COVID-19 Update view more

Coronavirus (COVID-19) testing and treatment coverage

7/29/2021

Updated: July 29, 2021

At CommunityCare, the health of you and your loved ones is our top priority. We are grateful for the opportunity to serve you and appreciate the trust you place in us, especially during these challenging times.

CommunityCare is committed to addressing the challenges presented by the coronavirus (COVID-19) and is prioritizing prevention, testing and treatment. As Oklahoma’s largest locally owned health insurer, CommunityCare is invested in the health of the local community and will provide coverage for COVID-19 testing for fully insured members.

How we are caring for our members

COVID-19 testing

Coverage for COVID-19 testing for fully insured members, and some self-funded employers, will be provided. CommunityCare will waive copays, deductibles, or coinsurance associated with medically necessary COVID-19 tests ordered by a provider when you have symptoms consistent with Centers for Disease Control and Prevention COVID-19 symptom guidelines. If you have been exposed to COVID-19, but do not have symptoms, your regular copays, deductibles, or coinsurance will apply to your test.

COVID-19 treatment

Member cost share including copays, coinsurance and deductibles will be applied in accordance with your benefit plan for treatment related to COVID-19.

Telemedicine services

Members will have 100% coverage when accessing their in-network providers who are participating in providing telemedicine services and will not be subject to any copayment, coinsurance or deductible during the COVID-19 pandemic. As an example, a member who has a live follow-up telemedicine visit with their psychiatrist can do so without any copay and the provider will bill CommunityCare 100% for the cost of the service.

Telemedicine and e-visits are covered for any medically necessary services and symptoms for fully insured, and some self-funded members. This will ensure our members are able to receive a wide range of health care services from their providers without having to travel to a medical facility.

CommunityCare will continue to cover 100% of the cost for telemedicine and/or e-visits to either Saint Francis Health System or Ascension St. John for fully insured members.

Prior authorization

Prior authorization will not be required for any COVID-19 testing or COVID-19 disease treatment, such as outpatient or inpatient therapeutics or COVID-19 related prescription medications. Prior authorization will be required for facility admissions.

Prescription refills

Early refills of maintenance medications from the pharmacy will also be covered, and longer fills up to 90 days for employer group members and many medications up to 100 days for our Medicare Advantage members are available.

Contact us

Members may contact CommunityCare customer service at (918) 594-5242 for questions about coverage or information on how to access telemedicine services and what will be required for reimbursement.

Helpful resources to keep you informed






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