As your health care partner, supporting the health and safety of all Vermonters is our priority.
The public health emergency ends for COVID-19 on May 11, 2023. We are here to help with the transition and help you understand what it means for your coverage of COVID-19 tests, vaccines and therapeutics and telehealth.
Changes to your coverage will go into effect on July 1, 2023.
We are committed to ensuring everyone continues to receive seamless access to the care they need at a price they can afford, including COVID-19 tests, vaccines and treatments, telehealth services, and insurance coverage.
Vaccination against COVID-19 is the best way to protect yourself, your family, friends and neighbors, and other people in your community. Vaccination lowers your chances of getting COVID-19 -- or of ending up in the hospital -- even if you do have a breakthrough infection after becoming vaccinated.
COVID vaccinations and booster shots will continue to be covered at no cost to members.
With the end of the public health emergency, at-home COVID-19 antigen tests (test kits) will no longer be covered. Provider-based COVID-19 tests will be covered with a cost-share.
The federal government is currently offering free at-home tests. Each U.S. household can order 4 free at-home COVID tests – visit covid.gov/tests for more information.
Please note that if you have coverage through your employer and do not have Vermont Blue Rx pharmacy coverage, please contact your employer for more information about your coverage for COVID-19 tests.
Effective Until June 30, 2023 for Members with Vermont Blue Rx Pharmacy Coverage
If your member ID card has the Vermont Blue Rx logo on the back (see image), follow the below steps for accessing at-home COVID-19 tests. We will cover up to eight at-home COVID-19 tests per member, per 30-day period for tests purchased on/after January 15, 2022 through June 30, 2023.
Oral medications used to treat COVID-19, including Paxlovid and Lagevrio (Molnupiravir), are covered with a Tier 3 cost-share. Injectable medications used to treat COVID-19, administered by your doctor and that are FDA-authorized or FDA-approved, will be covered with cost-share.
If you do not have pharmacy coverage through Vermont Blue Rx, please contact your employer for more information about your coverage for COVID-19 medications.
As the state’s only local, non-profit health plan, we're focused on helping Vermonters live happier, healthier lives.
Beginning July 1, 2023, the following pharmacy changes will go into effect:
Telehealth Visits
You can see a doctor at any time of the day or night by using your smartphone, tablet, or computer. AmWell telemedicine visits and mental health visits will incur member cost-share fees based on your plan benefits.
AmWell has established a Telehealth Response Program to support the use of telehealth as an initial COVID-19 screening tool, which includes an always-on-call infection control officer. You can download the AmWell app for Apple or Android devices.
COVID-19 provides an unfortunate opportunity for scammers to take advantage of the concern and anxiety many are feeling about their health and safety. Some of the COVID-19 scams include:
Scammers may offer products in exchange for your personal information, which they then use to commit fraud. Don’t give out your member ID number or other personal information if you receive an offer for COVID-19 testing, treatment, or supplies from any source other than a trusted, qualified health care provider.
Fraud Reporting
If you believe you’ve been scammed or your information has been used in a fraud, you can report it several ways:
Tips To Protect Yourself From Scams
Members will now receive personalized, secure updates, right to your cell phone. Quick access to your personal information so you can understand your benefits is an important part of getting the most from your plan.
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