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Coronavirus Updates

Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. People of all ages can be infected. Older adults and people with pre-existing medical conditions like asthma, diabetes and heart disease may be more likely to become severely ill if infected. Many details about this disease are still unknown, such as treatment options, how the virus works, and the total impact of the illness. 

COVID-19 Resources

Please visit our webpages for information on COVID-19 specific services and relief programs, including resources in your area. You can also find tips to help you and your family stay healthy, stay connected and create positive new habits during this time.

Signs and Symptoms of COVID-19

COVID-19 is a respiratory disease that is caused by a new virus called a coronavirus, which has become a public health emergency. The number of cases continue to increase nationally and globally. COVID-19 can be contagious before a person begins showing symptoms. The symptoms of coronavirus include mild to severe respiratory symptoms. COVID-19 symptoms include:

  • Fever
  • Cough
  • Shortness of breath

 

The symptoms of coronavirus include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath, and lower respiratory illness. COVID-19 can be contagious before a person begins showing symptoms.

Influenza (the flu), a contagious respiratory illness caused by the influenza viruses (Type A and Type B), has high activity in the United States at this time. Everyone 6 months of age and older should get a flu vaccine. Additionally, the common cold can have similar signs and symptoms (see chart below).

DSHS: COVID-19 Symptoms vs. Flu and Cold (JPEG)

If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.

If you are unsure if you have been exposed to or at-risk of being infected with COVID-19 (coronavirus), scheduling a virtual care visit with a provider is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facility. Due to a high demand for virtual health visits at this time, please anticipate that there may be longer than usual wait times.

You may also reference the Centers for Disease Control and Prevention for how to protect yourself and what to do if you are sick.

Centers for Disease Control and Prevention (CDC):

What You Can Do

You can keep yourself and others healthy with simple actions that help prevent the spread of respiratory viruses. There are steps you can take to prevent the spread of coronavirus and stay healthy.

  • Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
  • Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
  • Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
  • Promptly dispose of tissues in a wastebasket after use.
  • Clean public surfaces thoroughly.
  • Stay home when you are sick.
  • Avoid shaking hands.
  • Avoid close contact with people who are sick.
  • Get a flu vaccine.

Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading or the progression of the disease is natural.

  • Take care of your body. Take deep breaths, stretch or meditate.
  • Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships and a sense of hope and positive thinking.
  • Share the facts about COVID-19 and the actual risk to others. People who have returned from areas of ongoing spread more than 14 days ago and do not have symptoms of COVID-19 do not put others at risk.
  • For more information, see the CDC’s suggestions for mental health and coping during COVID-19

Telehealth Services

Superior members can get medical advice, a diagnosis or a prescription by video or phone.

Superior members can get medical advice, a diagnosis or a prescription by video or phone. Receive 24/7 telehealth access to doctors on-demand by phone or video for non-emergency medical issues by calling Teladoc at 1-800-835-2362. Telehealth services are also available at GuruMD.net. Ambetter members who reside in Bastrop, Caldwell, Hays, Travis or Williamson Counties can also use eMD Access.

For any questions or help scheduling a telehealth visit, contact Member Services from 8:00 a.m. -5:00 p.m. Monday-Friday:

  • STAR or CHIP:                       1-800-783-5386
  • STAR Kids:                             1-844-590-4883
  • STAR Health (Foster Care):   1-866-912-6283
  • STAR+PLUS:                          1-877-277-9772
  • TTY (Relay Texas):                 1-800-735-2989

You do not have to leave your home to visit with a doctor. There are no co-pays or cost sharing for telehealth visits and COVID-19 testing.

Tests and Screenings

We all have a role to play in protecting our communities and families from the spread of coronavirus. It is similar to other communicable viruses. If you have been exposed or begin showing symptoms of the coronavirus or flu, contact your healthcare provider or health department immediately.

Medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment and the associated physician’s visit will be covered when ordered, referred and/or performed in the following In-Network locations:

  • Physician’s/Practitioner’s Office
  • Independent Laboratory/Diagnostic Facility   
  • Urgent Care Facility
  • Emergency Department Facility

Are you unsure if you have been exposed to or at-risk of being infected with COVID-19? Schedule a virtual care visit with a provider. It is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facility. 

Yes. When medically necessary diagnostic testing, medical screening services and/or treatment is ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physician’s visit(s) and/or treatment for most members. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.

No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing, medical screening services, and/or treatment when medically necessary services are ordered and/or referred by a licensed health care provider.

If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, you should take steps to help prevent the disease from spreading to people in your home and community. 

If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice. 

If you are recovering from COVID-19, you should be careful so you do not pass the infection on to others. Please find helpful tips for keeping yourself, your loved ones and your neighbors’ health. 

Read our COVID-19 Discharge Instructions (PDF).

Coverage and Costs

Superior is committed to the health of our members. We will cover medically necessary COVID-19 diagnostic testing and/or medical screening services at no charge to you.

Yes. When medically necessary diagnostic testing, medical screening services and/or treatment is ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physician’s visit(s) and/or treatment for most members. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.

No. We will cover medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment at no charge to you, when such services are ordered and/or referred by a licensed health care provider. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment, along with the associated physician’s visit.

Any medically necessary treatment related to COVID-19 would be considered a covered benefit. We are committed to ensuring access to COVID-19 treatment services in accordance with federal and state law.

Yes, members will be able to refill prescriptions prior to the refill date.

Additional Information

For COVID-19 health-related resources from Superior HealthPlan and other organizations, such as the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) please visit our COVID-19 Member Resources webpage. You will also find information on travel advisories and specific services in your area, such as unemployment, food, and housing assistance. Find tips on how you can create positive new habits and keep your family healthy and grounded.

How to Get Help

  • Call Superior HealthPlan’s COVID-19 Informational Hotline at 1-877-259-1144.
  • Call the 24-hour nurse advice line or Member Services at the number on the back of your Superior member ID card to get answers to health questions.
  • Receive 24/7 telehealth access to doctors on-demand by phone or video for non-emergency medical issues by calling Teladoc at 1-800-835-2362, visiting Teladoc.com/Superior, or using GuruMD.net. Ambetter members who reside in Bastrop, Caldwell, Hays, Travis or Williamson Counties can also use eMD Access.
  • Call the Texas Health and Human Services COVID-19 Mental Health Support Line, 24 hours a day, 7 days a week, toll-free at 1-833-986-1919. This line offers support for all Texans experiencing anxiety, stress or emotional challenges due to the COVID-19 pandemic.