Coronavirus (COVID-19)
If you are concerned you may have COVID-19, call your doctor to discuss. Keep track of your symptoms and if you have an emergency warning sign (such as trouble breathing), get medical attention right away.
According to the CDC, as of March 2022, infection rates in the U.S. have declined. Immunity among the population is most likely the reason for declining numbers and there is no new variant (omicron makes up about 90% of cases). A welcomed trend as the U.S. now declared the end of the pandemic health emergency (PHE) on May 11, 2023. In California, most mandates under the current COVID-19 PHE continue to apply.
WHA members will continue to be covered at no cost share when they go to an in-network pharmacy or their PCP for COVID vaccines, testing, and therapeutics.
Vaccine and Booster Shots
- Everyone ages 6 months and older are eligible for the primary series of COVID-19 vaccine. Specific COVID-19 vaccine brands and doses have different ages, eligibility, and timing requirements (e.g. Moderna is a 2-dose series; Pfizer is a 3-dose series) so it's important to check with your doctor or pediatrician on what's right for you and your family. Children 3+ years of age can get a COVID vaccine (and flu shot) at no cost share at a network pharmacy.
- Vaccine and booster shots are widely available a WHA's network pharmacies. Your WHA health plan covers preventive vaccines, such as the COVID-19 vaccine at no added cost. If you had an initial COVID vaccine and you need booster information and recommendations by age, visit CDC's COVID-19 booster tool and talk with your doctor if you need more information on what's right for you.
WHA's network includes multiple medical groups (where you see your doctor) and they are good resources for vaccine information and are linked below:
WHA members may also check local retail pharmacies nearby to get a COVID-19 vaccine, such as CVS, but please note that it must be administered by the pharmacy staff to be covered by your WHA plan. Search our online provider directory for pharmacies near you. Retail network pharmacies include: CVS, Rite Aid, and Walgreens.
Note: vaccine or testing from the Minute Clinic is out of network and you may incur an out-of-pocket cost.
COVID-19 Medication
Medication is available through your doctor, WHA's network pharmacies, and health clinics. If you have COVID-19 symptoms and test positive, please contact your doctor immediately to determine if the medication is right for you. Do not wait to get treated as you may need to take an oral COVID-19 medication within 5-7 days of your first symptoms. If for some reason you are not able to access prescription medication, call WHA Member Services.
Note: CalPERS members should contact OptumRx at 855.505.8110 for pharmacy orders/refills.
At-home Test Kits
COVID-19 at-home diagnostics tests may still be available and you can order four free tests per household and get them sent directly to your home by visiting www.covidtests.gov. However, that may change based on availability.
Reimbursement: WHA members who purchased an FDA-approved COVID-19 diagnostic test on or after January 15, 2022, may submit a reimbursement request form, with a scanned receipt, for the cost paid up to $12 per diagnostic test. This is only available to active WHA members, per FDA EUA guidance, with a limit of eight (8) tests per calendar month. Members must save receipts and attest/sign that tests are for personal use (not employment purposes and not be resold). Reimbursement is only for FDA-approved, at-home test kits (see a full list here). A Claim Reimbursement webpage is available through WHA Pharmacy partner OptumRx at https://covidtest.optumrx.com/covid-test-reimbursement and will accept receipts dated on or after January 15, 2022. A printed claims form may also be submitted.
Note: CalPERS members should check details on the CalPERS webpage.
MyCare Medicare Advantage Members
Effective May 11, 2023, WHA MyCare Medicare Advantage members will continue to have coverage without cost sharing for laboratory-conducted COVID-19 tests when ordered by their PCP/clinical provider. However, access to free over-the-counter COVID-19 tests will end through Medicare.
WHA members may purchase COVID-19 Antigen self-tests through FirstLine Essentials, WHA’s over-the-counter (OTC) products benefit (at no cost when using their quarterly allowance). Each test kit contains 2 tests per box and costs $25 per box, which would be credited to your account. Go to ShopFirstLineBenefits.com for contact information or to download their app.
General Testing
WHA will cover the cost of the test to determine if you currently have COVID-19. If you believe you have been exposed and want to get tested, contact your doctor. WHA does not cover testing for a specific workplace testing program required by your employer. WHA continues to follow state and federal guidance on benefit coverage of COVID-19 by health plans, which clearly outlines that health plans are not required to pay for monitoring and screening required for employment purposes.
Looking for Health Coverage?
During this time, finding or keeping your health coverage is more important than ever. We are here to help you stay healthy and facilitate the care you need when you need it. Let us help you find the plan that's right for you.
Virtual Visits with Your Doctor
Many physicians, health professionals, clinics, and facilities also offer telehealth options. Get care without leaving the comfort of your home or your office. Learn more about the telehealth services available through our provider partners.
Urgent Care from Teladoc®
WHA members also have access to virtual urgent care with Teladoc. Connect with an urgent care healthcare professional for minor injuries and illnesses such as cold or flu, minor cuts or burns, muscle strains or sprains, upset stomach or skin rashes, without having to go to an urgent care facility.
*When receiving urgent care telehealth services through Teladoc, all services shall be provided consistent with existing appointment standards and access requirements. If your plan has out-of-area benefits, members can access services either via telehealth or on an in-person basis. Certain conditions apply. Review your plan documents for details on cost-sharing and balance billing protections.
Nurse Advice Available by Phone
You have 24/7 access to a nurse advice line staffed with registered nurses from Optum's NurseLine. You can speak directly with a nurse at 877.793.3655 or use the online chat feature.
Connect With Your Doctor
Your medical group may offer an online service to email your doctor, request prescription refills, schedule an appointment, view lab test results, or access your medical record.
Chat with or Send a Message to WHA Member Services
Have a question about your benefits or coverage? During business hours, you can chat online with a WHA member service representative. You can also send a secure message 24/7. Both are available by logging into your MyWHA account and visiting the website's Contact Us page below.
Printable Resources
Handouts and posters created by the Centers for Disease Control and Prevention (CDC):
- Personal Action Plan (for COVID-19)
- What to do if you are sick or caring for someone else
Frequently Asked Questions
What is the novel coronavirus?
The novel coronavirus is a new coronavirus never identified before now. Referred to as the coronavirus disease 2019 (COVID-19), it is very different than the common coronavirus seen in humans that cause the common cold and other mild illnesses. COVID-19 was identified first in Wuhan, China, and has spread globally.
How does COVID-19 spread?
COVID-19 virus is thought to spread mainly from person to person. Between people who are in close contact with one another (within about 6 feet), generally, when respiratory droplets are produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Learn more about what is known about the spread of COVID-19.
How can I help protect myself?
The best way to prevent infection is to avoid being exposed to the virus that causes COVID-19, and take these preventive measures:
- Get vaccinated and stay up to date on your COVID-19 vaccines and booster shots. Vaccines are widely available for everyone ages 6 months and up.
- Use a mask or face covering to protect yourself and prevent the spread of the virus to others.
- Remember to continue practicing these preventive measures, and stay safe.
- Stay home, especially if you are sick, except to get medical care. Learn what to do if you are sick. Leave only when necessary to restock essential supplies (food, medications, toilet paper, etc.)
- Maintain social distancing
- Avoid becoming in contact with those who are sick. Keep at least six (6) feet between you and those around you. This is especially important for people who are at higher risk of getting very sick.
- Wash hands frequently for at least 20 seconds
- Wash your hands often with soap and warm (preferred) water for at least 20 seconds, especially after you have been in a public place, or after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
- Avoid touching your eyes, nose, and mouth
- Cover coughs and sneezes
- Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow. Throw used tissues in the trash.
- Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
- Clean and disinfect
- Clean and disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
- If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.
Continue to monitor publicly available information, as well as that from your PCP, medical group, and WHA’s website on any public health issue/concern.
Resources
Learn about the latest updates at the California Department of Public Health.
Center for Disease Control and Prevention (CDC) - https://www.cdc.gov/vaccines/covid-19/index.html
Food and Drug Administration (FDA) - https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines
Did You Know: that hand sanitizers are regulated as over-the-counter (OTC, or nonprescription) drug? Hand sanitizers are a convenient alternative when handwashing with soap and water isn’t possible and help protect yourself and your family from diseases with simple hygiene. For more information, visit: Q&A for Consumers: Hand Sanitizers and COVID-19.
Last review date: April 14, 2023