Experience Health has been monitoring the novel coronavirus, which is also known as COVID-19. Our members' awareness about the virus is important and we want to ensure you have access to up-to-date information from governmental bodies who are actively monitoring the current situation and providing updates accordingly.

Watch for Symptoms

Call your doctor if you develop symptoms. In the event of an emergency, call 911.

Learn more about coronavirus, including prevention, by visiting:

How Experience Health can help:

  • Experience Health is waiving early medication refill limits on prescription maintenance medications consistent with the CDC recommendation to have a 1-month supply of medication on hand. Member cost sharing will apply as normal.
  • Experience Health is covering COVID-19 testing with no member cost share ($0 copay). No prior approval from Experience Health is required for the test to be covered.
  • Experience Health does not require prior approval or specialty referrals for medically necessary services for any customers who are diagnosed with COVID-19.
  • Experience Health has expanded coverage of virtual visits to include those done by phone, the same as face-to-face visits according to a member's health plan. This will allow more people to access care from home and limit exposure of patients and providers. Call your doctor’s office to ask about virtual appointment options.
  • Experience Health is waiving member cost-sharing for COVID-19 related treatments for both in-network and out-of-network providers. We will reimburse providers in full at in-network or Medicare rates. Please note that when submitting treatment claims, providers must use designated COVID-19 codes.

These measures are currently active and will be re-evaluated periodically for extension.

If you have any questions about your benefits or access to needed care, we are here for you. Please call our Customer Service at 833-777-7394 (TTY: 711) (8 a.m. to 8 p.m., 7 days a week).

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