COVID-19 benefits for High Option members

COVID-19 vaccines and booster shots

Getting vaccinated is the best way to protect yourself from COVID-19. APWU Health Plan offers 100% coverage of COVID-19 vaccines and booster shots for members. The vaccines are safe, effective, and widely available.

• CDC recommends COVID-19 primary series vaccines for everyone ages 6 months and older.
• CDC recommends that people ages 6 months and older receive one updated (bivalent) booster if it has been at least 2 months since their last COVID-19 vaccine dose.

COVID-19 Vaccine Finder COVID-19 Booster Shot FAQ

COVID-19 at-home tests are covered 100%

APWU Health Plan reimburses members for COVID-19 over-the-counter tests. Get at-home tests at no cost through the Express Scripts^® pharmacy and network retail pharmacy counters. Visit the FAQ page for complete details.

Effective May 12, 2023, APWU Health Plan over-the-counter COVID-19 test coverage includes:

• $0 copay per each over-the-counter test
• Up to 4 tests per member per 30-day period
• 100% reimbursement for in-network claims
• Maximum of $12/test for out-of-network claims

You may purchase tests through local retail pharmacies or Express Scripts home delivery. Visit the FAQ page for complete details.

• High Option COVID-19 Test Coverage FAQ

COVID-19 testing coverage

APWU Health Plan covers COVID-19 testing at no cost for members. If you have questions, contact your primary care doctor or clinic.

Coverage includes:

• Visits to health care providers, urgent care centers, and the emergency room when the visit results in an order for or administration of a COVID-19 diagnostic test
• COVID-19 testing when a clinical professional prescribes it, including antibody testing

Telehealth visits are available for a $10 copay

Virtual visits are a great option for both medical and mental health care when you need to see a doctor without leaving home. As an APWU Health Plan member, you pay $10 per telehealth visit when you use the plan’s providers.

• See and talk to a doctor 24 /7 from your phone, tablet, or computer.
• If needed, doctors can send a prescription to your local pharmacy.

Get help managing stress and anxiety

Cigna Behavioral Health provides resources to help you navigate stress and anxiety during the COVID-19 pandemic.

Order maintenance medications from home

APWU Health Plan offers a convenient mail order program for members with long-term prescriptions. The program offers free delivery for 90-day refills.