As a community health plan, we're working to limit the spread of this virus and promote access to vaccinations, screening, testing and medically necessary treatment.
Prevea360 Health Plan strongly encourages all eligible individuals to receive a COVID-19 vaccine and booster.
Our health plan covers FDA-approved COVID-19 vaccine(s) (SARS CoV-2) with no member cost-sharing, consistent with the requirements set forth by the CARES Act. If you are interested in receiving a vaccine or booster, there are several options available to you including, health care providers, pharmacies, federal and community-based vaccine clinics, local and tribal health departments, etc.
For more information on where to find a COVID-19 vaccine or booster near you, please visit Prevea Health's vaccine scheduling website or vaccines.gov.
For more information on COVID-19 vaccine eligibility, please visit the CDC’s COVID-19 vaccine website.
Every home in the U.S. is eligible to order two sets of four free at-home COVID-19 tests through the federal government at covidtests.gov.
We are doing our part to ensure members have access to the testing they need.
Medically appropriate provider ordered tests for members with known or suspected symptoms, a known or suspected exposure, or those entering a medical facility for services (e.g., pre-operative testing) are provided at no cost to members during the public health emergency.
Tests purchased to fulfill employer directed testing requirements are not eligible for reimbursement.
Learn more about over-the-counter testing.
When a provider orders COVID-19 antibody testing, member cost sharing is waived.
During the public health emergency, when a provider orders FDA-approved monoclonal antibody treatment (consistent with their respective emergency use authorization (EUA)), member cost sharing is waived for Medicare members. For our commercial members, this treatment is covered with no member cost through October 31, 2022. Some self-funded employers may not include antibody treatment coverage.
Information on antiviral therapies may be found on the CDC website.
The U.S. Centers for Disease Control and Prevention offers guidance on symptoms and when to contact your medical provider.
If you're experiencing symptoms, testing may be recommended. You can initiate a Prevea Virtual Care visit to receive care for common conditions, including COVID-19. For additional information about COVID-19, including scheduling a test, please visit Prevea Health’s COVID-19 webpage.
If you are not experiencing symptoms but are concerned about a potential exposure, you should seek free testing through the nearest community testing site. Locations can be found through the Wisconsin Department of Health Services.
Prevea360 Health Plan is currently expanding its coverage of telehealth services. This allows additional methods of health care access for members such as Skype, FaceTime or Zoom.
Members should contact their provider to determine if the services they need may be provided through a telehealth option. Standard member cost sharing applies for telehealth visits not related to COVID-19 screening or testing.
These services are available to our Network (HMO), Marketplace (healthcare.gov) HMO, POS, PPO (group only) and Medicare Advantage members.
Expanded telehealth services for our Administrative Services Only (ASO) Network members will be available to employer groups at their discretion.