Health care coverage

Yes,  when you must leave home to conduct activities permitted under the current roadmap stage, you should wear a cloth face covering or mask. The California Department of Public Health (CDPH) has released Guidance on Use of Cloth Face Coverings.

The cloth face coverings recommended are not medical grade respirators, such as N95 and surgical masks.

The guidance reminds Californians that the best defense against COVID-19 continues to be: 

• Staying at home and physical distancing 
• Washing hands frequently
• Avoiding touching eyes, nose and mouth with unwashed hands
• Avoiding being around people with COVID-19 symptoms

The use of cloth face coverings could reduce the transmission of COVID-19 by individuals who do not have symptoms and may reinforce physical distancing.

A cloth face covering is material that covers the nose and mouth. It can be secured to the head with ties or straps or simply wrapped around the lower face. It can be made of a variety of materials, such as cotton, silk, or linen. A cloth face covering may be factory-made or sewn by hand, or can be improvised from household items such as scarfs, T-shirts, sweatshirts, or towels.

It’s a good idea to wash your cloth face covering frequently, ideally after each use. Have a bag or bin to keep cloth face coverings in until they can be laundered with detergent and hot water and dried on a hot cycle. If you must re-wear your cloth face covering before washing, wash your hands immediately after putting it back on and avoid touching your face. Discard cloth face coverings that:

• No longer cover the nose and mouth
• Have stretched out or damaged ties or straps
• Cannot stay on the face
• Have holes or tears in the fabric

The cost of coronavirus screening, testing, and treatment for the uninsured is paid for by the government. You can check your symptoms using the Symptom Screener or by contacting your doctor through telehealth. You can also get free testing through Verily’s Project Baseline or OptumServe.

Nothing. The state agencies that regulate health care in California have mandated that all full-service insurance plans (including Medi-Cal) waive copayments, coinsurance, and deductibles for medically necessary screening and testing for COVID-19. This includes emergency room, urgent care, or provider office visits when the purpose of the visit is to be screened and tested for COVID-19.

Testing for COVID-19 is covered by insurance, Medicare, and Medi-Cal. If you have no insurance, it’s paid for by the government. As a first step, you can check your symptoms using the Symptom Screener or by contacting your doctor through telehealth.

If you are having trouble accessing care, or were inappropriately charged cost-sharing for medically necessary screening and testing for COVID-19, follow up directly with your health plan by calling the member phone number listed on your health plan card. If your health plan doesn’t resolve the issue, contact the California Department of Managed Health Care (DMHC) Help Center for assistance at 1-888-466-2219.

Yes. Both Medicare and Medicare Advantage Plans cover coronavirus tests and antibody tests, with no out-of-pocket costs. 

Yes. Medicare has temporarily expanded its coverage of telehealth services (medical care via phone, video chat, or online portal) to respond to the current Public Health Emergency. You can now use a wide range of communication tools (including smartphone) from home to interact with a range of providers, like doctors, nurse practitioners, clinical psychologists, licensed clinical social workers, physical therapists, occupational therapists, and speech language pathologists. If you have original Medicare, you can get many services without a copayment through telehealth, including evaluation and management visits (common office visits), mental health counseling, and preventive health screenings.

If you have a Medicare Advantage Plan, you have access to these same benefits. Many plans offer additional telehealth benefits and expanded benefits, like meal delivery or medical transport services. Check with your plan about your coverage and costs.

You are not alone. The California Surgeon General released two playbooks for managing stress and tips for care-givers and kids. If you feel like you need to talk to someone and want emotional support see this list of resources.

No, you will not need to renew for 90 days. Governor Gavin Newsom issued an executive order to ensure that health care, food assistance, and in-home supportive services continue during the COVID-19 outbreak.

The order waives eligibility re-determinations for 90 days for participants in:

• Medi-Cal health coverage
• CalFresh food assistance
• CalWORKs
• Cash Assistance for Immigrants
• In-Home Supportive Services

If you have coronavirus symptoms, please contact your doctor through telehealth or use the Symptom Screener self-checker.

If you have other illnesses or chronic conditions, use telehealth to get care from home.

If you need to go to the hospital, call ahead so they can prepare for your arrival. If you call 911, tell the 911 operator your exact symptoms so the ambulance provider can be ready to treat you safely.

Preventive care services and non-emergency surgeries, like organ replacements and tumor removals, can take place if hospitals have enough capacity and protective equipment to do so safely. Eye exams, and elective procedures should be cancelled or rescheduled. If possible, health care visits should be done remotely. Dental services and preventive dental care may be resumed. Contact your doctor through telehealth to see what services they are providing.

Yes. You may leave your home to get prescriptions or cannabis from dispensaries with medical permits.

You can contact your doctor through telehealth to get a new prescription or adjust your existing prescriptions. 

You can call the statewide hotline for older Californians at 1-833-544-2374 for your non-urgent medical needs, to get meals delivered, track down prescriptions and more. The most important thing you can do is stay home for your health and wellbeing. If you are experiencing an emergency please call 911.

You should check in on your older neighbors and loved ones with a call, text or physically distanced door knock to make sure they are okay. You can also teach them how to FaceTime, Zoom, Google Duo or use Facebook video to communicate. The most important thing you can do is to keep in touch with older loved ones for their mental health and safety.

Yes. Be sure that you protect them and yourself by following physical distancing guidelines such as wearing a mask, washing hands before and after, using hand sanitizer, maintaining at least six feet of distance when possible, and covering your cough or sneeze. If you have early signs of a cold, please stay away from your older loved ones.

Generally, no. There are limited exceptions, such as if you are going to the hospital with a minor who is under 18 or someone who is developmentally disabled and needs assistance. For most other situations, the order prohibits visitation to these kinds of facilities. This is difficult, but necessary to protect hospital staff and other patients. Check the frequently asked questions for friends and family with a loved one in a skilled nursing or residential care facility for more detailed information.