Coronavirus (COVID-19)

People lined up along a white wall standing socially distanced from each other.

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.

COVID-19 vaccine information

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.

COVID-19 testing

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.

Testing for a current infection

We are doing our part to ensure members have access to the testing they need.

Provider ordered testing

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.

Over-the-counter testing

Learn more about over-the-counter testing.

Testing for a past infection

When a provider orders COVID-19 antibody testing, member cost sharing is waived.

COVID-19 treatment

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.

Information on antiviral therapies may be found on the CDC website.

What to do when you have symptoms of COVID-19

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.

Sick woman sitting on sofa doing a virtual doctor visit on laptop

Prevea Virtual Care

If you think you have been exposed to COVID-19 or develop symptoms associated with coronavirus, such as coughing or difficulty breathing, you can initiate a Virtual Care visit. A provider will help determine your next steps.
Male nurse on a telemedicine call with patient

Care after hours

Care after hours, a free service for Prevea360 Health Plan members, is available 24 hours a day, 365 days a year.

To speak with a registered nurse at anytime, call 888-277-3832 or 920-496-4700

Expanded telehealth 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.