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CORONAVIRUS RESOURCE CENTER
The COVID-19 public health emergency expired on May 11, 2023.
Effective May 12:
- COVID-19 tests will be covered only when ordered by a provider. At-home tests will no longer be covered.* See details.
- COVID-19 vaccines will be covered at no cost to members when administered by in-network clinicians and pharmacies. Medicare Advantage and Medex® members will have coverage both in and out of network.
- Most COVID-19 treatments and services, including Paxlovid, will be covered at no cost to members.* See details.
*Coverage varies by plan; some employers may elect different coverage. For details on your plan coverage, call Member Service at the number on your ID card. Medicare members, consult your subscriber agreement or Evidence of Coverage for details.
COVID-19 Quick Access
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vaccines & Boosters: what you need to know
Find outwhere to get vaccinated, and why it's safe.
Which COVID-19 vaccines are available?
Vaccines made by Pfizer/BioNTech, Johnson & Johnson,Modernaand Novavax are available in the US.
Some vaccines are not available or not recommended for specific groups. See CDC for details.
What it costs, what’s covered
Blue Cross members are covered for the COVID-19 vaccination. We’ll cover any costs related to administration of vaccines, with no member cost share. Medicare Advantage and Medex®' members are covered with no cost share when vaccines are administered by any provider who accepts Medicare.
When and where can I get vaccinated?
All U.S. residents six months and older are now eligible for COVID-19 vaccination.
Those who live, work, or study in Massachusetts can register for a COVID-19 vaccine appointment at retail pharmacies, health care providers, or other community locations by visiting vaxfinder.mass.gov.Walk up appointments are also available at many locations.
For our out-of-state members, please visit your state's health department website for local distribution plans.
For more information, see our frequently asked questions.
Are the vaccines safe?
Yes, the vaccines are safe. The U.S. vaccine safety system works to make sure all vaccines are as safe and effective as possible. Learn more about how government health experts are ensuring COVID-19 vaccines are safe and effective by visiting the Centers for Disease Control. Visit the CDC
Are the vaccines safe for those who are pregnant, breastfeeding, or want to get pregnant?
Yes, the COVID-19 Vaccine is recommended for those who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Pregnant and recently pregnant people are at an increased risk for severe illness from COVID-19 when compared with non-pregnant people.
If you have questions, talk to your doctor and visit the CDC website for more information.
Already vaccinated? Some things to know plus booster information.
Do I need a booster shot? Who is eligible?
All COVID-19 vaccines continue to be highly effective in reducing risk of severe disease, hospitalization, and death.
The CDC recommends a booster shot for individuals six months and older who have been fully vaccinated.For more information about boosters, visit the CDC.
We'll cover booster shots with no out-of-pocket cost to eligible members. Find out if you're eligible.
Where can I find/get a booster shot if I’m eligible?
Those who are eligible can register to receive a COVID-19 booster shot at retail pharmacies, health care providers, or other community locations by visiting vaxfinder.mass.govor calling 211.
What if I’m immunocompromised?
CDC recommends that people with moderately to severely compromised immune systems receive an additional dose of mRNA COVID-19 vaccine at least 28 days after a second dose of Pfizer-BioNTech COVID-19 vaccine or Moderna COVID-19 vaccine.
I’m vaccinated but have COVID symptoms, what should I do?
The CDC recommends that anyone with any signs or symptoms of COVID-19 get tested, regardless of vaccination status or prior infection. If you get tested because you have symptoms or were potentially exposed to the virus, you should stay away from others pending test results and follow the advice of your healthcare provider or a public health professional. Visit Mass.gov for more information.
Your guide to getting tested
- Diagnostic COVID-19 tests ordered by a provider are covered at no cost to members.*
- At-home over-the-counter (OTC) COVID-19 tests are not covered by medical or pharmacy benefits.**
Members can purchase at-home OTC tests using their Flexible Spending Account (FSA) and Health Savings Account (HSA).
You can order free at-home COVID-19 tests from the federal government and may be able to get free tests through community programs.
They will not be covered by the Centers for Medicare & Medicaid Services for Medicare members with Part B. However, certain Medicare Advantage members can use their OTC quarterly allowance on at-home tests.
Learn more
*If an employer opted out of covering these benefits, this may not apply.
**If your employer opted out of covering OTC COVID-19 tests, this may not apply. Also please note, if your employer elects to continue this coverage, you may still be eligible to receive these benefits. If you have questions, call Member Service at the number on your ID card, or visit our at-home COVID-19 test coverage page.
First, talk to your doctor or health care provider. They can guide you to the best place to go. If you want to find a testing site on your own, your state’s health department website should provide details.
COVID-19 Helpline
For any questions or concerns related to COVID-19, call our dedicated member COVID-19 Helpline.
CALL: 1-888-372-1970
We’ve enhanced your benefits during the pandemic
Here’s how to access your medical, mental health, and dental care with as few barriers as possible.
Your Covid-19 Coverage
COVID-19 diagnostic testing is covered
We're covering the full cost of FDA-approved COVID-19 diagnostic testing with no cost sharing*, as long as the test is ordered by a health care provider and meets CDC guidelines.
Medicare members, please refer to Medicare coverage details below.
*If your employer opted out of covering these benefits, this may not apply.
Out-of-network COVID-19 care is covered
We’re removing member cost share (copayments, co-insurance, and deductibles) for COVID-19-related care at both in- and out-of-network acute care facilities for our fully insured members.
To access vital information and updatessign in to MyBlue or create an account.
Note: Self-insured accounts make their own plan cost-share decisions and may have chosen not to waive cost share. If you have any questions about your plan, call Member Service at the number on your ID card.
Medicare COVID-19 coverage
Here’s how we’re enhancing Medicare benefits.
- Testing for COVID-19 is covered
Medicare Part B (medical insurance) covers testing for COVID-19, with no cost share when your doctor or other health care provider orders it, if you were tested on or after Feb. 4, 2020. - COVID-19 out-of-pocket costs are waived
For members in our Medicare Advantage HMO Blue and PPO Blue, Managed Blue for Seniors, and Medex plans, we’ve waived the cost share related to medically necessary coronavirus testing, counseling, vaccinations, and treatment at doctor’s offices, ERs, and urgent care centers, in accordance with CDC and Massachusetts DPH guidelines. - COVID-19 tests ordered by your physician as part of a clinical assessment are covered with no cost share.
Simply arrange for your care as usual, and your claims will be processed to reflect this coverage.
We’re waiving costs
Out-of-pocket COVID-19 costs are waived
We’re removing copayments, co-insurance, or deductibles for all medically necessary COVID-19-related care.
Any medically necessary treatment for COVID-19 is covered under a member's health plan within the United States or internationally.
We’re also removing member cost share (copayments, co-insurance, and deductibles) for COVID-19-related inpatient care at both in- and out-of-network acute care facilities for our fully insured members.
Simply arrange for your care as always, and your claims will be processed to reflect these waived costs.
Note: Self-insured accounts design/customize their plans and benefits andmay require inpatient cost share. If you have any questions about your plan, call Member Service at the number on your ID card.
We're making it easier to access care
Minimized administrative barriers
We’ve removed administrative barriers, including most instances of prior authorizations and referrals, for medically appropriate care for COVID-19. We still require providers to notify us when a member is admitted to the hospital.
Health financial accounts can now be used for over-the-counter products
The CARES Act passed by Congress includes a provision that allows members to use financial account funds to pay for over-the-counter (OTC) medications, without a prescription, as well as menstrual care products.
Claims must be for purchases made on or after January 1, 2020.
Merchants and financial account administrators are working to allow for payment for these products at the point-of-sale.
In the meantime, members can manually submit claims to their financial account administrator for reimbursem*nt.
Important note: Plans vary by employer, and these changes don't necessarily change the benefits available under an employer's plan. Members should review plan documents carefully or consult their employers for information about their companies’ benefits.
I'm traveling internationally. Am I covered?
Our members are covered for emergency medical care while traveling internationally. If someone were to be hospitalized while traveling, costs would be covered according to the terms of your plan.
You can purchase additional health insurance designed for travelers from any number of companies. Blue Cross offers health insurance for travelers that provides extended coverage, called GeoBlue®. You can learn more atgeobluetravelinsurance.com/bcbsma,or by calling1-855-481-6647.
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MORE RESOURCES AND ANSWERS
Here are additional resources everyone can use.
COVID-19 Symptom Checker
This easy guide will help you make decisions and seek medical care, if necessary.
Centers for Disease Control
Get the latest updates on the virus and what you can do to minimize exposure and spread.
MA Department of Public Health
See how Massachusetts is coordinating response, and how we can all do our part.
Need-to-know info
Your 411 on everything COVID-19, from trending topics to timely tips.