Yes, the coronavirus test is covered by your Network Health plan, in accordance with the Families First Coronavirus Response Act.

You will pay $0 out-of-pocket to receive this test at in- and out-of-network facilities. 

You can contact your personal doctor, Wisconsin Department of Health Services at dhs.wisconsin.gov/outbreaks/index.htm, Ascension, Froedtert or visit the CDC’s website at cdc.gov/coronavirus/2019-ncov/index.html.

If you are feeling mildly ill, call your doctor before seeking medical treatment.

• He or she may be able to give you advice on how to treat your symptoms at home, which would reduce the number of people you expose.
• If you or someone you’re caring for is short of breath, minimally responsive, looks blue or ashen call 911.

Providers will prioritize who is tested. Here is some of the criteria that will be used.

• Patients with signs and symptoms of the coronavirus (such as fever, cough and difficulty breathing) and no other explanation for symptoms.
• High risk patients (individuals with underlying health conditions such as asthma, diabetes, cancer or heart disease, age = 65, residing in a long-term care facilities, etc.).
• Patients with known or suspected contact (direct contact with a known case of the coronavirus, travel history to a high-risk geographic area or healthcare worker with known exposure) within the past 14 days.

If your provider determines you need a test, they will work with you on what to do next. Typically, that means your doctor will collect a sample via swabbing the nose and throat before sending to a state-regulated lab.

Yes, all Network Health members can get a 90-day supply of their medications if the following conditions are met.

• The prescription order has sufficient refills remaining. If needed, ask the pharmacist to request additional refills from your prescriber.
• The requirements for taking these medications imposed by the medication prescriber are met.
• This applies to our entire pharmacy network, including states outside Wisconsin.

Commercial members can get their refills via retail location or mail order.

Health Insurance Exchange members must use mail order to get a 90-day supply of medication.

During the coronavirus health crisis, members may reach out to their pharmacy to ask about delivery options. Many pharmacies are delivering free of charge while Wisconsin is under the safer at home order.

Effective immediately, through July 1, 2021, Network Health will have relaxed eligibility guidelines for employer groups. Groups that have reduced hours for staff, have furloughed employees, or have employees that have been laid off will be considered actively at work for eligibility purposes if monthly premiums are paid.  

Groups no longer meeting participation requirements due to the public health crisis will not be termed. Groups impacted will be handled on a case by case basis at the time of renewal.

In addition to coronavirus telehealth services, telehealth services performed by primary care, behavioral health and OBGYN providers are covered with no member cost share. Other visits are subject to your plan’s deductible, copayment and/or coinsurance. Telehealth services from out-of-network providers for HMO members will not be covered.

No. To increase access to appropriate care, all coronavirus telehealth visits will be covered at $0 per visit until October 19, 2021, even before members have met their deductible.

No, primary care telehealth services are not subject to your plan’s deductible, copayment and/or coinsurance until October 19, 2021.

Virtual visits limit your exposure to illness from others and limit the spread of any illness you may have. Getting medical advice using a virtual visit provides many benefits if you are experiencing non-emergency symptoms. For more information on MDLIVE, including the illnesses they treat and instructions for logging in, visit our Getting Care Quickly page.

Please note, due to increased activity, MDLIVE wait times are longer than usual. If you prefer not to wait on hold, MDLIVE gives you the option to receive a call back

Yes, all coronavirus and primary care telehealth services are covered for a $0 copayment. This applies to all telehealth providers for point-of-service (POS) plans and in-network providers for health maintenance organization (HMO) plans. HMO plans do not cover telehealth services with out-of-network providers.

Below is a list of providers that have telehealth services available online. This list will continue to grow as we get more information.

• MDLIVE mdlive.com/networkhealth or visit login.networkhealth.com for single sign on login through the member portal
• Ascension getascensioncare.com/onlinecare/
• Froedtert froedtert.com/virtual-clinic
• Agnesian ssmhealth.zipnosis.com/
• Bellin bellin.org/virtualvisits
• Prevea prevea.com/virtualcare

Yes, this list will continue to grow as we get more information.

• Froedtert 414-805-2000
• Ascension 833-978-0649
• Agnesian 844-225-0147
• Bellin Health 888-330-3524
• Bellin Telehealth 920-445-7313
• Holy Family 920-320-3333
• Primary Care Associates of Appleton 920-996-1000
• ProHealth 262-928-4499

That is at the discretion of the provider. Typically, providers will only see existing patients virtually.

No, the coronavirus must be diagnosed through a lab test. Telehealth providers can let their patient know whether a lab test is warranted.

No, any labs that are ordered by the telehealth provider will be subject to your plan’s deductible, copayment and/or coinsurance. The exception is the coronavirus lab test – that is fully covered by your Network Health plan.

This depends on the pharmacy, so the member will want to call the pharmacy to confirm. During the coronavirus health crisis, many pharmacies are delivering free of charge while Wisconsin is under the safer at home order.

In addition, many pharmacies have drive-up windows that customers can use if they don't want to enter the store.