COVID-19 resources

Stay safe, stay informed

We’re here for you as we continue to work through the COVID-19 pandemic together. When it comes to your care and the health and well-being of our communities, Capital Blue Cross can be counted on—like we have been for more than 80 years.

Here's how we’re helping:

COVID-19 vaccines and boosters

  • Safety measures like COVID-19 vaccines are making a difference in the fight against the pandemic. People who get a vaccine are at lower risk of serious illness and hospitalization.
  • Three COVID-19 vaccine types are now available nationally from Pfizer-BioNTech, Moderna, and Johnson & Johnson. Please check our COVID-19 vaccine FAQ for up-to-date information.
  • We’re covering the COVID-19 vaccine from each manufacturer at no cost to members. Vaccines are available for adults and for children ages five and up. If you haven’t received your shot yet, consider getting it — to protect yourself and your loved ones as the virus continues to circulate.
  • Find out the benefits of getting a vaccine from the Centers for Disease Control and Prevention (CDC). Use this map to find COVID-19 vaccines near you.

Temporary coverage changes

  • Diagnostic tests

    During the national Public Health Emergency (PHE), currently scheduled to end January 16, 2022, declared by the U.S. Secretary of Health and Human Services, Capital Blue Cross health plans will cover the cost of a COVID-19 diagnostic test without applying member cost share (such as deductibles, copays, and coinsurance) if performed as a result of an individualized clinical assessment, such as a test ordered by a provider or when a provider refers you for a test. We recommend you use MyCare Finder to find an in-network provider that accepts your plan’s benefits. Please keep in mind that member cost share might apply after the end of the PHE.

    We will not cover the cost of tests performed for public health surveillance or employment purposes. Weekly tests required as a condition of employment are not a covered benefit and will not be paid by us.

  • Provider visits

    In accordance with statutory guidance, we are waiving the member costs of the provider visit that results in a COVID-19 test, whether in an office, emergency room, telehealth, or urgent care center during the PHE, currently scheduled to end January 16, 2022. That means you are not responsible for paying the copay, coinsurance, or deductible for this specific visit while the federal public health emergency is in effect.

  • Claims and appeals

    In many cases, members have extra time to file a claim or an appeal during the PHE. If you are a member who gets your insurance through your employer or through an individual/family policy, a new temporary rule gives you extra time to file claims and appeals while the COVID-19 related PHE remains in effect. For example, most members have up to 180 days to file an appeal from the date of an adverse benefit decision, such as a claim denial. The temporary rule currently gives you up to one additional year to file an appeal, so you have the normal 180 days plus one additional year. However, please keep in mind that the temporary rule will end 60 days after the PHE ends, and our normal deadlines will go back into effect at that time. If your insurance is from a state or local governmental plan, you may not be eligible for extra time since the new temporary rule does not apply to those plans.

    Under most circumstances and unless deemed medically necessary by a healthcare provider, testing for employment purposes is not covered.

    For an out-of-network visit to a doctor for a COVID-19 screening, or lab testing as a result of the screening appointment, keep in mind that Capital Blue Cross does not have a contract with out-of-network providers. That means we cannot limit their ability to charge you for amounts beyond what Capital Blue Cross pays the provider. The provider may bill you to collect the difference, which is known as balance billing.

  • Provider visits

    In accordance with statutory guidance, we’re waiving the member costs of the provider visit that results in a COVID-19 test, whether in an office, emergency room, telehealth, or urgent care center during the PHE, currently scheduled to end January 16, 2022. That means you are not responsible for paying the copay, coinsurance, or deductible for this specific visit while the federal public health emergency is in effect.

  • Claims and appeals

    In many cases, members have extra time to file a claim or an appeal during the PHE. If you are a member who gets your insurance through your employer or through an individual/family policy, a new temporary rule gives you extra time to file claims and appeals while the COVID-19 related PHE remains in effect. For example, most members have up to 180 days to file an appeal from the date of an adverse benefit decision, such as a claim denial. The temporary rule currently gives you up to one additional year to file an appeal, so you have the normal 180 days plus one additional year. However, please keep in mind that the temporary rule will end 60 days after the PHE ends, and our normal deadlines will go back into effect at that time. If your insurance is from a state or local governmental plan, you may not be eligible for extra time since the new temporary rule does not apply to those plans.

Telehealth and teledentistry

  • Telehealth

    Members may use telehealth to connect remotely by video with in-network providers for services covered under their health plan. Members may also connect with providers by phone, and we temporarily expanded the types of providers whose services are covered through telehealth.

  • Virtual Care

    For members with our Virtual Care benefit, we are waiving member fees through December 31, 2021 for medical, psychiatry, and counseling visits using our Virtual Care app. That means you are not responsible for paying a copay, coinsurance, or deductible for a Virtual Care visit through December 31, 2021. This waiver may not apply to some members covered by self-insured employer groups.

    To check on your coverage, call the Member Services number on the back of your member ID card (TTY:711) for assistance.

  • Teledentistry

    For members with Capital Blue Cross Dental, we are waiving member fees for certain in-network teledentistry consultations through December 31, 2021. That means you are not responsible for paying a copay, coinsurance, or deductible for a teledentistry visit. During this time, we are waiving frequency limits for these evaluations, and visits will not count toward your annual visit amount. Members may call their dentist to see if they provide teledentistry and if their visit is eligible.

Resources for employers

  • We’re helping businesses keep employees safe with our employer toolkit on COVID-19 safety.

Need health coverage?

  • We can help find coverage. Call 855.505.2583 (TTY: 711) to speak to one of our licensed agents about your options.

How to stay safe

The best way to stay safe and healthy is to get a COVID-19 vaccine.

Here are measures recommended by the CDC.

Wash your hands often with soap and water for at least 20 seconds, even if they look clean.

  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.
  • Avoid touching your eyes, nose, and mouth.

Stay six feet away from others

  • Inside your home: Avoid close contact with people who are sick.
  • Outside your home: Put six feet of distance between yourself and people who don’t live in your household.
  • Avoid crowds and poorly ventilated spaces.

Cover your mouth and nose with a cloth face cover or mask when around others.

According to the CDC, those who are not fully vaccinated and aged 2 or older should wear a mask in indoor public places. If you are fully vaccinated and live in an area of substantial or high transmission or you have a weakened immune system, consider wearing a mask to protect yourself and others.

This video from Dr. Jennifer Chambers, our chief medical officer, shows the best way to put on your mask and how to care for it after use.

Clean and disinfect.

  • Clean high-touch surfaces daily.
  • If someone is sick or has tested positive for COVID-19, disinfect frequently-touched surfaces.

Monitor your health.

  • Watch for symptoms such as fever, cough, shortness of breath.

Provider information

  • Thank you for your tireless, selfless effort to care for us, our members, our loved ones, and our communities. We know you are tired. We thank you for fighting on. Access our Provider portal for the most up-to-date information on COVID-19 provider information.