Your guide to COVID-19

Find out what you need to know about the COVID-19 vaccine, tests, and treatment, so you can get the right care for all that is you.

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Take care of your COVID-19 needs


COVID-19 is a viral infection that affects your lungs and airways. It causes mild symptoms in most people and serious symptoms in others. Rest assured, as a Kaiser Permanente member, you’re covered for COVID-19 care and services — including the updated COVID-19 vaccine. Getting the vaccine is the best thing you can do to protect yourself against this virus.

Nurse applying band-aid on patient

Seasonal vaccines


Other respiratory viral infections like from the flu virus and the respiratory syncytial virus (RSV) tend to happen during certain seasons. Getting vaccinated is key to staying protected against these viruses. Learn more about seasonal vaccines and why they're so important for your health.
 

COVID-19 FAQs

If you’re a member of an individual and family plan or employer-sponsored plan, COVID-19 services — such as the vaccine, tests, and treatment — are covered when you get them at a Kaiser Permanente facility.

If you get COVID-19 services from providers not in Kaiser Permanente’s network, you may be able to get up to half of their cost reimbursed.

If you get COVID-19 services as part of urgent or emergency care, you may be able to get the full cost reimbursed.

To submit a claim for reimbursement:

  • Visit kp.org/billing.
  • Go to the “Understand your costs” section.
  • Click “Submit a claim.”

If you’re a Medi-Cal member, COVID-19 services are covered at no cost, whether you get them at a Kaiser Permanente facility or from an out-of-network provider.

If you’re a Medicare member, COVID-19 services are covered according to the following federal Medicare rules:

  • COVID-19 vaccines are covered at no-cost. 
  • PCR tests and treatment is covered with applicable plan out-of-pocket costs.
  • Home antigen tests are not covered. 
  • COVID-19 care, such as vaccines, testing, and medications, received out-of-network will only be covered for emergency and urgent care situations, when legally required, or when out-of-network coverage is included in your plan. 

People with COVID-19 may have mild to severe symptoms, including fever, cough, and difficulty breathing. Other symptoms may include chills, muscle pain, headache, sore throat, and loss of smell or taste. While patient information shows most cases are mild, symptoms tend to be more severe in older adults and people with chronic conditions.

The Centers for Disease Control and Prevention (CDC) recommends everyone ages 6 months and older receive a 2024-2025 COVID-19 vaccine to protect against potentially serious illness this fall and winter. 

It’s especially important to get vaccinated if you’re at high risk for complications from COVID-19. Older people and those with weakened immune systems have a greater risk for hospitalization and even death from the virus. However, even healthy children and adults can get seriously ill from COVID-19.

Learn more about the vaccine.

Paxlovid is a treatment for people who have an active COVID-19 infection and are at high risk for serious illness. It’s available by prescription at Kaiser Permanente pharmacies. Your care team may recommend it if:

  • You’re 12 or older
  • You’ve recently tested positive for COVID-19
  • Your symptoms started within the last 5 days
  • You have health conditions that put you at high risk for serious illness from COVID-19

For some people, Paxlovid may have 2 mild side effects: a metallic taste in the mouth and diarrhea. These side effects will go away once you’ve finished taking Paxlovid. Also, your care team will check what medications you’re taking and determine if any of them need to be held or have dosing changed while you are taking Paxlovid.