Johns Hopkins US Family Health Plan is tracking the coronavirus (COVID-19) situation closely. We want to make sure you have up-to-date information, know what to expect, and know how to care for your own and your family’s health.

Please visit coronavirus.jhu.edu for the latest COVID-19 news, health and safety guidelines, and easy instructions for how to protect yourself. More resources are also available at cdc.gov/coronavirus.

Coronavirus and Your Benefits

It is critical to Johns Hopkins USFHP that our members have appropriate access to testing and treatment for coronavirus. Johns Hopkins USFHP offers the following coverage:

COVID-19 Vaccine

The Federal Drug Administration (FDA) has approved two COVID-19 vaccines. These vaccines are safe for a diverse set of adults and are effective at preventing you from getting seriously ill with COVID-19. These vaccines are a critical step in slowing the spread of the disease. Initial doses of the vaccines are being made available to priority groups. As greater supplies become available, the vaccine will be offered to more of the public. Johns Hopkins US Family Health Plan encourages members to receive the vaccine when it is available to them to protect themselves, protect the most vulnerable, and keep the health care system and essential businesses running.

COVID-19 Vaccine Coverage

Johns Hopkins US Family Health Plan members can receive the vaccine at a $0 cost share. Members will have no copay or deductible for an FDA-approved COVID-19 vaccine when received from an in-network health care provider, facility or pharmacy. Both doses of the vaccine are covered at $0.

Questions We Can Answer Now

We’re learning and gathering as much information about the COVID-19 vaccines as we can. Please use the Centers for Disease Control and Prevention (CDC), FDA and state health departments for the most up-to-date information. Here are some common questions we can answer for you.

What are the two COVID-19 vaccines being used?
The FDA approved two COVID-19 vaccines and a third vaccine is in trials.

  • Pfizer
    • Approved and in use
    • Two required doses, three weeks apart
    • Pfizer reports vaccine is approximately 95% effective at preventing both mild and severe symptoms of COVID-19
  • Moderna
    • Approved and in use
    • Two required doses, four weeks apart
    • Moderna reports vaccine is approximately 95% effective at preventing both mild and severe symptoms of COVID-19

Learn more about the approved vaccines.

How will I know when the COVID-19 vaccine will be available to me?
States are prioritizing the vaccines by risk level based on CDC guidance.

Learn more about your state’s or region’s current phase and your eligibility:

Vaccine supplies may increase by the late spring or summer. Please talk to your health care provider or pharmacy about when you may be able to receive the vaccine. When it is your turn to get the vaccine, make sure to follow all instructions you receive, including getting your second dose.

Read about the CDC’s guidance on vaccine priority.

Where will I be able to get the vaccine?

The plan is for health care providers, retail pharmacies, hospitals, health departments, and more to have the vaccine once more doses are available. USFHP members should receive the vaccine from an in-network provider or Walgreens pharmacy for 100% coverage.

How safe is the vaccine?
The FDA has a vaccine safety system, which includes clinical trials. All vaccines, including the COVID-19 vaccines must pass this process. Learn more about the safety of the COVID-19 vaccines.

What side effects can I expect?
Side effects from the vaccine are:

  • Injection-site pain, fatigue, muscle aches, joint pain, headaches, chills

Side effects are normal—they are indications that your body is building protection against the disease. Side effects may be minimal or may impact day-to-day activities, but should go away in a few days. Learn more about the side effects of the COVID-19 vaccines.

Will I still need to wear a mask and maintain physical distance after I get my vaccine?

Even after you get both doses of the vaccine, you should continue to practice all recommended and required measures to stay safe and slow the spread of the disease, including wearing a facemask, maintaining a distance of six feet from others, and washing your hands frequently. Experts are still learning about the vaccine, including whether there are any limitations on how long protection may last.

Read the CDC’s answer to this question and more.

COVID-19 Testing

  • Testing for COVID-19 is covered when symptomatic and referred by your physician.
  • Members will have no cost-shares (copayments, co-insurance and deductibles) for COVID-19 testing or for visits associated with COVID-19 evaluation that leads to testing.
  • No pre-authorization requirement for COVID-19 testing.

Prescriptions

  • Early refill restrictions waived on prescription for at least 30-day supplies.

Members can also consider getting a 90-day supply of maintenance medications you take on a regular basis. Visit COVID-19 – Frequently Asked Pharmacy Questions or our pharmacy page to learn more about your prescription coverage.

Telemedicine

TRICARE recently expanded telehealth coverage. Effective May 12, 2020, this guidance is only in effect for the duration of the COVID-19 emergency. According to this update:

  • Members now have no cost shares for any covered telehealth appointments (not just visits related to COVID-19).
  • Normal referral and preauthorization requirements apply.
  • For covered services, members can use telehealth to work with any US Family Health Plan authorized individual provider.

 

Getting Back to Care Amid COVID-19

Concerns about COVID-19 have caused many people to avoid seeking important health care during the pandemic. Preventive and routine care is still critical for your overall health. Health care providers are seeing more patients in person again. If you have been delaying care or have not been able to see your primary care manager (PCM) in a while, you should call to set up an appointment. Ask what preventive care you may be due for. Or set up a well-visit to discuss any screenings or routine care that you need.

Provider offices are taking extra precautions to ensure that offices are clean and patients and staff are safe. If you do not feel comfortable having an in-person appointment, you should consider using telehealth. With audio and video calls, you can still have many services. See the information on this page about how USFHP covers telehealth.

Help Fight COVID-19

If you tested positive and recovered from COVID-19, you may be able to help treat future patients. Authorized by the Food and Drug Administration, convalescent plasma can be used as an investigational treatment for patients with moderate or severe COVID-19 infection. The Department of Defense is hoping to collect more than 10,000 units of COVID-19 convalescent plasma by Sept. 30. Learn more about eligibility requirements and where to find a local Armed Services Blood Program center for your donation.

Prevention

There is no vaccine for the coronavirus at this time, but you can take steps to help keep yourself and others safe. Follow these tips to prevent infection:

Social and Physical Distancing:

  • Avoid hugs, handshakes, and crowds.
  • If you feel sick, stay home.
  • If your children are sick, keep them at home.
  • If someone in your household has tested positive for COVID-19, keep everyone in the house at home.
  • If you are an older person, stay home and away from other people.
  • If you are at higher risk of severe illness, stay home and away from other people.

As with any illness, call your provider if you are feeling unwell. You should also call your provider if you experience symptoms of coronavirus—fever, cough and trouble breathing—or if you think you may have been exposed to the virus.

Proper Handwashing:

Clean hands save lives! This simple step is one of the best ways to protect yourself and your family.

  • Wash your hands often with soap and water for at least 20 seconds, especially:
    – Before eating
    – After going to the bathroom
    – After blowing your nose, coughing, or sneezing
  • When you can’t get to soap and water, use a hand sanitizer with at least 60% alcohol.
  • Avoid close contact with people who are sick. If someone is sick at home, wash your hands before and after caring for them.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

Our priority remains to ensure that you have access to the health care you need. We will continue to update our website with information that can help you stay healthy, or – in case you get sick – help you get the right care.