March 13, 2020
At Wellmark Blue Cross and Blue Shield, our top priority is to ensure the health and well-being of you, our member. As with many of you, we have been monitoring coronavirus (COVID-19). It’s our priority to ensure you have access to the right care at the right time.
Therefore, Wellmark is taking the following steps to help our members. Please know the updates listed below are specific to your health plan and may not apply to other Wellmark plans.
- Waiving prior authorization processes. Wellmark will waive prior authorization processes for covered services related to COVID-19 to ensure patients receive the right care at the right time and location.
- Covering diagnostic tests for COVID-19. Members will have no cost-share for appropriate testing to establish the diagnosis of COVID-19.
- Increasing access to prescription medications. Wellmark prescription drug benefit plans allow for early refill (up to 30 days of medication). We encourage the use of your 90-day retail and mail order benefits for maintenance drugs. We also will ensure formulary flexibility if there are medication shortages or other access issues. Members will not be liable for any additional charges if they receive a non-formulary medication as a result of a shortage of their current medication.
- Offering virtual health care visits and 24/7 help. We encourage our members to take advantage of virtual visits — a covered benefit for most Wellmark members when they use an in-network health care provider or Doctor On Demand®— to avoid the spread of germs. Members also have access to Wellmark’s BeWell 24/7SM service that connects them to real people who can help with a variety of health-related concerns 24/7.
If you have concerns about whether or not you or a family member is at high risk for getting sick, please visit the Centers for Disease Control and Prevention’s (CDC) page on Higher Risk & Special Populations.
We are encouraging our members and employees to use the CDC’s guidelines on staying healthy. Here are their tips for keeping your work, home and schools safe.
The most up-to-date information
Your health is important to us. We will continue to keep close watch on COVID-19 using the World Health Organization (WHO), the CDC, Iowa Department of Public Health (IDPH), and South Dakota Health Department as our official sources of information. For the latest U.S. impacts of COVID-19, please see the data reported by the CDC.
To learn more about Wellmark’s response to coronavirus, please visit Wellmark.com/coronavirus.