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The State Health Plan (Plan) is encouraging members to stay informed, calm and prepared about the global coronavirus outbreak or COVID-19. The Plan is coordinating with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), its third-party administrator, as well as CVS Caremark and other vendors, to ensure that Plan members have full and timely access to services involving the detection and treatment of coronavirus.

Members on 70/30, 80/20 and High Deductible Health Plan

Medical Services
Blue Cross NC will be expanding and promoting access to virtual visits with Primary Care Providers, where this service is available.
Members who have concerns about whether they have been exposed to the virus are encouraged to contact their Primary Care Provider to determine if such services are offered and determine office visit protocols. Virtual visits are covered under the State Health Plan.

Blue Cross NC will also work to expedite prior approvals in order to support members needing care related to coronavirus; specifically, regarding hospitalization, post-acute care and medical equipment needed in the home.
If you have questions about these services, please contact Blue Cross NC at 888-234-2416.

Pharmacy Services
CVS Caremark does not see any disruptions to the supply chain that will affect their ability to fill prescriptions for Plan members, now and into the near future. Members are encouraged to refill maintenance medications in a timely manner.
Given the fluid nature of the coronavirus (COVID-19) outbreak, CVS Caremark will continue to monitor the situation and work with suppliers to address issues as they arise.

As of March 6, 2020, a State of Emergency has been declared in Pennsylvania, Maryland, Hawaii, California, Washington state and a State Public Health Emergency declared in Florida. CVS Caremark will approve one-time emergency refills of a 14-day supply of medication for affected members in these areas ONLY.

If you have questions, please call CVS Caremark at 888-321-3124.

Plan members are advised to follow the same precautions as the Centers for Disease Control and Prevention recommends:

  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Wash your hands often with soap and water for at least 20 seconds.

Members who have concerns about whether they have been exposed to the virus are encouraged to contact their Primary Care Provider. If your provider thinks you might have COVID-19, they will contact the CDC who will decide if you need a test.

At this time, guidelines and testing for COVID-19 can only be conducted through the CDC and select public health laboratories.
The Plan continues to monitor the ongoing developments around this virus. If other precautions or actions are warranted, additional information will be communicated to Plan members via email and posted on the Plan’s website.

For more details and updates, visit the Centers for Disease Control and Prevention (CDC) website.

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