EUTF COVID-19 Coverage

Updated 02/12/2021

Plan Coverage

HMSA members:

  • Testing: COVID-19 diagnostic testing services are 100% covered effective March 1, 2020 through the end of the national public health emergency (currently through April 20, 2021), as required by law. Physician referral is required.
  • Testing prior to surgery: COVID-19 testing for asymptomatic patients prior to elective surgery when rendered by a participating provider is 100% covered effective April 1, 2020 through March 31, 2021.​
  • Pre-travel testing: Pre-travel COVID-19 testing is not covered.
  • Treatment: COVID-19 treatment services are 100% covered effective March 1, 2020 through December 31, 2020. Effective January 1, 2021, coverage of COVID-19 treatment services will revert to the plan’s benefit level for the services provided.
  • Telehealth: Telehealth services, including non-COVID-19 related services, are 100% covered effective March 1, 2020 through December 31, 2020. Effective January 1, 2021, coverage of telehealth services will revert to the plan’s benefit level for the services provided. Audio-only services will also no longer be included as part of the telehealth benefit and coverage will end effective January 1, 2021. Coverage of HMSA’s Online Care will remain at 100%.
  • Vaccine: The COVID-19 vaccine, including administration fees, will be 100% covered. For HMSA updates on the vaccine, visit COVID-19 vaccine.
  • For more information about changes in COVID-19 coverage effective January 1, 2021, visit COVID-19 Coverage Changes.

KP members:

  • Testing: COVID-19 diagnostic testing services are 100% covered effective March 5, 2020 through the end of the month in which the national public health emergency ends (currently through April 30, 2021).
  • Testing prior to surgery/hospital admission: COVID-19 testing prior to surgery or hospital admission is 100% covered effective June 1, 2020 through the end of the month in which the national public health emergency ends.
  • Pre-travel testing: Pre-travel COVID-19 testing is 100% covered effective October 15, 2020 through the end of the month in which the national public health emergency ends.
  • Treatment: COVID-19 treatment services are 100% covered effective April 1, 2020 through the end of the month in which the national public health emergency ends.
  • Vaccine: The COVID-19 vaccine, including administration fees, will be 100% covered. For Kaiser updates on the vaccine, visit COVID-19 vaccine, or call the Kaiser Permanente COVID-19 hotline at (855) 550-0951.

Humana members (New plan for EUTF Medicare Retirees effective January 1, 2021):

  • For calendar year 2021, COVID-19 diagnostic testing services, treatment services, and telehealth services are 100% covered.

* Be assured that your EUTF health coverage will continue during the COVID-19 pandemic. If you are approved for leave without pay (LWOP), you must pay your portion of health benefit premiums directly to the EUTF in order to continue your coverage. Premium payment options can be viewed on our website at eutf.hawaii.gov. Failure to make a timely payment will result in the cancellation of your health benefits and reinstatement of benefits is available only under limited conditions.

** The coverage levels mentioned above are temporary and subject to change.

How to Seek Health Services

For non-urgent services, we encourage you to call your doctor or use online services before visiting your doctor’s office or health care facility.  If you are experiencing symptoms of a medical emergency like difficulty breathing, call 911 or go to the nearest emergency room/department.

HMSA members:

Your primary care provider (PCP) is the first person you should contact for any health-related questions.  If you don’t have a PCP, download HMSA’s Online Care® mobile app or visit hmsaonlinecare.com and register for online services.  Online Care doctors are available 24/7 and at no charge.  American Well® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA.

Your health plan is designed to support your overall health and wellness – not just your physical health, but your mental and emotional well-being too. For resources, visit Health and Wellness for HMSA members. You can also visit HMSA’s mental health resources, which includes articles, webinars, and tips on how to take care of yourself and your loved ones during challenging times.

CVS/SSI members:

We encourage members to get their prescriptions through mail order, especially during this time.  Every order is filled by a licensed pharmacist, quality checked, and delivered in discreet packaging that is tamper-proof, weather-proof, and temperature controlled.  Medications are delivered to a location of your choice, with no-cost shipping.

To start mail service, sign in at Caremark.com.

  • Under Prescriptions, click Start Rx Delivery by Mail.
  • Search for a drug, view Past searches, or Request a previously filled prescription.
  • Select the drug you want to fill and click Request a New Prescription.
  • You can also download the Mail Service Order Form located under Plan & Benefits – Print Plan Forms.

If you have any questions regarding mail service or your prescription drug benefit, contact CVS (toll-free 1-855-801-8263).

KP members:

Call the number on your KP membership card, available 24/7.  Another option is to download the Kaiser Permanente mobile app or visit kp.org and register for online services.  Through kp.org, you can view portions of your medical record, send secure emails to your doctor’s office, refill most prescriptions, and schedule phone appointments.

Your health plan is designed to support your overall health and wellness – not just your physical health, but your mental and emotional well-being too. For resources, visit Health and Wellness for Kaiser Permanente members. Kaiser Permanente’s website also offers helpful COVID-19 related articles and videos on their Featured Resources page, as well as self-care tools, tips, and activities on their Wellness Resources page.

VSP members:

For assistance, see how to receive covered Essential Medical Eye Care Services.

HDS members:

For assistance, see how to receive covered Emergency Dental Services. Please note that it is HDS policy that separate fees for personal protective equipment (PPE) or protective gear used during your dental visit are not billable to HDS members.​ If billed, please contact HDS (Oahu 529-9310 or toll free 1-866-702-3883).​

How to Prevent the Spread of COVID-19

To prevent the spread of COVID-19 and reduce its impact on our communities:

  • Stay home if you start to feel ill, unless you are going out to seek medical attention.
  • Avoid close contact with people (social distancing at least 6ft or 2 arms length from others).
  • Wear a cloth mask when out in public.
  • Wash your hands often. Use soap and water for at least 20 seconds, especially after going to the bathroom, before eating, and after blowing your nose, coughing, or sneezing.  If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol.
  • Clean and disinfect frequently touched objects and surfaces using a household cleaning spray or wipe.
  • Avoid touching your eyes, nose, and mouth.
  • Cover your coughs and sneezes by covering your mouth and nose with a tissue or using the inside of your elbow. Throw used tissues in the trash.  Then, immediately wash your hands as advised above.
  • Get the flu shot.

 

Common myths about the COVID-19 vaccine:

  1. Myth: If you’ve already had COVID-19, you don’t need a vaccine.
    Truth: You may still benefit from getting vaccinated. The immunity you developed after your initial COVID-19 infection may not be strong enough to prevent another infection. The vaccine provides future immunity.
  2. Myth: Getting the COVID-19 vaccine means I can stop wearing my mask.
    Truth: You still need to practice infection prevention. As effective as the vaccine is, it is not 100% foolproof and you can still be infected with COVID-19 (to a lesser degree) and can infect others if you do not social distance and wear a mask.
  3. Myth: We don’t need a COVID-19 vaccine and can rely on herd immunity.
    Truth: The vaccine is essential for true herd immunity. At least 70-90% of the country need to be vaccinated to reach herd immunity.
For more information, visit any of the following websites:

State Department of Health
Disease Outbreak Control Division (DOCD) COVID-19 Response – health.hawaii.gov/coronavirusdisease2019
Hawaii COVID-19 Vaccinations – hawaiicovid19.com
DOH News Releases – health.hawaii.gov/news