Coronavirus: Benefit and Coverage FAQs

Friday, April 3, 2020

A pair of reading glasses set on a desktop with a computer and mobile phone.

Updated on April 7, 2021

We understand that you may have questions relating to your benefits and coverage during these uncertain times. We’ve compiled this list of frequently asked questions to help provide information about what’s covered and what’s not in response to the COVID-19, or coronavirus, pandemic. If you have additional questions, please contact us through the Message Center.

Benefit Related Questions

Can I use a non-Teladoc telemedicine service if my physician offers one?

We will temporarily allow non-Teladoc telemedicine providers during this pandemic crisis. However, Teladoc will still be the only service we cover 100%.

Is COVID-19 testing covered?

TeamCare will cover medically necessary diagnostic tests that are consistent with CDC guidance related to the COVID-19 outbreak. In compliance with federal law, the COVID-19 testing will be covered at no cost to you.

Is telemedicine (teledental) covered for a dental visit to be used to determine if it is indeed a dental emergency?

At this time, it would not be covered.

What should I do if I need new eyeglasses or lenses?

EyeMed is committed to maintaining service and helping you manage through these challenging times. As with all managed care organizations, EyeMed is required to follow COVID-19 guidance and protocols provided by the Centers for Disease Control and Prevention (CDC), and state and local public health and insurance departments. Your state currently considers optometry an essential service, including allowing you to receive all available services such as eye exams, new glasses, lenses, or contact lenses.

Please click here for EyeMed's COVID-19 Member Benefit FAQs.

Can I order eyewear/contacts online using my benefits?

Yes. You have multiple options to order prescription eyewear and contact lenses online using your EyeMed benefits. If you meet the qualifications in the above scenarios, you have multiple online, in-network options including Glasses.comContactsDirectRay-Ban.comLensCrafters.com, and TargetOptical.com. It’s easy to order, your benefits are applied automatically, and your glasses or contacts will be delivered right to your home. Understanding the circumstances, many of these online providers are offering free expedited shipping and no-cost returns for extra convenience. Check with your online provider to verify available offers.

What are my options for contacting an eye doctor?

Whether you need to contact your existing eye doctor or find a new one, you should expect that numerous provider offices will be impacted due to federal, state, and local restrictions, staffing, safety, and other conditions. EyeMed recommends that members call their providers directly to verify modified location hours or closing. You have 24-hour access to provider contact information via EyeMed’s provider locator on EyeMed.com or on their app. You may also call EyeMed’s Customer Care Center at 1-866-723-0514.

Coverage Related Questions

Would TeamCare offer an extension of coverage for a dependent who turned 26 during the pandemic, lost their job, and does not have health insurance coverage?

An extension of coverage would not be provided. The dependent’s only option would be to apply for COBRA.

If I am off of work due to COVID-19, will my employer continue to make health contributions to provide coverage during this period?

Some employers are implementing a policy directly related to COVID-19 that requires health contributions for a defined period. In addition, most national collective bargaining agreements (UPS, ABF NMFA, YRCW, NMATA), have an employer-pay obligation that requires an employer to make health contributions for four weeks while an employee is off work due to an illness or non-work-related injury. Further, an employer may be required to pay contributions under the Family Medical Leave Act under certain circumstances. We recommend that you check this information with your employer/human resources department.

Will there be an exception made for late COBRA payments if I am not working and do not have an income? Will my coverage be extended if they cannot make their payment?

There will not be any exceptions made at this time. Our standard COBRA rules still apply.

Will there be an exception made for late COBRA payments if I am not working and do not have an income? Will my coverage be extended if they cannot make their payment? 

Certain situations do qualify for relief based on COVID-19 Federal Extensions.  Please see the article here on federal extensions. Outside of these specific exceptions, our standard COBRA rules apply.

 

Check out more resources related to COVID-19 ›