Coronavirus & Your Health Care

  • LifeWise wants to help you get the care you need during the pandemic and for the coronavirus that causes COVID-19.

    Vaccines for COVID-19

    LifeWise follows the guidance of the state and federal governments, plus the FDA and CDC, on the COVID-19 vaccines. For up-to-date information, go to:

    Centers for Disease Control and Prevention (CDC)
    Oregon Department of Health COVID Information (ODOH)

    How can I get the vaccine?

    Get Vaccinated Oregon: Everyone 12 and older can get a COVID-19 vaccine. Kids 12 to 17 can only get Pfizer. Find a location near you.

    How much will it cost?

    The government has mandated that the cost of the vaccine will be $0 for everyone in the U.S. Cost for administering the vaccine will be covered by insurance (or waived for those without coverage). Providers may bill an insurance company for administrative costs.

    How COVID-19 care is covered

    LifeWise will waive copays, deductibles, and coinsurance for the following COVID-19 related support.

    • COVID-19 testing. If your doctor recommends COVID-19 testing, you can get the FDA-approved test without pre-approval.
    • COVID-19 vaccine

    See the section with important dates for when some of these benefits will end.

    Virtual care options

    If you have COVID-19 symptoms or need care for mental health, a cold, allergies, a rash or other non-emergency situations, please use virtual visits or care first to avoid possible exposure. Many doctors and providers offer virtual visits during the pandemic or you can contact the 24-Hour NurseLine. Find care now.

    NOTE: Only in-person clinics or providers can diagnose or test for COVID-19.

    Medications

    We’ve lifted our refill-too-soon policy to make sure you have necessary medications on hand. Just tell your pharmacist you need more. There are some exceptions to this, so ask your pharmacist.

    You can also use mail order to get a 90-day supply of many medications.

    Important dates

    We follow state and federal law. As such, our coverage policies will change on these dates.

    Details Dates
    Antibody tests covered when done in an inpatient setting, late illness onset, or outpatient inflammatory syndrome in children. Cost shares waived if criteria met. (CDC and EEOC guidelines) Policy effective July 1, 2020 Cost share criteria through 4/21/2021
    Cost share waivers for treatment related to COVID-19 diagnosis is waived June 30, 2021
    Cost share waivers for FDA-approved COVID-19 diagnostic testing other virus/respiratory testing tied to a COVID-19 diagnosis (Federal Families First Act and CARES mandate) October 18, 2021

    Additional resources

    How to stay safe at the workplace, schools, and home
    How to know if you're high-risk and what to do

    Other health care questions

    Vaccine: Can I get a 3rd dose?

    The Centers for Disease Control and Prevention officially recommended the administration of a third vaccine dose from Pfizer/BioNTech or Moderna for certain individuals, including patients who receive active cancer treatment for tumors or blood cancers, who have organ transplants or stem cell transplants, and those with moderate or severe primary immunodeficiency. No out-of-pocket cost for members who meet these criteria.

    No approval yet for anyone else to get a third dose. Third doses are expected to be rolled out in phases similar to initial vaccine roll-out. More information coming fall 2021.


    I wasn’t tested for COVID. Is my appointment still covered in full?

    If your doctor doesn’t determine that you met the CDC criteria for COVID-19 testing and/or diagnosis, your regular cost shares (copay, coinsurance, and/or deductible) will be applied to your visit.


    Is drive-through testing covered?

    Your test is covered the same whether you’re in the car or in a lab.


    Is other help available?

    Oregon Coronavirus Response includes resources for residents, such as financial, food, housing, and wellbeing services, among others.