Plan Coverage

Yes. During the public health emergency, Brand New Day will waive out-of-pocket costs for copays for:

• COVID-19 screenings or evaluations done:
  • Virtually using telehealth, including Teladoc
  • In a doctor’s office
  • At an urgent care center
  • In a hospital, including emergency room (ER)
• COVID-19 testing that’s ordered by a healthcare provider who is licensed to order these tests

There are no prior approvals needed for COVID-19 screenings, evaluations, or testing.

There are no prior approvals needed for COVID-19 treatment. Brand New Day will waive copays for COVID-19 treatments received between March 1, 2020 – February 28, 2021.

If you have a fever, cough, feel short of breath, or are experiencing other symptoms, we suggest using a virtual care option such as Teladoc ® or the Nurse Advice Line before seeking in-person care. You can also check to see if your primary care physician is offering telehealth services. This will help reduce the risk of spreading the virus. If your doctor recommends testing for COVID-19, they can tell you where to go to get tested.

• What if I seek care from a non-network provider for COVID-19? Will it be covered?

  In the case of a medical emergency, care provided by network and non-network providers will be covered.

  Outside of an emergency situation, you should seek care from network providers to make sure you don’t have to pay more out-of-pocket.

If you are worried you might run out of prescribed medications, Brand New Day allows early refills on your prescriptions as long as there are refills available with your prescription. If you have specific questions about the medicine you take, call the Member Services number on the back of your member ID card.

To meet your needs and promote social distancing, many retail pharmacies are waiving fees for home delivery of prescriptions. Visit your pharmacy’s website or call your local pharmacy for more information. Also, if available, utilize the drive-thru window when picking up your prescriptions.

You can also fill a prescription for a 90-day supply of maintenance medications at retail pharmacies in addition to our mail service pharmacy.