News

Extended Coverage during the COVID-19 Crisis

Coronavirus Disease 2019 (COVID-19): We are here to support our members in getting the care they need.

Diagnostic TestingOffice Visits | Telehealth/Virtual Visits | TeleMental/Virtual Visits | Prescription Benefits

The NALC HEALTH BENEFIT PLAN is here to support our members in getting the care they need.

As a result of the rapidly evolving COVID-19 pandemic, the Plan has made it a priority to remove any barriers that would prevent our members from getting the necessary testing.

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Diagnostic Testing for COVID-19

We will now cover physician ordered diagnostic testing at 100% for patients that meet the CDC guidelines for COVID-19.  We will also cover the associated office visit at 100% if tested on that day.

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Office Visits for COVID-19

High Option members:  If you use a PPO provider, your office visit copayment will be waived.  If you use a non-PPO provider, we will pay 100% of the Plan’s allowance for the office visit.

CDHP/VO Members:  If you use a PPO provider, your office visit coinsurance of 20% will be waived.  If you use a non-PPO provider, we will pay 100% of the Plan’s allowance for the office visit.

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Telehealth/Virtual Visits

In addition to the virtual doctor visits available through NALCHBP Telehealth, the Plan will now cover medically necessary online Telehealth Office Visits.  This will be effective March 1, 2020 until further notice.

High Option Members:

CDHP/VO Members:

To locate a provider in the telehealth network, contact the following:

NALCHBP Telehealth (medical) High Option Members visit www.nalchbptelehealth.org or call 888-541-7706

Telehealth (medical CDHP/Value Option Members visit www.MDLIVEforCigna.com or call 888-726-3171

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TeleMental/Virtual Visits

To ensure that our health plan members affected by COVID-19 have the mental health support and resources they need, you can access TeleMental or Virtual visits rendered by providers such as psychiatrists, psychologists or clinical social workers.

High Option Members:

CDHP/VO Members:

To locate a provider in theTeleMental health network, contact the following:

TeleMental/Virtual Visits for High Option Members visit liveandworkwell.com (Access code 877-468- 1016) or call 877-468-1016

TeleMental/Virtual Visits for CDHP/Value Option Members visit MyCigna.com or call 855-511-1893

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Prescription Benefits

CVS Pharmacy is now offering the option of home delivery, where available, of all prescription medications at no charge.  We are also waiving early refill limits on 30-day prescriptions for maintenance medication prescriptions ahead of their normal fill schedule.  Please take advantage of our 90-day prescription benefit for maintenance medications and be sure to refill any eligible 90-day maintenance medications to be sure that you stay adherent during this pandemic.

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As long as COVID-19 continues to pose a threat, the Plan will maintain focus on how to best serve our members.

For the latest information about COVID-19 from the CDC visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.


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