COVID-19: What you should know

How to get free at-home COVID-19 tests

As a Moda Health member, you can now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:

• Order through the federal government: Visit COVIDtests.gov to order a set of 4 free COVID-19 tests. Every household in the U.S. can get the tests.
• Order through the Costco Pharmacy website: Visit costco.com/home-delivery and follow these steps. Members do not need to be Costco members to use their mail order service.
  • Select "Mail Order"
  • Sign in or register for a new account
  • In the Patient Profile / Insurance section:
    • Would you like us to bill a prescription insurance plan? - select Yes
    • Select plan name drop down menu - skip this
    • Insert your name, date of birth, relationship to cardholder
    • Insert your member ID number and Rx Group number: PEBB
    • Insert your Plan name: Moda/PEBB
    • Insert your Bin: 610602 and PCN: NVT
    • Payment Method - skip this
  • Choose "Fill New Prescription"
  • Complete the Physician fields by entering these specific details:
    • Physician's name: Costco Test
    • Physician's phone: 800-111-1111
    • Physician's city: Seattle
    • Physician's state: WA
  • Select "My doctor will call or fax Costco. I do not have a written prescription."
  • Enter the following drug information into the Prescription drug name field: COVID tests
  • For shipping, select: "Standard USPS"
• Pick up at your in-network pharmacy: When picking up a test at your pharmacy, show your Moda member ID card to get a free test kit.
• We will reimburse you: If your pharmacy can't process the order, you can buy the test at the pharmacy or at another in-person or online retailer, then use our claim form to get reimbursed. We will reimburse up to 8 tests per member ($12 per tests) over a 30-day period. This includes tests purchased on or after Jan. 15, 2022.

For more details and to find the correct reimbursement form, please go to our COVID-19 FAQ page.

Moda Health would like to keep you informed with the most-up-to-date information as it relates to your health and benefits regarding the novel coronavirus (respiratory illness) COVID-19.

To keep everyone safe, providers are taking additional precautions, such as:

• Following social distancing rules
• Requiring patients to wear a mask
• Checking all patients' temperatures

If you need care that is delayed because of COVID-19, call your provider to schedule an appointment. Your provider may also call you to schedule treatment.

If you already have a provider and need to get care from home, call them to learn about their telehealth options.

If you need to find a provider, you can search for one using the Find Care tool in your Member Dashboard. If you have questions or need help finding a provider, call us at 844-776-1593.

Your benefits

Cost sharing is waived for COVID-19 vaccines.

Cost sharing is waived for COVID-19 testing needs, including:

• A telehealth or in-person visit to be evaluated for COVID-19 testing
• Provider office visit, urgent care center visit or emergency room visit to be tested for COVID-19
• COVID-19 lab tests for all testing facilities
• Serological antibody tests
• Starting Jan. 15, up to 8 at-home tests per 30 days are covered without a provider's order. Learn more.

Member cost-sharing is also waived for the in- and out-of-network treatment of COVID-19 – both inpatient and outpatient – and the inpatient administration of FDA-approved medications for the treatment of COVID-19, for services received April 1, 2020 until the end of the month following the end of the national public health emergency. Terms of coverage otherwise apply, including eligibility and medical necessity.

How to protect yourself

• Continue practicing the 3 Ws:
  • Wear a mask
  • Watch your distance
  • Wash your hands
• Practice correct and consistent mask use
• Know the facts and learn about the benefits of the vaccine
• Become familiar with what to expect after getting a COVID-19 vaccine

You can view more helpful tips for slowing the spread and not getting sick, as well as information about the vaccine from the CDC's Covid-19 website.

If you think you are infected

If you are experiencing symptoms of novel coronavirus, such as fever, dry cough or shortness of breath, or believe you have been exposed to COVID-19, we recommend calling your doctor.

In addition to the benefits outlined above, all current Moda Health benefits apply. They may cover additional care options, such as virtual visits, CirrusMD (available on Member Dashboard) and calls to our Registered Nurse Advice Line (800-501-5046) if you can't get in to see your PCP.

Additional Resources

If you still have questions about COVID-19 and how it could affect you, the CDC has official responses to frequently asked questions on its website.

It is important to continue to obtain information, data and updates from credible health care sources on the front lines of studying the virus, such as the CDC and the Oregon Health Authority.