Coronavirus (COVID-19)

As a community health plan, we’re working to limit the spread of this virus and promote access to screening, testing and medically necessary treatment.

COVID-19 Vaccine Information

Who is eligible for a COVID-19 vaccination?

See the FDA and CDC for updates, as both agencies make recommendations on COVID-19 vaccine distribution. There is also information available from the Missouri Department of Health & Senior Services and the Illinois Department of Public Health.

What is member cost-share for the COVID-19 vaccine?

We will cover FDA-approved COVID-19 vaccine(s) (SARS CoV-2) with no member cost-sharing, consistent with the requirements set forth by the CARES Act.


COVID-19 testing and treatment

WellFirst Health — Provided by SSM Health Plan — is currently taking the following steps to protect the health of our members:

  • Testing for current infection: When a provider orders COVID-19 diagnostic testing, member cost-sharing is waived, meaning no copayment, coinsurance, or deductible. 
  • Testing for past infection: When a provider orders COVID-19 antibody testing, member cost-sharing is waived, meaning no copayment, coinsurance, or deductible.


What to do when you have symptoms of COVID-19

The U.S. Centers for Disease Control and Prevention offers guidance on symptoms and when to contact your medical provider.

If you're experiencing symptoms, you can initiate an e-visit, A provider will determine the right care for you. If testing is recommended, you will be directed to the nearest testing site.

If you are not experiencing symptoms but are concerned about a potential exposure, you should seek free testing through the nearest community testing site.

Expanded telehealth services

We are currently expanding its coverage of telehealth services. This allows additional methods of health care access for members such as Skype, FaceTime or Zoom.

Security tips for accessing health care online

These services applies to our Individual & Family Marketplace, Direct, and SSM Health Employee ASO members.

We encourage using an SSM Health e-visit and our Nurse advice line to limit the potential spread of the virus to those in waiting rooms as well as medical staff.

Getting care not related to COVID-19

We understand you still need access to important health care during the pandemic. At SSM Health, our top priority is the health and safety of our patients, caregivers and communities. If you need to visit one of our physician offices, urgent care clinics or emergency rooms, rest assured we have extensive precautions in place. Learn more from SSM Health

Guidance on seeking care

Learn about telehealth options


Questions?

Everyone should continue to take everyday preventive actions to limit the spread of respiratory illness:

  • Wash hands frequently with soap and water. Use an alcohol-based hand cleaner if soap and water are not available.
  • Cover your nose and mouth with a tissue or the inside portion of your arm when coughing or sneezing.
  • Avoid touching your eyes, nose and mouth to prevent the spread of germs.
  • Clean and disinfect frequently touched surfaces and objects, especially if someone is sick.
  • Stay home if you are sick.
To provide members earlier access to prescription medications, we have relaxed our refill policy. Members can get early refills of maintenance and non-maintenance medications, both at a retail pharmacy and through mail order.

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