.
MDLive
1-844-475-2050
Medical and Behavioral Health Care
Available Nationwide
24 hours, 7 days a week
Download the app or
visit mdlive.com/uhealthplans.
COVID-19 Alerts
Fraud Alert– The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes related to the COVID-19, commonly referred to as coronavirus.
Fraudsters are offering COVID-19 tests in exchange for personal details, and are targeting members in a number of ways, including telemarketing calls, social media platforms, and door-to-door visits. The personal information the fraudsters collect may be used to fraudulently bill health plans or commit medical identity theft. The following ways have been recommended for members to protect themselves from fraud:
- Beneficiaries should be cautious of unsolicited requests for their Medicare, Medicaid, or insurance numbers.
- Be suspicious of any unexpected calls or visitors offering COVID-19 tests or supplies. If your personal information is compromised, it may be used in other fraud schemes.
- Ignore offers or advertisements for COVID-19 testing or treatments on social media sites.
- A physician or other trusted healthcare provider should assess your condition and approve any requests for COVID-19 testing.
If you think you are a victim of a scam or attempted fraud involving COVID-19, you can report it by calling a University of Utah Health Plans Customer Service Advocate at:
- Healthy U Medicaid: (801) 213-4104 or 833-981-0212
- Employer Groups: (801) 213-4008 or 833-981-0213
- Individual and Family Plans: (801) 213-4111 or 833-981-0214
COVID-19 Vaccine & Treatment Information
WHO CAN GET VACCINATED? All Utahns ages 16 and older can get the vaccine. Stay updated on Utah's Vaccine Distribution.
WHERE DO I GET VACCINATED? When you become eligible, you can get your COVID-19 vaccine at your local health department. Call or visit your county’s health department website to schedule a vaccination appointment.
QUESTIONS ABOUT THE VACCINE? Information about side effects, vaccine safety, and how the COVID-19 vaccine works is available at the Utah Department of Health Coronavirus or The CDC's website. If you prefer to talk on the phone you can also call the COVID-19 info line at 1-800-456-7707.
COVID-19 TREATMENTS AVAILABLE FOR HIGH-RISK INDIVIDUALS Three treatments are currently available to help prevent the development of severe symptoms in people who are at high risk for being hospitalized or dying from COVID-19.
