Information on Coronavirus (COVID-19)

Johns Hopkins EHP is tracking the coronavirus (COVID-19) situation closely. We want to make sure you have up-to-date information about vaccines, testing, and your health plan benefits.

The Public Health Emergency (PHE) for COVID-19 has been renewed through April 16, 2022. All coverage, costs and benefits affected by the Public Health Emergency will continue as indicated on this webpage until the PHE ends.

Jan. 15, 2022 Update: EHP will cover up to 8 FDA-approved over-the-counter, at-home antigen tests per member, per month for tests purchased on or after Jan. 15, 2022. See the “COVID-19 Tests” section for more information.

Maryland and many other states now offer the Pfizer vaccine to all residents ages 5+. Learn More

Quick Links:

COVID-19 vaccine information by state:

Johns Hopkins University and Medicine:
Latest News and Guidelines
COVID-19 Vaccine Information and Updates

If you live outside one of the states or regions identified above, please follow the guidelines of your state and local health departments.

COVID-19 Vaccine

Johns Hopkins EHP is working hard to make it easy for you to take advantage of COVID-19 testing and vaccines and to get the health care you need during the pandemic.

  • Johns Hopkins EHP members do not have to pay for an FDA-authorized COVID-19 vaccine. Your cost-share (copay, deductible, etc.) is $0 for these vaccines during the public health emergency.
  • Members can receive the vaccine from an in-network or out-of-network provider.
  • Three COVID-19 vaccines have been authorized by the FDA. Learn more.
  • The Pfizer, Moderna, and Janssen COVID-19 vaccines have been thoroughly tested and found to be safe and effective in preventing severe COVID-19, and are undergoing continuous and intense safety monitoring. To date, there is an excellent safety record reported among millions of people who have received the Pfizer, Janssen, or Moderna COVID-19 vaccine. Learn more.
  • Click your state’s link above to find your vaccine eligibility status

Telehealth

You still need access to great health care, even if you don’t feel safe going to a provider’s office. EHP has expanded telemedicine benefits to offer members quick access to providers anytime, anywhere.

  • Telemedicine is covered; originating site can be patient’s home. Services for diagnosis, consultation and treatment provided through telemedicine must meet all requirements of face-to-face visits between a licensed health care provider and patient consistent with the provider’s scope of practice.
  • Additional covered telemedicine services includes preventative visits, additional behavioral health, and PT/OT/ST codes.
  • There is no restriction on place of service (POS) of rendered services.
  • Same authorization requirements apply for telemedicine as for face-to-face visits
  • Telemedicine provided by out-of-network providers is covered and payable under member’s out-of-network benefits, if applicable.
  • Telephonic consultation is covered.

COVID-19 Tests

COVID-19 Tests

  • Testing for COVID-19 is covered with an in-network or out-of-network provider.
  • Members will have no cost-sharing (copayments, co-insurance and deductibles) for physician prescribed COVID-19 testing or visits that result in COVID-19 testing, items and services provided during an office visit (including in office or telehealth provider office visits, urgent care and emergency department visits) that results in the administration of a COVID-19 test or an order for such test, but only to the extent that the items and services relate to the COVID-19 test.
  • Prior authorizations waived for COVID-19 testing and the associated visit.

At-Home Tests

  • Effective Jan. 15, 2022: EHP plan members have coverage for FDA-approved over-the-counter, at-home antigen tests, per government guidelines. See the full list of approved tests.
    • Some pharmacies will accept your EHP coverage at the point of sale and you will have no out-of-pocket costs. In other cases, you can file for reimbursement through your pharmacy network. See steps below.
    • EHP recommends that you save your receipt and the test box, or take a photo of the receipt and box. Make sure the price, test name, and number of tests in the box are easily readable. This information may be necessary for reimbursement.
    • Coverage limit: 8 tests per member per month, if purchased without a provider’s prescription. This limit applies to individual tests; if a box has multiple tests, each test is counted, not the box. EHP will not cover any tests purchased beyond the coverage limit.
    • Learn more: Frequently Asked Questions from the Centers for Medicaid and Medicare Services (CMS)
    • Order 4 free at-home tests online directly from the federal government.
  • Process for EHP members with CVS Caremark pharmacy coverage
    • Show your EHP member ID card to pharmacy staff at an in-network pharmacy. Many in-network pharmacies will accept your coverage at purchase with no out-of-pocket cost to you.
    • If the pharmacy is not set up to accept your coverage at purchase, you can submit a reimbursement in one of two ways:
      1. Fill out and mail the COVID-19 Test Kit Reimbursement Claim Form. Include your proof of purchase.
      2. Log into your CVS Caremark account and follow the online submission process.
        Please Note: Member reimbursements sent directly to EHP will be denied and direct you to submit your reimbursement to the Pharmacy Network directly.
    • Tests purchased within the coverage limit at in-network pharmacies will be covered in full.
    • Tests purchased within the coverage limit at out-of-network pharmacies will be covered up to allowed maximum of $12 per test.
  • Process for EHP members with Express Scripts pharmacy coverage
    • The program design is still being finalized through the plan sponsor. Please save your receipt and product information for purchases on or after Jan. 15, 2022 and check back shortly for additional guidance.

Prescriptions

  • To increase access to prescription medications, EHP is waiving the early medication refill limits for supplies of at least 30 days (for EHP members with pharmacy benefits through CVS/caremark).

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.

Health Information Library

Read more coronavirus (COVID-19) articles from our Health Information Library.