COVID-19 Updates

COVID-19 Resource Center

We’re here to help. As the situation with COVID-19 changes, we’ll continue to keep you updated on how to access the care, resources and support you need during this time.

Find information about Health Plan of Nevada’s benefit coverage related to COVID-19 testing, testing-related visits and treatment below. If you have questions about your benefits, call the number on your health plan ID card or sign in to the online member center.

With our online symptom checker, you can assess your risk for COVID-19 and get treatment options. You can also call our 24/7 advice nurse at 1-800-288-2264, TTY: 711.

Find a diagnostic testing center. If your provider ordered a COVID-19 diagnostic test for you, use our locator to find a testing center.

As we continue to look at ways to support our members, we are posting updates to our COVID-19 response here. Please check this page often. Many of the below are time-limited, temporary benefits during the COVID-19 pandemic.

Latest updates on COVID-19. Subject to change.

UPDATES

• COVID-19 vaccines: Get information about COVID-19 vaccines and your coverage.
• Assess your risk for COVID-19 using this online symptom checker.
• COVID-19 testing: Testing is important to slowing the spread of COVID-19. We encourage you – our members – and health care providers to use FDA-authorized tests. There are two types of COVID-19 tests:
• Diagnostic tests determine if you are currently infected with COVID-19.
• Antibody tests may determine if you might have been infected with the virus. According to the FDA, antibody tests should not be used to diagnose a current infection.

You will have $0 cost-share (copayment, coinsurance or deductible) on medically appropriate COVID-19 testing during the national public health emergency period, scheduled to end April 20, 2021. Medically appropriate testing is ordered by a physician or health care professional for the purposes of diagnosis or treatment. Tests must be FDA-authorized to be covered without cost-sharing. This coverage applies to in-network and out-of-network tests for Individual and Employer-sponsored health plans through the national public health emergency period.

Health Plan of Nevada benefits generally do not cover testing for employment, education, travel, public health or surveillance purposes, unless required by law. Benefits will be processed according to your health benefit plan.

• COVID-19 testing-related visits: You will have $0 cost-share (copay, coinsurance or deductible) for COVID-19 testing-related visits during the national public health emergency period, currently scheduled to end April 20, 2021, whether the testing-related visit is in-person or a telehealth visit. This coverage applies to in-network and out-of-network visits for Individual and Employer-sponsored health plans. Benefits will be reviewed in accordance with the member’s health plan.
• COVID-19 treatment: If you get sick with COVID-19, your health care provider may prescribe treatments. A summary of coverage is below.
• Individual and Employer-sponsored plans: For COVID-19 treatment, cost-sharing will be according to the member’s benefit plan. You will be responsible for any copay, coinsurance or deductible. Coverage for out-of-network services will be determined by your benefit plan.
• Outpatient monoclonal antibody treatment: The FDA has issued emergency use authorization for 2 monoclonal antibody treatments. According to the CDC, monoclonal antibody treatments may be recommended by your provider if you test positive for COVID-19, and are at risk to get very sick or to be admitted to the hospital. This treatment can help the body respond more effectively to the virus.

A summary of coverage for monoclonal antibody treatment is below.

• Individual and Employer-sponsored plans: For monoclonal antibody treatments, you will have $0 cost-share with network providers in outpatient settings through March 31, 2021. Other COVID-19 outpatient treatments will be according to your benefit plan.
• Telehealth visits: Health Plan of Nevada is committed to helping you get the care you need outside of the doctor’s office with telehealth visits.
• Cost-share for COVID-19 testing-related telehealth visits: For COVID-19 testing-related telehealth visits, you will have $0 cost-share with in-network and out-of-network providers through the national public health emergency period, currently scheduled to end April 20, 2021.
• Cost-share for COVID-19 treatment via telehealth visits: Coverage for in-network and out-of-network telehealth services related to COVID-19 treatment will be determined by your benefit plan. You will be responsible for any copay, coinsurance or deductible.
• Coverage for telehealth visits not related to COVID-19: Members may have telehealth visits from their home with their network providers. Coverage for in-network and out-of-network telehealth visits not related to COVID-19 will be determined by your benefit plan. You will be responsible for any copay, coinsurance or deductible.

• 24/7 advice nurse: Call 1-800-288-2264, TTY 711 for assistance in determining your best care option. You may be directed to have a virtual visit, urgent care visit or make an appointment with your primary care provider.
• Due to COVID-19 prevention efforts, visitors are currently not allowed at our 2716 and 2720 N. Tenaya offices and walk-in services have been suspended. If you have questions about your benefits or plan payments, please visit your health plan’s website or call the number on your health plan ID card.
• Our parent company UnitedHealthcare has a COVID-19 website to help members better understand available services and resources. Within the website there are links and services that may be different for Health Plan of Nevada (HPN) members. Please note:
• For telehealth, visit NowClinic.com or download the NowClinic app.
• The online member center is available by signing in on our plan website

Additional COVID-19 Information:

How to Protect Yourself and Others

Visit the Centers for Disease Control and Prevention for the latest information on COVID-19 and how to protect yourself and others.

Information on 24/7 virtual visits

Learn how to enroll in 24/7 virtual visits (now with same-day medication delivery in Las Vegas, North Las Vegas and Henderson)

 

 

The information is a summary and is subject to change.

State variations and regulations may apply during this time. Benefits will be otherwise reviewed in accordance with your health plan.