Supporting the health and safety of all Vermonters is our priority. During this time, we’re working closely with state officials and following guidance from state and federal agencies like the Vermont Department of Health and the CDC to keep you informed and get you the care you need.
We’ve created this resource center to help answer your questions about COVID-19 and how it affects your coverage and care.
What is COVID-19?
COVID-19, commonly known as the coronavirus, is a respiratory illness that spreads from person to person. The symptoms of the virus include fever, cough, shortness of breath, chills, muscle pain, headache, sore throat, loss of taste or smell.
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If you or one of your family members has been exposed to or are showing symptoms of COVID-19: Call your health care provider
To protect yourself and others from the spread of COVID-19, the state of Vermont is asking all Vermonters to stay home and stay safe. Please contact your provider by phone if you need care. Do not visit a hospital unless you are experiencing a life-threatening emergency.
Find a Doctor
If you don’t currently have a health care provider, use our find-a-doctor tool to locate one.
CDC Coronavirus Self-Checker
If you aren’t sure whether to seek help, use the CDC’s Online Coronavirus Self-Checker to check your symptoms and get advice on what to do next.
We’ve expa nded our telehealth options so you can connect with your trusted local providers to get the care you need while helping limit the spread of COVID-19.
Expanded telehealth options for visits with your local providers
- You can now use telehealth to see your local provider for preventive care visits (adults and children over two-years of age); mental health services; physical, occupational and speech therapy; applied behavioral analysis, and more.
- Contact your provider’s office for information about the telehealth options they are offering.
Telephone visits for medically necessary care
- Because technology should not be a barrier to care, we are temporarily allowing telephone-only provider visits for Vermonters who cannot access telehealth via audio/visual technologies on an internet-connected device.
24/7 Telemedicine with AmWell
- During COVID-19, we are waiving members’ cost share for urgent medical visits via AmWell
- AmWell services are also available to non-members at a cost of $69/visit (payable by credit card).
Vision Service Providers Offer Essential Medical Eye Care Services
During April and May, 2020, VSP members with an existing plan can access services for essential medical eye care services including urgent eye care needs, like sudden vision changes or vision loss, eye trauma, pink eye/conjunctivitis, or other symptoms that interfere with day-to-day activities. Learn more.
Log in to the Member Resource Center or contact customer service at (800) 247-2583 with questions about benefit coverage and cost sharing for these services.
Waiving Out-of-Pocket Costs
To help keep Vermonters well during this time, we’re expanding our COVID-19 coverage by waiving the costs associated with diagnosis and treatment of acute COVID-19 beginning on March 13 through the duration of the state of Vermont emergency order. The health of Vermonters is our top priority.
Please note we do not cover COVID-19 testing that is billed to you as a line-item on a college, school, or workplace bill, or as any other facility line-item charge.
- We will cover medically necessary acute COVID-19 inpatient treatment with no out-of-pocket costs like co-payments, deductible or co-insurance requirements.
- Outpatient care for acute COVID-19 is supportive in nature.
- We will cover medically necessary acute COVID-19 outpatient treatment at your provider’s office and medically necessary supportive treatment at home as prescribed by your provider with no out-of-pocket costs like co-payments, deductible or co-insurance requirements.
- At this time, there is no outpatient prescription drug treatment for COVID-19 that is supported by clinical guidelines.
- We will cover COVID-19 testing performed by the Centers for Disease Control (CDC), the Vermont Department of Health (VDH), or a laboratory approved by CDC or VDH, with no co-payment, coinsurance, or deductible requirements.
- This coverage includes telephone triage, visits with your provider (including those over the phone), or urgent care visits and emergency service visits to test for COVID-19.
Where can I get tested for COVID-19?
In Vermont, COVID-19 testing is available throughout the state. To learn more, please visit the Vermont Department of Health’s COVID-19 testing resource page.
If you are experiencing COVID-19 symptoms, even if they are mild, please call your health care provider.
If you are not experiencing COVID-19 symptoms, but you would like to get tested, please visit the Vermont Department of Health’s COVID-19 testing resource page.
If you see your provider for any other health care concern, and they test you for COVID-19, we will cover the COVID-19 test at no cost to you, but the office visit and all other procedures, services, and supplies will take cost share.
The state of Vermont is encouraging testing for health care workers, first responders, and childcare providers regardless of the presence of symptoms.
A COVID-19 test will tell you if you currently have a COVID-19 infection. It will not tell you if you were sick with COVID-19 in the past.
If you are experiencing a medical emergency, call 9-1-1.
At-Home Antibody Testing:
Many people are curious about whether they have already been exposed to COVID-19. A growing number of at-home antibody tests are now being sold online. These tests claim to show whether you have been exposed to COVID-19, but most at-home antibody tests currently on the market are not approved by the FDA and do not offer dependable results.
- Please be aware that these tests are highly variable in their quality and the results may not be accurate.
- There have been reports of scams related to fraudulent at-home antibody testing. Learn more about COVID-19 scams and fraud, including tips for how to keep yourself safe.
- If you are considering the purchase of an at-home antibody test, please talk to your health care provider first.
- If you choose to purchase an FDA-approved at-home test, you must pay for it out-of-pocket and submit a claim for reimbursement.
- We are not able to verify the FDA approval of a test, and we cannot reimburse you for any test that is not 100% FDA approved.
- If you have questions about the reimbursement process for at-home antibody testing, please call our customer service team at (800) 247-2583.
Pharmacy Access for Members
If you take prescription medications to maintain your health, we recommend:
- contacting your provider to obtain a 90-day script for maintenance prescription drugs, and
- enrolling in our mail-order prescription drug services to have your prescriptions delivered to your home
This can help ensure you’ll have what you need if you become ill or encounter a temporary shortage or other disruption to access during this time.
Learn more about how to ensure access to your prescription medications during COVID-19, including a list of local Vermont pharmacies making home delivery.
COVID-19 Prevention Tips
According to the CDC, the best way to prevent illness is to avoid being exposed to this virus. There is currently no vaccine to prevent COVID-19.
- Clean your hands often
- Avoid close contact with others
- Stay home if you’re sick
- Cover coughs and sneezes
- Wear a facemask if you are sick
- Clean and disinfect frequently touched surfaces
Have questions about your health plan or benefits?
We are here to support you and help you get the information you need during this time.
You can access your account online anytime when you log in to our Member Resource Center. There, you can view claims and benefit details, send and receive secure messages, get a copy of your ID card, and more.
We are here to help! Call us at (800) 247-2583 to speak with a member of our customer service team.
You can reach us by fax at (866) 764-9653.
Important Notice About Walk-in service:
For your health—and the health of all Vermonters—we have temporarily closed our physical building. We are unable to provide walk-in service at this time. We will update this notice when our walk-in services resume.
If You Are Enrolled in a Qualified Health Plan or Medicare Supplemental Plan and Need to Make a Payment:
Send payment to PO Box 105, Brattleboro, VT 05302 or make a payment online.
Sign up to receive coronavirus updates via email or text.
For the most recent information about coronavirus cases, statistics, and related public health notices within our state, visit the Vermont Department of Health’s coronavirus page.
If you're feeling stressed or concerned
It is normal to feel worried or overwhelmed during the coronavirus pandemic, and we're here to help.
Coronavirus resources and assistance are available to all Vermonters by dialing either 2-1-1 or (866) 652-4636.
You can also use the Vermont Health Department’s “Ask a Question” tool.
We’ve compiled some additional tips and resources to help care for your physical and mental health during the coronavirus pandemic.
Watch Out for Scams During COVID-19
As COVID-19 evolves, so too have fraudulent schemes. Please be on the alert for telemarketing, social media and even door-to-door scam requests.