Member Updates & Information

Frequently Asked Questions

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CareFirst will cover, with no cost share to the member (including our members enrolled in high deductible health plans), the appropriate medically necessary diagnostic testing for COVID-19, where it is not covered as part of the Public Health Service response, and ensure patient testing and any subsequently needed care are done in close coordination with federal, state and public health authorities.

For information on where to get tested, visit Community-Based Testing Sites for COVID-19 | HHS.gov

Medicare will cover the diagnostic testing of the coronavirus (COVID-19). Members will have no out-of-pocket costs. Additionally, Medicare covers all medically necessary hospitalizations. This includes if you are diagnosed with COVID-19 and might otherwise have been discharged from the hospital after an inpatient stay, but instead you need to stay in the hospital under quarantine. Medicare Supplement plans will pay their share of costs after Medicare pays its share of the Medicare-approved amount for covered health care costs. Medicare Supplement plans will pay Medicare Part A and Part B costs with the same cost sharing a member would normally have based on the Medicare Supplement plan they are enrolled in. For more information, visit Medicare.gov.

Members with a Medicare Supplement deductible will need to meet that deductible before their plan pays for any associated treatment.

If your health plan’s effective date is between November 2019 through July 2020, CareFirst is extending the time period for you to complete your Blue Rewards health screening for an additional 90 days – or through the end of your current plan year, whichever comes first. Please log in to your Sharecare account and select Achieve, then Rewards, then Blue Rewards Incentive Program to see your adjusted time period. Once the COVID-19 restrictions have been lifted, contact your PCP or visit your local CVS MinuteClinic to complete your health screening within the new time period.

CareFirst will fully cover the cost of emergency use authorized home COVID-19 testing when ordered by a doctor, nurse practitioner or other authorized provider. Reminder: CareFirst covers medically necessary COVID tests.  CareFirst does not pay for COVID-19 diagnostic testing for return to work/school testing.

Yes – if you are having an urgent dental issue, you may have the option to be seen by your dentist virtually – and you’ll pay the same as you would if you were seen in the dentist’s office. Coverage for these emergency virtual encounters is limited to problem-focused evaluations and follow ups only. This dental telemedicine benefit is available for the duration of the COVID-19 public health emergency. To learn more about your dental telemedicine options, please call your dentist.

Please note – CareFirst’s Video Visit does not include access to dental providers. Please call your dentist to learn more about your dental telemedicine options.

During the COVID-19 pandemic, most people have not been able to see their orthodontist except for emergency or urgent care. But some people may receive a bill even though their appointment was cancelled.

Treatments like braces require multiple visits over many months, even years. At the start of your treatment, many orthodontists work with you to create a payment plan, which may be automated. As a result, you may still be receiving a monthly bill, even though you have not been seen by your orthodontist due to the COVID-19 public health crisis. 

If you are experiencing difficulties making these payment plan payments or are concerned about owing a large payment once you can begin office visits again, CareFirst encourages you to contact your orthodontist and ask about payment options. The total amount you owe should not change, despite delays in check-in visits during the COVID-19 public health crisis.

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CareFirst’s participating providers should not bill you for any costs associated with PPE. If your in-network doctor or dentist has added an additional charge, or sent you a separate bill, for PPE or other “enhanced infection control” measures,  please contact our customer service department by secure email through My Account, or call the number on the back of your member ID card. 

Our plans include coverage for emergency medical care anywhere in the U.S.
Anyone with symptoms should first call their PCP to discuss their symptoms and treatment options. CareFirst members also have two options to receive care outside a provider’s office – 24-Hour Nurse Advice Line and Video Visit.
  • Members can call our free 24-Hour Nurse Advice Line at 800-535-9700 anytime and speak with a registered nurse to discuss their symptoms and get recommendations for the most appropriate care.
  • Members can also register for CareFirst Video Visit to securely connect with a doctor, day or night, through their smartphone, tablet or computer. Members can visit CareFirst Video Visit to get started – no appointment is necessary for urgent care services.

District of Columbia Residents

D.C. residents without insurance can get coverage during the coronavirus pandemic through May 20, 2021 during their special enrollment period.

Maryland Residents

Maryland residents may obtain Individual coverage through the Maryland Health Connection until May 15, 2021.

Virginia Residents

Virginia residents may enroll in individual coverage at Healthcare.gov during the Special Enrollment Period (SEP) beginning February 15, 2021, through May 15, 2021.

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