Care and Services Available for COVID-19 (Coronavirus)

COVID-19 vaccinations

Vaccine coverage. COVID-19 vaccines are an important step in slowing the spread of the virus. As vaccines are approved, AmeriHealth will cover the cost of administering them with no cost share (such as co-pays, deductibles, coinsurance) for members regardless of where the vaccine is given.

Vaccine approval. The vaccines are approved by the Food and Drug Administration (FDA) for Emergency Use Authorization, though widespread availability of a vaccine likely will not occur for months. Distribution of the vaccine is controlled by the federal government, and they collaborate with local and state governments and Departments of Health on distribution. AmeriHealth does not control the availability or distribution of any vaccines.

Staying healthy

Wear a mask. Public officials and health experts are urging us to use face coverings whenever we go out unless you have been fully vaccinated. The virus mainly spreads from droplets released into the air when we cough, sneeze, or talk. Whether you show signs of illness or not, masks prevent these droplets from reaching others and reduce their risk of getting sick.

Practice social distancing. Limit close contact with anyone outside of your household. Even if you’re wearing a mask, it’s still recommended you stay at least six feet from others when in public, or at least two arms’ length apart.

Wash your hands regularly. Viruses can spread from touching recently contaminated surfaces and then touching your face. Washing your hands with soap and water is one of the most importance defenses against the spread of COVID-19 and other illnesses. Keep hand sanitizer on you for when you don’t have access to soap and water.

Testing and symptoms

Check your symptoms. If you think you’ve been exposed to COVID-19 and develop a fever, cough, or have trouble breathing, call your doctor. Visit the Centers for Disease Control and Prevention (CDC) for more details on symptoms.

Testing is covered. AmeriHealth will cover the cost for medically appropriate diagnostic and antibody testing in accordance with all federal mandates through the end of the Public Health Emergency². AmeriHealth does not cover tests that are needed for return to work, return to school, for travel, or for visiting with relatives.

Find a test location

Virtual visits

Talk to a doctor from anywhere¹. Telemedicine services for a COVID-19 related diagnosis from your primary care doctor are covered at no cost through October 31, 2021)². Telemedicine services from your doctor for a non-COVID diagnosis are available for same cost as an office visit, based on your health plan. You can also schedule a same-day appointment with a doctor 24/7 with MDLIVE¹ at no cost, depending on your plan. MDLIVE doctors can assess your symptoms and help with next steps. Register or login at mdlive.amerihealth.com.

Specialists are available. The CDC recommends that the best way to prevent illness is to avoid being exposed to the virus that causes COVID-19. Ask your specialist if your visit can be done over video. This also includes nutritionists.

Getting care

Treatment is covered¹. AmeriHealth will waive members’ cost for in-network, acute in-patient treatment of COVID-19 through October 31, 2021². Cost sharing will continue to be applied to all post-acute care (e.g. skilled nursing, rehabilitation and long term acute care facilities), outpatient treatment, prescription drugs, ambulance transportation to a post-acute setting, and out of network care.

Additional care support

Coverage for pulse oximeters. Pulse oximeters are small, portable devices that monitor oxygen levels in the blood and pulse rate. To help monitor members who have a COVID-19 diagnosis or are recovering from COVID-19, AmeriHealth will cover consumer grade pulse oximeters that are prescribed by an in-network doctor and purchased through an in-network supplier. Member cost sharing will be waived through October 31, 2021.

Maintain your health and medications

Keep your health on track. As doctors’ offices re-open, talk with your doctor if you delayed an elective procedure and need to reschedule. Be sure to make an appointment with your doctor if it’s time for your annual check-up or preventive health screenings too.

Check your medications.Check to make sure you have enough medications. Call your doctor if you need refills.

Get Rx delivery. Many neighborhood pharmacies are now offering free home delivery. View a list of locations.

Your emotional health

Virtual visits for mental health¹. If you have mental health benefits through AmeriHealth, you can talk to an in-network mental health counselor online or on the phone. The cost will be the same as a specialist visit. Call the number on the back of your ID card or visit amerihealth.com to find a provider.

Frequently asked questions

How can members find a testing location?
If you suspect that you may have COVID-19, your first step should be to contact your primary doctor. Your primary doctor will screen you for testing based on CDC guidelines. If you meet the testing criteria, your doctor will discuss your testing options with you. If you don’t have a primary doctor, members with telemedicine benefits can utilize MDLive services for free until June 4. A MDLive physician can perform the screening and determine your next steps. You can register for MDLive at mdlive.amerihealth.com. If your benefits program does not include telemedicine benefits, you can contact your state health department for information on testing. Pennsylvania residents can call 1-877-PA-HEALTH. New Jersey residents can contact the New Jersey Department of Health for more information at 1-800-962-1253 or 1-800-222-1222.

Will AmeriHealth cover testing costs?
Testing is critical to containing this outbreak, and all necessary testing needs to be available members who need it. AmeriHealth will cover testing for active COVID-19 (RT-PCR) at no cost to our members. This includes coverage of antibody testing with no member cost share in accordance with federal guidelines and company medical policy for the duration of the COVID-19 pandemic. AmeriHealth will cover and reimburse member cost-sharing (such as copays, deductibles, and coinsurance) for the COVID-19 test and the administration of the test when performed at an in-network physician’s office, urgent care center, or an emergency room.

Should members be using telemedicine?
To help reduce potential exposure, AmeriHealth encourages members to utilize telemedicine services if they are available as part of a member's plan. AmeriHealth will waive copays for primary care telemedicine services for eligible members through December 31, 2020². Additionally, AmeriHealth expanded telemedicine services for specialty and ancillary services subject to applicable member cost sharing. This expansion includes:

  • Specialist visits (via video or telephone);
  • Physical therapy, occupational therapy, and speech therapy visits (via video);
  • Urgent care visits (via video or telephone);
  • Nutritionist visits (via video or telephone);
  • Behavioral health visits to include members with autism spectrum disorder so that they can receive Applied Behavior Analysis support while they are at home.

As noted, regular cost-sharing will apply to telemedicine visits with specialists and ancillary providers that are not related to COVID-19 testing. Cost-sharing will be waived for COVID-19 testing and primary care telemedicine visits for high-deductible health plan members and will be covered before deductible.

To access telemedicine options, members should register and login at mdlive.amerihealth.com.

Resources and links



1 If you have coverage through your employer, benefits and coverages may vary. Please check with them about how these programs apply.

2 The Families First Coronavirus Response Act (FFCRA) and Coronavirus Aid, Relief, and Economic Security (CARES) Act mandate that member cost sharing (deductible, co-pays and coinsurance) is waived both in and out-of-network for the testing and diagnosis of COVID-19 through the public health emergency. For High Deductible Health Plans, in-network cost sharing waivers detailed above will remain in effect through the public health emergency unless prohibited by law.