COVID-19 Testing and Care for Mary Washington Medicare Advantage Members

Mary Washington Medicare Advantage (MWMA) Waives Member Cost Share for COVID-19 Testing:

Our top priority is the health and safety of our members. MWMA has waived member copays, co-insurance and deductibles for testing and treatment of suspected or confirmed COVID-19 cases.

Referral and Prior Authorization Requirements Lifted:

Referral and prior authorization requirements have been lifted for services related to COVID-19 testing and care.

MWMA Pharmacy Benefits during COVID-19 State of Emergency

Early Prescription Refill Limits Lifted:

MWMA has waived early prescription refill lockouts.

Retail Shipping Options

For a limited time, in response to the COVID-19 pandemic, Mary Washington Medicare Advantage members may receive free home delivery of prescriptions through the following pharmacies:

CVS:

  • Members can request home delivery via:
    • CVS.com
    • CVS mobile app
    • Contacting local CVS pharmacy
  • CVS uses a variety of courier services, including the USPS courier service. Delivery time is 1-2 days. Please note same-day delivery is not available.
  • CVS is an in-network, preferred pharmacy.
  • How long will the free home delivery be available? Currently the free home delivery is perpetual. This page will be updated with the expiration date of the free home delivery when such date is available. ** Please continue to check back for updates.

Walgreens:

  • Members should contact their local Walgreens Pharmacy for details.
  • Walgreens uses FedEx next-day delivery. Orders must be received by 4 p.m., Monday through Friday, for next-day delivery. Delivery requests made during the weekend have an expected delivery day of Tuesday or Wednesday.
  • Walgreens is an in-network pharmacy; however, Walgreens is not a preferred pharmacy, which means your cost share for drugs may be higher.
  • How long will the free home delivery be available? Currently the free home delivery is perpetual. This page will be updated with the expiration date of the free home delivery when such date is available. ** Please continue to check back for updates.

Rite Aid:

  • Members should contact their local Rite Aid Pharmacy for details.
  • Rite Aid uses a courier service.
  • Rite Aid is an in-network pharmacy; however, Rite Aid is not a preferred pharmacy, which means your cost share for drugs may be higher.
  • How long will the free home delivery be available? Currently the free home delivery is perpetual. This page will be updated with the expiration date of the free home delivery when such date is available. ** Please continue to check back for updates.

Are all prescriptions eligible for home delivery?

Some prescriptions may not be eligible for home delivery, such as certain controlled substances and medications requiring refrigeration, depending on pharmacy and location. Contact your local CVS, Walgreens, or Rite Aid pharmacy for additional details.

What if I use a different pharmacy to fulfill my prescriptions?

Other local pharmacies may have “home-delivery” options. Check with your local pharmacy for more details.

What if I already have an automatic refill setup for mail order?

If you already have an automatic refill set up for mail order, then no action is needed. The mail-order option is part of your Mary Washington Medicare Advantage plan benefits, providing you with discounted rates and prescriptions delivered to your home. For more information regarding the mail order option, call Customer Service at 844.529.3760 (TTY: 711).

Using Telemedicine and Virtual Visits to Get the Care You Need

Telehealth, Virtual Check-Ins and E-Visits, Home Health:

To limit face-to-face interactions and the potential for COVID-19 exposure, telemedicine may be an option from your provider. Telemedicine is a covered benefit but needs to be provided by your doctor’s office.

Call your provider to ask if they offer telemedicine services.

  • Telehealth: Telehealth is an office visit that is conducted virtually. Prior to COVID-19, telemedicine was limited to particular geographic/site origination requirements. These requirements have been lifted during the COVID-19 State of Emergency so that all Medicare members can use telemedicine if their provider offers it. Normal member cost-sharing will apply to telehealth visits based on the provider type (i.e., Primary Care, Specialist).
  • Virtual Check-In: A virtual check-in is a brief (5-10 min) communication that may eliminate the need for an in-person visit, compared to telehealth where you are treated in the same manner as an office visit. Virtual check-ins are recommended for triage and meeting basic clinical needs such as prescription refills. A virtual check-in cannot be provided for a concern for established patients and cannot be related to a previous visit within the past seven days and/or an appointment (in-person or telehealth) within the following 24 hours.
  • E-Visits: An e-visit is when a Medicare member communicates with their doctors through online patient portals provided by their doctor. E-visits must be patient-initiated. Call your doctor to ask if e-visits are an option provided.

Home Health Services

Home health is a covered benefit to ensure access to continued care. Referral requirements for home health have been removed during the COVID-19 State of Emergency. Talk with your provider or call the Customer Service number on the back of your ID card to learn more about how to access Home Health Services, including if you are eligible for the service.

 

Important COVID-19 Information for MWMA Members

Mary Washington Medicare Advantage and Mary Washington Healthcare are monitoring the coronavirus pandemic very closely. This is a rapidly evolving situation that is changing daily. Mary Washington Healthcare is continually updating its guidance for the community, and this information can be accessed online.

 
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