Coverage Updates & Information

During the COVID-19 outbreak, Sanford Health Plan is committed to providing you and your family with health care access. The following expanded coverage and benefits are extended through September 30, 2020.

COVID-19 testing is fully covered.

Sanford Health Plan will cover 100% of the cost of specimen collection and testing for COVID-19. Testing is covered when indicated as medically necessary by a qualified practitioner.

Office and ER visits for COVID-19 are covered.

Sanford Health Plan will cover office visits and ER visits at 100% when related to COVID-19 testing. If you have symptoms of COVID-19, call your provider for guidance.

We’re waiving all cost-sharing for treatment of COVID-19.

To best service our members in this time of uncertainty, Sanford Health Plan will waive all cost-sharing for treatment of COVID-19 through May 31, 2020. This means members will receive care and treatment and Sanford Health Plan will cover all of their out-of-pocket costs related to COVID-19. This provides for coverage of testing and treatment, including outpatient treatment and inpatient hospital stays.

All Sanford Health Plan members have access to virtual care.

During this COVID-19 outbreak, medically appropriate virtual care options are available to Sanford Health Plan members with all co-pays waived.

Since COVID-19 is highly contagious, we encourage you to use virtual care options if possible instead of going to your provider’s office. Learn about your options.

We are extending prior authorizations for existing prescriptions.

While there are no current concerns about the availability of prescription drugs, the CDC and the American Red Cross recommend that households maintain at least a 90-day supply of any maintenance prescription drugs used by household members. To help you stay prepared, Sanford Health Plan is extending prior authorizations an extra 90 days for all existing maintenance prescriptions with prior authorizations that will expire in 90 days or fewer.

We’re taking steps to protect you from surprise medical bills.

Sanford Health Plan will cover all COVID-19 treatments, labs and diagnostics at an in-network rate whenever services are delivered at an in-network facility, even if the treating specialist is out-of-network.

What you need to know about COVID-19

Visit our COVID-19 page to get the facts about the disease and learn how to stay safe.