Ultimate Health Plans

Testing and treatment for COVID-19 provided at NO COST to you, our valued member.

What is COVID-19?

COVID-19 is a respiratory disease caused by a virus called SARS-CoV-2, belonging to a family of Corona viruses.

What are the symptoms?

The symptoms of coronavirus range from mild to severe. Most symptoms occur 2 to 14 days after the exposure. Some of the common symptoms include fever, chills, shortness of breath, new loss of taste or smell, muscle aches, sore throat, diarrhea, etc.

I may have symptoms. What do I do?

If you have been exposed or begin showing any of the above symptoms indicating a viral infection, contact your healthcare provider or health department immediately.

Caring Through COVID

As a member of Ultimate Health Plans, we value your health and well-being. We want to take this opportunity to share with you how we’re here for you throughout the COVID pandemic.

Worry less with the following enhanced benefit flexibilities:

COVID-related testing and treatment are provided to you at NO COST.
Prior authorization requirements are waived for COVID-related services.
You have access to Medicare Part B services via telehealth in any place.

Papa Pal

Papa connects members with Pals for companionship and assistance with everyday tasks, creating a family on-demand atmosphere. Members will receive 48 hours of services each year with Papa Pal, which includes:

Companionship - Chat, play board games, watch a movie, take a walk, exercise. You can even chat virtually.
House Needs - Light cleaning, laundry, meal prep, organizing, pet help.
Transportation - Doctors’ appointments, work, errands, grocery/pharmacy shopping.
Technology Assistance - Help with computers, smartphones, tablets, accessing telehealth services.
And much more!

Wholesome Foods Card

For members of our Advantage Care by Ultimate (HMO C-SNP), Advantage Care CHF by Ultimate (HMO C-SNP), and Advantage Care COPD by Ultimate (HMO C-SNP) plans, you’ll receive a prepaid Visa card with a monthly allowance of $25. Use the Visa card anywhere Visa is accepted to purchase healthy foods such as vegetables, fruit, bread, milk, and more. The Wholesome Foods Card cannot be used to purchase tobacco, alcohol, or other non-edible products.

As part of your Over-the-Counter (OTC) benefit, you have access to:

The Ultimate Smartphone, available to help access Telehealth Services, allowing you to stay in touch with your providers and caregivers from the comfort and safety of your home.
Sanitization products and Personal Protective Equipment (PPE) such as hand sanitizer, Lysol Disinfecting Wipes, alcohol wipes, and face masks to help keep you safe.

Over-the-Counter (OTC) COVID-19 Tests

We are committed to providing our valued members with the care they deserve during the COVID-19 public health emergency.

The Centers for Medicare and Medicaid Services (CMS) announced that starting April 4th, 2022, Medicare beneficiaries with Part B coverage can receive up to eight (8) U.S. Food and Drug Administration (FDA) approved OTC COVID-19 tests each calendar month. These tests are covered at no cost to you.

You can obtain OTC COVID-19 tests from pharmacies and health care providers committed to participating in this initiative. You do not need to be a current customer or patient to receive tests. You will be required to present your red, white, and blue Medicare card, allowing the facility to bill Medicare on your behalf. Do not present your Ultimate Health Plans Member ID card. Medicare will not cover the costs for OTC COVID-19 tests received before April 4th, 2022.

You can find a participating pharmacy by visiting https://www.medicare.gov/medicare-coronavirus or calling 1-800-MEDICARE (1-800-633-4227). You can also contact your local pharmacy or health care provider to see if they are participating in this initiative.

If you have Medicaid coverage, you should contact the Agency for Health Administration (AHCA) by calling 1-888-419-3456 or visiting https://ahca.myflorida.com/ for specific information regarding OTC COVID-19 tests. TTY users should call 1-800-955-8771.

Additional information and resources are available to you by visiting https://www.covid.gov/.

Protect yourself and your community.

We all have a role to play in protecting our communities and families from the spread of SARS-CoV-2 virus. You can also follow these tips to prevent infection:

Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
Promptly dispose of tissues in a wastebasket after use.
Clean public surfaces thoroughly.
Stay home when you are sick.
Avoid shaking hands.
Avoid close contact with people who are sick.
Get a flu vaccine.

How We Provide Benefits During a Disaster

Ultimate Health Plans follows all CMS guidelines for providing benefits during disaster or public health emergency declarations.

In the event of a Presidential emergency declaration, a Presidential (major) disaster declaration, a declaration of emergency or disaster by the Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, we:

Allow Part A/B plan benefits and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (so long as any Part A and B benefits are furnished at Medicare certified facilities);
Temporarily reduce plan-approved out-of-network cost sharing to in-network cost-sharing amounts; and
Waive the 30-day notification requirement to Members as long as all the changes (such as reduction of cost sharing and waiving authorization) benefit you, our Member.

If the President has declared a major disaster or the Secretary of Health and Human Services has declared a public health emergency, we:

Ensure you can use out-of-network pharmacies when you cannot reasonably be expected to obtain covered Part D drugs at a network pharmacy, and when such access is not routine;
Lift the “refill too soon” restriction so that you can get another supply of your medication earlier than you usually could get it; and
Ensure that you can get the maximum extended day supply of your medication if you request it and it’s available at the time of refill.

Depending on the situation, we may take the above steps before the impending emergency to help you prepare and ensure you have access to your medications even if the President or Secretary have not yet made a declaration.

If you need help accessing your medical benefit, please call 1-888-657-4170 (TTY 711). Our hours are Monday - Friday, 8 am - 8 pm.

If you need help getting your medications, please call 1-800-311-7517 (TTY 711), 24 hours a day seven days a week.

For additional information from the Centers for Disease Control and Prevention (CDC) please visit: https://www.cdc.gov/coronavirus/2019-ncov/index.html

Submit Website Feedback