COVID-19 Resource Kit for Members
Apps, podcasts, and videos to help you stay healthy and informed.
COVID-19 Provider Information
Find COVID-19 claims and billing information here.
What is COVID-19?
COVID-19 is the label given to a new coronavirus found in 2019 that has spread around the world. COVID-19 is a respiratory illness that is thought to spread mainly between people who are in close contact with one another (within about 6 feet) through respiratory droplets produced when an infected person coughs or sneezes. It also may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes.
COVID-19 infections can cause a range of illness, from little to no symptoms to becoming severely ill and requiring hospitalization. Symptoms may appear as soon as two days and as long as 14 days after exposure. The major symptoms are:
- Fever or chills
- Shortness of breath or difficulty breathing
- Muscle or body aches
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
What should I do if I think I have COVID 19?
If you suspect you have COVID-19, please call your primary care doctor or the New Mexico Department of Health (NMDOH) Coronavirus Hotline at 1-855-600-3453.
Please call before you go to a clinic or emergency room, as NMDOH is doing its best to keep people who may have the virus out of primary care facilities and emergency rooms.
Unsure if you have been exposed? You can also call the True Health New Mexico Care Connect Nurse Advice Line at 1-844-308-2552. Experienced registered nurses will talk with you about your symptoms and situation and, if appropriate, refer you to our Virtual Clinic for a consultation with an MDLIVE® doctor.
The True Health New Mexico Care Connect Line has services available for people whose first language is not English.
How can I get tested?
You can search for a testing site on the NMDOH website. Before you go, read NMDOH’s What to know before you go page about testing sites, current testing and travel public health advisories, cost information, and more. There may be a long wait at the testing site you visit, so be prepared.
There are a couple of different types of swab testing.
- Molecular tests performed with a nasal or a throat swab detect genetic material from the COVID-19 virus. Nasal swabs performed by a healthcare professional are the most sensitive. Throat swabs are less sensitive (and therefore deliver more false negative tests) but are acceptable.
- Antigen tests also performed by a nasal or a throat swab detect certain proteins of the COVID-19 virus that spur the production of antibodies (the immune system’s response to invaders). Results are often available in minutes, but the test is less sensitive than molecular tests, which means there’s an increased chance of a false-negative result. A negative result would need to be confirmed by the more sensitive molecular test.
Are other types of COVID-19 tests available?
Yes, but the nasal swab test is currently the most sensitive and accurate test. The preliminary data on saliva tests look promising, but these tests are still being investigated.
What are my benefits for COVID-19 testing and treatment?
Per the Superintendent of Insurance’s March 12, 2020 emergency order, True Health New Mexico has put into place the following temporary provisions to address the COVID-19 outbreak.
- Members will receive COVID-19 testing and treatment without paying cost-sharing amounts, including copayments, coinsurance, and deductibles.
- Tests must be FDA-authorized to be covered without cost-sharing. FDA-authorized tests include tests approved for patient use through pre-market approval or emergency use pathways, as well as tests that are developed and administered in accordance with FDA specifications or through state regulatory approval. Be sure to ask your healthcare provider to order an FDA-authorized test.
- If using the FDA-approved home test, members will need to purchase the test and then submit it for reimbursement to True Health New Mexico, using the Member Medical Claim Reimbursement Form on our Member Forms and Other Resources page.
- No prior authorization is required for COVID-19 testing and treatment.
- We will provide early pharmacy refills as follows:
- Maximum day supply of 30 days.
- Maximum number of prescription fills: three 30-day supplies in 90 days.
- Excludes controlled substances.
If you have any questions about coverage, please call Customer Service at 1-844-508-4677, 8:00 a.m. to 5:00 p.m., Monday through Friday.
What is an antibody test, and should I get one?
Antibody blood tests for COVID-19 are different than the nose and throat swabs. Swab tests are used to help determine who is at risk for developing symptoms of COVID-19 or spreading the disease by detecting the virus in the person’s respiratory system. However, the antibody blood tests look to see if a person’s body produced antibodies to fight the virus from a previous infection.
It’s important to note that the NM Medical Advisory Team (MAT) does not recommend the antibody test because not all tests are reliable and because these tests are not yet able to determine if you are actually immune to a second infection or if you can transmit the disease. Read more about why the MAT doesn’t recommend this test in the Q&A directly below.
How do I get an antibody test?
- Learn more about the antibody test from the CDC and understand why the New Mexico Medical Advisory Team cautions consumers about this type of testing.
- Talk with your doctor to ensure testing is right for you or your family member.
- Ensure the test ordered by your doctor is FDA-authorized.
- Find a lab location here or use our Online Provider Search Tool.
How can I protect myself, my family, and my community?
- Avoid close contact with people who are sick.
- Practice social distancing in regard to public gatherings such as concerts, shopping, and other public activities; as well as work, school, travel, and hobbies. Learn more about what social distancing and self-quarantine means from Johns Hopkins Medicine.
- Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
- Wash your hands often with soap and water before eating; after blowing your nose, coughing, or sneezing; and after you get home.
- Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
- Avoid touching your eyes, nose, and mouth.
- Stay home when you are sick.
- Do not use ride-sharing programs or public transportation.
- The Centers for Disease Control and Prevention (CDC) recommends that you wear a cloth face mask in public settings where it is difficult to maintain social distancing practices, such as a grocery store or pharmacy. This recommendation does not replace the guidelines put in place to help slow the spread of the virus. Surgical or N-95 masks are critical supplies that should be reserved for healthcare workers and other first responders.
- If you need to make a cloth face mask, watch the U.S. Surgeon General’s short YouTube demonstration – no sewing required.
- Visit the CDC website to review important information about preventing COVID-19 spread in communities.
Where can I find more information?
Be wary of COVID-19 scams
The New Mexico Office of the Superintendent of Insurance and the New Mexico Office of the Attorney General have warned consumers and businesses that con artists and scammers are taking advantage of the panic, fear, and confusion surrounding the COVID-19 pandemic, and have intensified efforts to defraud and steal. Read the April 8, 2020 press release for examples of scams and tips to protect yourself.
Low-Cost Health Insurance Available to Individuals and Businesses
The New Mexico Superintendent of Insurance Russell Toal and New Mexico Governor Michelle Lujan Grisham are helping ensure that New Mexicans who have suffered the loss of income or employment can sign up for low-cost health insurance. Read the April 13, 2020 press release from the Office of the Superintendent of Insurance here.
New Mexicans have three coverage options beyond employer-sponsored insurance:
- Medicaid. Individuals may determine their eligibility and sign up at www.yes.state.nm.us/yesnm/home/index or call 1-855-637-6574.
- beWellnm, the state’s Health Insurance Exchange. Individuals who don’t qualify for Medicaid may visit www.bewellnm.com, call 1-833-862-3935, or contact their agent.
- New Mexico Medical Insurance Pool (NMMIP). NMMIP offers health coverage to all who reside in New Mexico, with discounts for low- and middle-income households. Individuals may visit https://nmmip.org, call 1-844-728-7896, or contact their agent.