Employee Benefits Information
Sutter Health Plus Member Information
Sutter Health remains committed to the health and safety of our communities. If you're concerned you may have COVID-19, please call your doctor or healthcare provider before visiting a care facility. If you are having a medical emergency, call 911 or go to the nearest hospital. For up to date COVID-19 information, please visit our Sutter Health Plus website: https://sutterhealthplus.org/
At the direction of the Department of Managed Health Care All Plan Letter, Sutter Health Plus covers medically necessary COVID-19 screening and testing at zero cost to members. We consider services medically necessary if you experience symptoms and meet Centers for Disease Control and Prevention (CDC) criteria for screening or testing. We also defer to the clinical judgment of the treating provider to determine medical necessity. We encourage members to schedule video or telephonic visits to help minimize spread of infection and ease pressure on provider offices, urgent care centers and emergency rooms.
In addition, Sutter is offering designated respiratory sites for patients who need to be evaluated by a clinician to see if they meet the criteria for the COVID-19 test. Per CDC guidelines, Sutter needs to preserve test supplies for high-risk patients with certain pre-existing conditions or social risks, so this service is available only to patients with symptoms who have a referral from a Sutter-affiliated clinician. If you feel ill, please schedule a video visit or call our our COVID-19 advice line at (866) 961-2889 to receive guidance on whether you need to go to a site to be further evaluated. Patients must present identification at the testing site to confirm their appointment. If patients meet the criteria for testing, a specimen will be collected and sent to a lab for analysis. If the result is positive, your clinician will ensure you receive appropriate care.
For Same Day Access to Care Options, Sutter Health Plus members have access to the following:
- Nurse Advice Line (855) 836-3500, at no cost
- Video visits at the same cost share as a PCP visit
- Sutter Walk-In Care at the same cost share as a PCP visit (placing a call to the Walk-In Care location is encouraged, as some sites are dedicated to video visits only - at this time, Petaluma is closed to in-person appointments and is video appointments only)
- Urgent and Emergency Care at the applicable copayment, unless to screen/test for COVID-19
- Calling or emailing your Sutter Health Plus Primary Care Physician - call your PCP at the number listed on your Sutter Health Plus ID card
Prescription medications continue to be available at all of our contract pharmacies - many have drive-thru options or are open extended hours and some might even offer home delivery. In addition to mail-order that allows up to a 100-day supply for two times the monthly copayment, some network pharmacies participate in Smart90 that allows you to get a 90-day supply for 3 times the monthly copayment.
Kaiser Permanente Member Information
The spread of the coronavirus is touching lives across the country. As we fight this pandemic, we're prepared to test patients for COVID-19 if they meet the guidelines established by the Centers for Disease Control and Prevention and your local public health agency. Testing isn't recommended for people with mild or moderate symptoms.
One important exception to this policy is for first responders and health care workers if they have the following symptoms - cough, fever, or respiratory illness. This includes police officers, firefighters, paramedics, and Emergency Medical Technicians who are vital for providing public safety and direct medical care in our communities. Both groups should contact their physician first for guidance and identify themselves as a health care worker or first responder before presenting at a medical facility. Their physician will give them an order to take to a testing site.
Rest assured that if it's medically necessary for any employees to be tested, they will be tested. And Kaiser Permanente members will never have to pay for costs related to COVID-19 screening or testing. Information on Kaiser Permanente and COVID-19.