Information You Need to Know About Coronavirus



What is the coronavirus? 

Coronavirus disease 2019 (also known as COVID-19) is a respiratory illness that can spread from person to person. Patients with COVID-19 have experienced mild to severe respiratory illness, including fever, cough and shortness of breath. 
 

What is happening with COVID-19 in my area? Where can I get more information? 

The latest information on COVID-19 is posted at the Indiana State Department of Health website
 

I think I may have contracted coronavirus, what should I do? 

Call your doctor’s office. If you don’t know who your doctor is call 1-800-356-1204 to find out who your doctor is. If you have questions after your doctor’s office hours, call MDwise customer service and choose the option for NURSEon-call. You may also call your local health department or the Indiana State Department of Health.
 

Can I get the COVID-19 test covered? 

MDwise does cover the COVID-19 test as needed without a copay. We can transfer you to our nurse line. A healthcare professional can tell you what to do based on your symptoms. 
 

Does MDwise cover personal protective gear and hand sanitizer? 

We do not cover masks and hand sanitizer. The best defense against Flu and COVID-19 is to practice every day healthy actions. Wash your hands with soap and water often for at least 20 seconds. Regularly clean commonly touched surfaces. 
 

What is MDwise doing about COVID-19? 

MDwise is working directly with the state to be sure we know the latest protocols. 
 

Is there a number I can call to get more information about the Coronavirus? 

Yes, the Indiana State Department of Health has a 24-hour call center. The number is 317-233-7125. We would be happy to transfer you. 
 

I have some questions about the Coronavirus. Is there someone I can email? 

Yes, you may email questions to epiresource@isdh.in.gov
 

Where can I learn more about the Coronavirus and how to protect my family? 

The centers for disease control (CDC) and the Indiana State Department of Health have information on their websites. 
 

How can I receive updates about the Coronavirus in Indiana? 

You may sign up for the Indiana Health Alert Network to receive updates. Visit the Indiana Health Alert Network (IHAN) website to sign up for alerts. 
 

Is it ok to go outside?

Yes it is ok to go outside. Please stay up to date with the rules in your city and state. Avoid crowded areas and maintain social distancing which means staying at least six feet away from other people.


My elderly family member lives with us. How can I protect them?

Have the healthy people in the house act carefully, as if they could make the elderly person sick. Wash your hands before touching the person, such as before feeding or caring for them. If possible, provide a separate room for these family members. Clean surfaces regularly and use separate utensils.


I have a family member who is sick at home. How do I care for them while protecting myself?

Watch the person’s symptoms and be sure to call their doctor if the person gets sicker. Be sure to tell your doctor if the person had a COVID-19 test. Limit visitors in your home to only those who must come in. Try to keep the sick person to a single room or area. Wash your hands and surfaces regularly. Avoid sharing household items with the person who is sick. If your home has multiple bathrooms, have the person who is sick only use one of the bathrooms.


I am sick, but I need to pick up groceries or medicine.  What can I do?

Try contacting a neighbor or family member who can drop off groceries to your front door. Your health plan can arrange for your medicine to be mailed to you. 


I am scheduled to have surgery, can I still have it?

The Governor asked hospitals and surgery centers to cancel or re-schedule elective and non-urgent surgeries. You should talk to your doctor to find out when your surgery or procedure will happen.

More information may be found at the Indiana State Department of Health (ISDH) website and the CDC website.


Telemedicine Assistance


If you or a family member need help using telemedicine, consider our Lifeline program. MDwise works with Safelink Wireless to offer discounted cell phone service. Click here to learn more.
 


How Does the Coronavirus Affect My Medicaid Benefits?


I’m worried that my Medicaid provided health coverage might be terminated. 

By order of Governor Holcomb, no one’s Medicaid health insurance coverage will be terminated during the COVID-19 emergency. This ensures coverage for members on CHIP, HIP, Hoosier Healthwise and MedWorks. The only exception is for a member who moves out of state or chooses to voluntarily end their coverage.

If your health coverage eligibility was scheduled to be reviewed in March, April, or May, then FSSA automatically extended your coverage for 1 full year. You do not need to do anything else right now.
 

I normally pay a premium for my coverage or my child’s coverage and/or contribute to a POWER Account. Do I still need to pay that? 

No, you do not. Due to the current public health emergency and action by the Governor, members are not required to pay POWER Account Contributions, Premiums, or any copayments. Any notices that you receive that talk about POWER Account Contributions (PAC payments), Premium payments, or copayments DO NOT APPLY during this period. If you have questions, please contact your health plan.
 

I am on Medicaid, do I have to pay co-pays for my prescriptions right now?

No, FSSA has waived all Medicaid co-pays due to the public health emergency and this includes co-pays for medicine. FSSA has notified all pharmacies in the state. If you are asked to pay a co-pay at a pharmacy, please contact your health plan.
 

If I pre-paid my premium or PAC will I get a refund?

All pre-payments and payments for the month of March will be held on your account and applied to future months once cost-sharing is restored.
 


Pharmacy and Prescription Questions


I take the generic version of a brand name medicine. If the pharmacy tells me they don’t have that, can I get the brand name drug instead?

If the pharmacy does not have the generic drug that you take, they can fill certain prescriptions with a brand name drug. The pharmacy will have instructions on how to do that and it will not affect the cost of your medicine.
 

I want to avoid leaving my house as much as possible. Can I get a 90-day supply of my medicine at one time?

During the public health emergency, pharmacies are allowed to fill certain medicines for 90 days at a time. Please check with your doctor or local pharmacy to see if your medicine can be refilled for 90 days. Not all medicines can be refilled for 90 days.
 

Why can’t my prescription be filled for 90-days?

There are laws about medicine refills. Some medicines cannot be refilled for 90-days at a time.
 

Can the pharmacy refill my medicine early? 

During the public health emergency, pharmacies are allowed to fill certain prescriptions early. The pharmacy may need extra information to do this, so please have your health plan ID card with you when going to fill your prescription or when you call your pharmacy.
 


HIP Questions


Can I still make payment on my POWER Account?

No. But don’t worry, you are not being charged at this time. And you will never be charged for months when payments were not required.  We will let you know by mail and give you at least 60 days’ notice before any payment is due.
 

Can I still pay a fee and move into HIP Plus?

No, you cannot. During the emergency period you cannot make a POWER Account Contributions. The opportunity to “buy up” into HIP Plus from HIP Basic is not allowed. Everyone will have a chance to “buy up” to HIP Plus after the end of the emergency.
 


Presumptive Eligibility Questions


Do members on PE have to pay co-pays?

No, all cost-sharing has been stopped, including co-pays for members with PE.
 

Can members lose their PE coverage during this time?

Yes, PE coverage is still temporary. Members must submit a full IHCP application in order to gain full coverage.
 


HHW (Package A) Questions


My postpartum period (60 days) will end this month, do I lose coverage?

No. No member who has coverage on March 18, 2020 will lose coverage during the public health emergency. You can continue to receive benefits. Please be sure to read and respond to any documents that you receive from the Indiana Family and Social Services Administration to be sure that you keep your benefits.
 


Testing and Coverage

 

Is the COVID-19 test covered by my health plan? How much does it cost?

All Medicaid health plans cover the COVID-19 test as needed with no copay. Only a healthcare professional can order the test for you. The doctor will order the test from a lab or the Indiana State Department of Health (ISDH). 
 

How can I get tested or treated for COVID-19?

If you start feeling symptoms such as fever, cough and/or difficulty breathing, or have been in close contact with someone diagnosed with COVID-19, stay home and call your doctor.

If you think you might have COVID-19, please call your doctor first. Older people, people with serious medical conditions, and those with weak immune systems should contact their doctor early, even if their symptoms are mild.

If you have severe symptoms like pain or pressure in your chest, confusion, or blue lips or face, contact your doctor or the emergency room and seek care immediately. Please call first if you can.
 

How can I get treatment for non-COVID-19 issues?

Medical care such as eye exams and teeth-cleaning that are not urgent should be rescheduled for a later time. When possible, doctor’s appointments should be done by phone or computer. These are called telehealth services. Call your doctor to see if they can do this.
 

What should people with intellectual and developmental disabilities do?

State-run developmental centers, intermediate care facilities for people with developmental disabilities, and community-integrated living arrangements will stay open. All home healthcare staff are considered essential staff and should continue to take care of patients at home.

If you have questions about your services, reach out to your doctor or MDwise.


What should I do if I have symptoms?

Stay at home until you do not have a fever or other symptoms for 72 hours. This means you should no longer need medicine to treat your symptoms or fever.

Stay away from people and wear a mask around family or caregivers. Cover your coughs and sneezes with a tissue or your sleeve. Wash your hands often with soap and warm water or use hand sanitizer with at least 60% alcohol.

Clean surfaces that many people touch (like doorknobs and countertops) with cleaning and disinfection products often. Follow all instructions on product labels.



Pregnancy and Postpartum


Does COVID-19 pose a higher risk for pregnant and postpartum women?

At this time, the CDC does not think pregnant women are more likely to get sick from COVID-19. The CDC does not think women who recently had a baby are more likely to get sick from COVID-19. If you are pregnant or recently had a baby, and have questions about COVID-19, please contact your doctor.


Can COVID-19 cause problems for my pregnancy?

If you get sick with COVID-19 we do not know if it could cause problems for your pregnancy or the health of your baby. If you have symptoms of COVID-19, call your doctor. Your doctor can tell you if you need to take additional precautions.
 

I am pregnant and tested positive for COVID-19, will it hurt the baby?

We do not know if there are special risks to babies whose mother is sick with COVID-19. There have been a small number of reported problems with pregnancy or delivery (such as preterm birth) when mothers were sick with COVID-19 during their pregnancy. It is not clear that the problems were because the mother was sick.


Transportation Assistance


Be sure to ask MDwise Transportation Customer Service about the Gas Mileage Reimbursement for family members or close friends to get you to your medically necessary appointments.
 

 

Is transportation still provided?

Yes, but in-state ground transportation must be medically necessary.  
 

How do you show medical necessity?

 MDwise transportation customer service will help you to submit any paperwork that is needed.
 

Have there been any changes to Family Member and Friend Gas Mileage Reimbursement?  

Yes. MDwise Transportation can sign up family members or close friends directly from March 30, 2020 through July 31, 2020.
 
To sign up, MDwise Transportation must have the following:
• Driver’s W-9 tax form
• Copy of current driver’s license for the driver
• Copy of current vehicle registration for the vehicle to be used
• Copy of current auto insurance card for the vehicle to be used (Vehicle Identification Number, or VIN, must match vehicle registration)
• Copy of Medicaid Family Member or Associate Transportation Services form, filled out and signed by the requesting Medicaid member. You can ask for a copy of this form from MDwise transportation customer service.


Who do I call to sign a family member or friend up for gas reimbursement?

Call MDwise customer service at 800-356-1204 and pick the option for transportation. You will need to have the member’s Member ID number (MID), address and current phone number on hand.  


How do I set things up with Transportation?  

Call MDwise customer service at 800-356-1204 and pick the option for transportation.