Member FAQ
Last updated: December 6th, 2021
1. Where can I get a COVID-19 vaccine?
Search for a vaccine to find appointments near you. If you are having trouble finding an available appointment or have any vaccine questions, please call Member Services at 1-888-778-1478 (TTY/TDD 711).*
If two doses are necessary for a complete vaccination, make sure you get both doses of the same vaccine. If you are fully vaccinated, be sure to receive a booster to help protect against new waves of COVID infection.
2. Will I be charged when I get the COVID-19 vaccine?
You can get your COVID-19 vaccine at no cost at any location where you can get an appointment—don’t wait.
3. How can I protect myself and others?
The most important way to protect yourself from COVID infection is to get vaccinated. We strongly encourage you to get the COVID-19 vaccine as soon as possible. Please see our Vaccine Updates page for more information.
If you haven't been vaccinated yet:
- Wear a snuggly fitting mask that covers your nose and mouth to help protect yourself and others.
- Stay at least 6 feet apart, especially around people who don't live with you.
- Get a COVID-19 vaccine as soon as you can.
- Being in crowds makes you more likely to get or spread COVID-19, so avoid crowds and poorly ventilated indoor spaces.
- Wash your hands often with soap and water, or use hand sanitizer if soap and water aren't available.
If you live in a high-risk area, have a compromised immune system, or live with someone who does, we also recommend mask use in public settings.
4. What is COVID-19?
COVID-19 is the infectious disease caused by a coronavirus, which can cause severe pneumonia and even death. It is the source of the current worldwide pandemic and can be easily spread. We now have very effective vaccines that protect us from becoming ill with COVID-19.
5. Am I at risk?
Older adults (over the age of 60), as well as people with underlying chronic medical conditions like heart disease, diabetes, lung disease, and cancer, are at higher risk for developing serious complications with COVID-19.
6. How does it spread?
COVID-19 infection occurs via respiratory droplets by breathing air shared with an infected person. Human coronaviruses are usually spread from an infected person to others through the air by talking, coughing, sneezing, or breathing the same air. We now know that up to 50% of new COVID-19 infections were due to exposure to someone who did not have symptoms and did not know they were carrying and spreading infection.
7. What are the signs and symptoms of COVID-19?
For many people who have COVID-19 infection, it can seem like a mild cold. But for a small percentage of those with the virus it develops into a severe pneumonia. Recent studies show that even people with no symptoms can carry and spread the virus. That's why it is so important to be vaccinated, or stay at home, keep your household safe, and not be exposed to other households. Symptoms of COVID-19 may be mild to severe and include:
- Fever or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
If you develop emergency warning signs for COVID-19, call 911 immediately or call ahead to your local emergency facility. Emergency warning signs include:
- Trouble breathing
- Persistent pain or pressure in the chest
- New confusion
- Inability to wake or stay awake
- Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
This is not a complete list. Please consult your doctor for any other symptoms that are severe or concerning. New Jersey members can also check their symptoms with the New Jersey COVID-19 Symptom Checker. Members in our other states can use the CDC’s Coronavirus Self-Checker.
8. What should I do if I suspect I have COVID-19?
First, get tested to make sure you have the virus. If you test positive for COVID-19 or suspect that you have COVID-19 infection and are NOT vaccinated, it's very important to avoid spreading the virus by isolating at home and taking the following precautions:
- Don't go to any public places, stay at home, and don’t have any visitors.
- Regularly take and record your temperature.
- Please do not visit a hospital, physician’s office, lab, or healthcare facility without calling first.
- Don’t share personal items like dishes, utensils, or towels and wash your hands often.
- If your symptoms worsen, please contact your healthcare professional as soon as possible.
- The CDC recommends you remain in home isolation for at least 10 days after symptoms first appear AND that at least 24 hours have passed without having a fever (without fever reducing medicines) AND your symptoms have gotten much better. Please consult your doctor, as local health department recommendations are changing often.
- If you are living with others who are not vaccinated, wear a mask in your home to protect those around you. Be sure your mask has at least 2 layers.
9. What should I do if I have been exposed to someone with COVID-19 infection?
If you have not been vaccinated for COVID-19, you should stay home and isolate yourself from others (quarantine). Please follow the home isolation guidelines listed above (What should I do if I suspect I have COVID-19?"). Although the 14-day quarantine period after exposure to COVID-19 is still ideal, the CDC recommends two other acceptable quarantine periods: 10 days without a test if you have no symptoms and 7 days if you have no symptoms and a negative test. In both instances, the CDC urges you to continue to monitor your symptoms for the full 14 days following exposure. You do not have to be in isolation.
However, if you have been fully vaccinated against COVID-19 or have fully recovered from COVID-19 in the last 3 months AND have no symptoms of COVID-19, you do not have to be in isolation after exposure.
10. If my doctor thinks I need to be tested, do I have to pay for it?
The COVID-19 test and visit to conduct the test, will be at no cost to Clover Health members. If admitted, inpatient hospital cost-shares will apply. This includes direct viral tests for COVID-19 (also known as PCR tests) as well as COVID-19 antibody tests. Clover Health only covers the costs for COVID-19 tests that have been authorized by the Food and Drug Administration (both PCR and antibody tests).
11. If I need to see my doctor, what should I do?
We want you to have the best care possible, so we pay for you to have doctor visits by phone or video. During this national COVID-19 pandemic emergency, these “virtual visits” with your regular doctors are at no cost to you as a Clover Health member.
- If you are feeling sick, especially if you have fever and cough, contact your doctor for further care. Your doctor may be able to see/speak with you via phone and/or video. In most areas, healthcare settings are taking great precautions to keep patients safe. If your doctor feels you should have a visit in-person, be sure to follow any and all rules for masking and testing.
- If you are unable to reach your doctor, you can talk to a doctor remotely by calling our partner Teladoc at 1-800-835-2362, 24 hours a day, 7 days a week. Due to the concern about coronavirus, hold times may be longer than usual.
12. I am worried about running out of my prescriptions, what should I do?
We provide medications and refills delivered to you at no cost.
- Our pharmacy benefit allows your doctor to order up to 100-day supplies of medications. You can request your doctor call in new prescriptions to your pharmacy or have your pharmacy contact your doctor to obtain prescriptions for 100-day supplies of medication.
- Having your regular prescription drugs delivered by mail is the best way to ensure you will alway have access to your medications. There is no charge for delivery by CVS Caremark Mail Service Pharmacy. Click here sign up for mail service or call the CVS Caremark member services number on the back of your Clover Health member ID card.
- We have lowered the cost of a 100-day supply of Tier 1 and Tier 2 prescription drugs via mail order.
13. Is it safe to go to healthcare appointments in person?
Yes, it is generally safe to go to healthcare settings. There will be additional precautions, such as mask use, in place to protect you.
14. If I contract COVID-19, is there a cure?
There is currently no specific medical cure for COVID-19. However, we now have several FDA-approved medications for the management of early, moderate, and severe COVID infections, some require an infusion center or hospitalization. If you are not sick enough to be hospitalized, you can recover at home. If your symptoms are severe enough that you require hospitalization, your standard Clover Health inpatient coverage will apply.
15. What about younger adults and children?
While older adults are more likely to develop severe COVID-19 infection, recent U.S. reports have also noted severe disease in otherwise young and healthy adults. Adults, and especially children, can carry the virus without symptoms and pass it on to others. Some children can develop serious illness and life-threatening complications from COVID-19 as well
For more information on the vaccine and the virus, visit our COVID-19 resource center. If you’re having trouble finding available vaccine appointments in your area, Clover may be able to help. Search for a vaccine or call Member Services at 1-888-778-1478 (TTY/TDD 711).*
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