Frequently Asked Questions

Having the Antidote Health app can greatly improve how you manage your healthcare, giving you a convenient way to schedule appointments and keep track of your healthcare routines on all your devices. This app makes it simpler to organize your medical information, helping you stay in charge of your health and stay proactive. Whether it's handling appointments or quickly getting your medical records, the Antidote Health app makes things easier and enables you to effortlessly manage your health.

If the clinician is unable to join your scheduled virtual visit, please contact our customer support team at (888) 623-3195 to discuss next step options.

You can contact our Customer Support team by visiting the "Contact Us" section of the app or member website, or by calling tel: (888) 623-3195. Antidote representatives are available to assist you with any billing-related questions or issues.

Copies of your virtual visit summaries are available in the Antidote app and online portal.

Simply go to the "Appointments" tab in the side menu and choose "Past visits." Selecting a specific visit will allow you to view its summary.

Rescheduling or cancelling an upcoming visit is easy!

Just go to the "Appointments" tab on the side menu of the Antidote app or online member website. Then choose "Future visits" and follow the reschedule or cancel prompts from there.

Should you have trouble canceling or rescheduling your visit, you can always reach out to our support team for further help at (888) 623-3195.

Once you've scheduled a telehealth visit, you are not required to remain active on the app or online portal. You'll be sent a text message when your video visit is about to begin.

If you make changes to your plan, such as adding or removing dependents, your premium may be adjusted accordingly. Contact our Customer Support team to ensure accurate billing after such changes.

If you believe there is a billing error or discrepancy, please reach out to our Customer Support team immediately. They will investigate the issue and work to resolve it promptly.

Your billing statement is a comprehensive summary of your billing activity and typically includes details such as the premium amount, payment due date, payment method, and a breakdown of charges.

You are able to make advance payments using the Antidote app or member website.

To make changes to your health insurance plan or coverage level, contact our Customer Support team. They will guide you through the process and provide information on any associated premium or coverage adjustments.

You can request a refund for overpaid premiums by contacting our Customer Support team. They will assist you in processing the refund according to our refund policy.

Yes, you will receive a payment reminder 3 days before your due date. To receive reminders, make sure to enable Finance SMS notifications in the "Communication preferences" section, located in the "Settings & Preferences" section of the app and member website.

You can access your billing history and payment invoices by going to the "Payment History" or "Monthly Invoices" section in the app or member website. This will provide a detailed record of your past transactions.

Your premium due date is typically the same day each month. You can find this information on your billing statement within the app or member website.

Late payment fees and penalties may apply, depending on your policy terms and state regulations. Check your policy documents or contact Customer Support for specific information on late payment charges.

Missing a premium payment could lead to a lapse in coverage. It's essential to make payments on time to maintain continuous insurance coverage. Contact our Customer Support team if you've missed a payment to discuss getting your account up to date, and if necessary, reinstatement options.

In most cases, you may not be able to change your billing date. However, you may contact our Customer Support team for assistance and we will do our best to accommodate your request.

To update your payment method or billing information, navigate to the Repay portal from the "Payment Status" section of the app or member website. There, you can edit your payment details, such as credit card or bank account information.

Yes, we recommend setting up automatic payments using a credit card or bank account for the convenience of automatic monthly premium deductions. This ensures your coverage remains active without manual payments. Please be aware that paying your premium with a credit or debit card may incur a small convenience fee.

Yes, you can easily set up automatic payments by selecting "Continue to payment" in the "Payment Status" section of the app or member website. You will be redirected to Repay, our payment partner, where you can select the "Payment Plans" tab and set up automatic payments or recurring payments.

We accept various payment methods, including credit/debit cards and personal checks. Check the payment section of the app or member website for a list of accepted methods.

You can make a payment through the app or member website by accessing the "Payments & Billing" section. From there, you can choose your preferred payment method, enter your payment information, and submit the payment.

Virtual visits can be done on your phone, on your computer or on your tablet--the choice is yours.

A virtual PCP visit is a visit that is conducted either on your phone, computer or tablet. This enables you to consult with a provider from home or any other desired location without the inconvenience of having to travel and go into a doctor's office. We’re making getting the care you need more convenient and accessible than ever. Everyone on the Antidote Health insurance plans will have a virtual PCP.

You may always see a clinician in person, in office, if needed or preferred. In-office visits are subject to a copay, while virtual visits have a $0 copay, or minimal copay for SafeGuard plans, and are unlimited. To compare plans, benefits and costs, go to enroll.antidotehealth.com.

We have an expansive network of providers. To check if your current provider is in-network, go to our provider search tool here

A copay is a fixed amount you pay for specific medical services or prescription medications. Antidote Health insurance plans have low to no copays, and $0 or minimal cost medications. To learn more about plans and compare benefits, go to enroll.antidotehealth.com

Yes, our plans allow you to include your spouse and dependent children under a family coverage plan. We also have plans designed specifically for families that include unlimited free virtual pediatric care, as well as first pre- and post-natal visits at zero cost.

Individual and family health insurance are types of health coverage that individuals and families can purchase to help cover medical expenses.

These policies are typically purchased outside of employer-sponsored plans and you can sign up during open enrollment or if you experience a qualifying life event, such as losing your health insurance coverage.

As the names imply, individual coverage is only for one person, while family coverage is for an entire, immediate family, including, in some cases, adult children up to age 26.

You can enroll between November 1, 2023 and December 31, 2023. Qualifying life events such as marriage, birth of a child, or loss of other coverage, may qualify you for a Special Enrollment Period outside of these open enrollment dates.

To receive a referral of any kind, you will need to first see one of our providers. By choosing "See a clinician" you can easily meet with a provider online and discuss any referral or medical needs you might have.

Antidote Health is a telehealth provider dedicated to providing high quality healthcare at affordable prices to everyone – regardless of insurance. Patients can use our services as long as they have an internet connection and are in one of the many states we currently serve.

Medicare and Medicaid recipients are currently not eligible to use Antidote Health telehealth services because of regulations related to those programs.

Because you never know when the need to see your PCP will arise, it's important to register your member account in advance so that you can have a video visit as quickly as possible when you're not feeling your best.

While account registration is neither lengthy nor difficult, it does take a few minutes, so completing the process in advance will help ensure that you'll get the future care you need as quickly and as easily as possible.

Yes! Not only can you use the virtual health platform, it was literally designed for you! Antidote Health’s mission is to provide quality, affordable healthcare to all Americans. Period. We believe every human deserves access to affordable quality healthcare regardless of their race, location, or circumstance – including whether or not they have insurance. That’s why our plans and prices are so affordable. The only thing preventing you from trying Antidote Health is if you are not in a state we currently serve or you qualify for Medicare/Medicaid. Regulations for those programs prevent us from being able to serve Medicare or Medicaid patients.

Anyone can use Antidote Health telehealth services, whether they have insurance or not. The only exception is Medicare and Medicaid recipients because of regulations related to those programs.

To see more details about the Antidote Health insurance, go here.

By going to the "Coverage & Benefits" section and choosing "$0 Drug List" you'll be able to review at anytime which prescriptions are covered by your plan.

You can view the pharmacies available in your area by going to the profile section in the app and choosing "Preferred pharmacy". You may change your preferred pharmacy anytime.

Get an overview of the expected cost of your prescription by going to the "Coverage and Benefits" section and choosing "Formulary lookup".

You will receive an in-app or member website notification regarding any updates about your claims. In addition, you can always access the "Claims" section on the side menu to view the status of your claims.

Members who wish to receive plan documents electonically may do so by contacting the Antidote Customer Support team.Keep in mind, however, that some documents are required by law to be sent to members as paper copies, so selecting to receive documents electronically will not pertain to those particular documents.

Prior authorization helps prevent unnecessary procedures or tests, ultimately keeping healthcare costs in check for both the HMO and its members. The process involves your clinician seeking approval from the healthcare plan before specific medical services or treatments are covered. Your clinician plays a pivotal role in determining the medical necessity and appropriateness of these services, ensuring that you receive the best, most cost-effective healthcare possible within the HMO's guidelines. It's essential to collaborate closely with your clinician to navigate the prior authorization process effectively.

The services covered by your plan can be easily found on the Antidote Health app. Go to the side menu and choose "Coverage & Benefits".

You can start your telehealth visit immediately or schedule it for the future. Simply sign in and select “See a Clinician.” Then follow the prompts to schedule your visit.

Easily find and review the details of any of our providers by clicking "Find a provider" on the main screen or in the side menu of the Antidote app or member website.

If you ever need assistance or have any questions, please don't hesitate to get in touch with us at (888) 623-3195. Our support team is here to assist you with any inquiries you may have about managing your healthcare and understanding your insurance coverage. Whether you have questions about your prescriptions, appointments, our Customer Support team is always willing to lend a hand. Your experience is important to us, and we are dedicated to ensuring that you have the support you need for a smooth and well-informed healthcare journey.

Live chat is also available for customers enrolled in certain products or services.

To request a new member ID card, contact our Customer Support team at (888) 623-3195.

Simply go to the Profile section available on the side menu, and you will be able to view your plan's start date.

Your member ID card will be mailed to your address on record. Additionally, you can view an electronic copy of your ID card by simply going to the Profile section available on the side menu and choosing "ID Cards." You will then be able to view a copy of your ID card.

To download the Antidote Health app, visit antidotehealth.com on your smartphone or tablet. Check the website for compatibility with your device. If compatible, you'll find download links or instructions to redirect you to the official app stores (Apple App Store for iOS or Google Play Store for Android). Click on the appropriate link, then follow the prompts to install the app. After installation, open the app, either sign up or log in, and start using its features for health tracking, appointments, and more.

Individual and family health insurance are types of health coverage that individuals and families can purchase to help cover medical expenses. They are typically purchased outside of employer-sponsored plans and you can sign up during open enrollment.

If you sign up for an insurance plan during open enrollment, your coverage will start on January 1^st, 2024. For all other enrollments based on qualifying life events, coverage starts the 1st of the month following enrollment.

Antidote Health insurance plans have $0 copay. Antidote Provider visits are available 24/7, and we offer an extended list of $0 copay prescription medications.* To learn more about plans and compare benefits, go to enroll.antidotehealth.com.

A virtual PCP visit is a doctor’s visit that is conducted either on your phone, computer or tablet. This enables you to speak to a doctor from home or from wherever works for you without the inconvenience of having to travel and go into a doctor's office. We’re making getting the care you need more convenient and accessible.

Everyone on the Antidote Health insurance plans will have a virtual PCP.

We have an expansive network of providers. To check if your current doctor is in-network, go to our provider search tool here.

Look up your medication here. Our plans include low to no cost medication.

You can always see a doctor in-office, in-person if needed or preferred. In-office visits are subject to a small copay, while virtual visits are available 24/7, $0 copay and unlimited with an Antidote Telehealth Provider. To compare plans, benefits and costs, go to enroll.antidotehealth.com.

Virtual doctor visits can be done on your phone, on your computer or on your tablet, whatever you prefer.

You can take care of your health care needs on our easy-to-use platform. Whether it’s seeing the status of a claim, checking a referral, managing medication refills, or viewing your health history, all you need to do is log into antidotehealth.com/member and you can quickly access all this information in one convenient place.

Allowing your sinus infection to go untreated puts you at risk of developing serious complications apart from being quite uncomfortable. You should always treat your sinusitis with the over-the-counter medication and home treatments. If you see that the situation does not improve, or if it worsens, you must contact your doctor.

If you have a strong allergic reaction to poison ivy, poison oak, or sumac, you might see the rash spreading to other parts of your body. Contact your doctor is you see that this happens. Poisoning from these plants should stay in the area that came into contact with urushiol.

You can also decide to just leave your poison ivy symptoms, or the symptoms form poison oak and sumac poisoning, alone. The reaction tends to subside, but it is quite uncomfortable. If you still have the same symptoms and discomfort after a week, you should contact your doctor because you might need treatment with a prescription cream or ointment.

Reactions to poison ivy, poison oak, or sumac, are a result of the toxicity of the plant’s resin. In the case of poison oak, you can suffer from poisoning from touching the stems or even the tree bark, not only the leaves. 

The name of the specific allergen in all of these plants is urushiol. It is believed that up to 90% of people have a reaction to urushiol on their skin.

A sinus infection is usually one of the cases in which a doctor will rarely ever prescribe antibiotics, because most of the time sinusitis can be managed with over-the-counter medication. If your doctor thinks you have a severe infection that warrants the use of antibiotics, they will prescribe them even without lab tests.

The following are a set of developments that could prompt your doctor to prescribe antibiotics for your sinus infection:

• Colored nasal discharge for a prolonged period of time – yellow/green discharge for about 10 days without improvement 
• Your sinusitis was improving and suddenly it starts getting worse again
• Facial pressure or pain for 10 days

It is possible to relieve the symptoms of a sinus infection quickly with simple home treatment. 

• Nebulize – or use a humidifier or vaporizer to increase the humidity of the room
• Over-the-counter medications – Sinus relief medication like decongestants or antihistamines if you are having allergic sinusitis, may help
• Flush your nasal passages with saline solution – There are even devices you can buy at a pharmacy to do this
• Rest and drink plenty of non-caffeinated non-alcoholic beverages

If none of these home treatments for sinus infections work, it is important to see a doctor. You might need prescription medication to manage your sinusitis and avoid further complications.

In most cases, birth control pills are safe. If there is any medical concern, your healthcare practitioner can either recommend a certain birth control pill type or brand. Regardless of your clinician’s recommendations and the kind of pill you take, you might have some side effects. The most common are:

• Mood changes
• Spotting between periods
• Sore breasts
• Nausea 
• Headaches

Depending on which type of pill you use, the way it works on your body will be different. In general terms, birth control pills are hormonal contraceptives. Therefore, they alter the hormone levels, sending a signal for your body to intervene in one of the parts of the process that would lead to pregnancy.

There are mainly two types of birth control pills: combination pills and progestin pills. Each has its advantages and disadvantages, so it is important to understand how they work.

To avoid constipation altogether you should be looking at a combination of factors that you can control. You should be aiming to:

• Having a well-designed diet with enough fiber in it – whether natural or through supplements
• Exercising regularly and consistently – which can also reduce stress, another possible case for constipation
• Drink plenty of fluids – especially water
• Reduce or eliminate processed food from your diet

To take care of your constipation and stimulate your bowel movements, there are several long-term and short-term options you can resort to. If your constipation is not indicative of a more serious illness, then you should be looking at over the counter options, consulting with your doctor, and reconsidering your diet for long-term constipation relief.

As much as constipation can be indicative of serious underlying medical conditions, it can also cause other conditions if left untreated.

Constipation has a long list of causes, but it is mainly a condition that arises from the excessive absorption of water from your stool. In some cases, constipation is an indication of a much more serious underlying condition

When you get the common cold, it will take approximately 24 hours before you feel any symptoms. During those 24 hours in which you were already infected but cannot feel any symptoms yet, you will already be contagious. You will then remain contagious for up to 7 more days after you get cold symptoms.

The common cold is not caused by influenza. The flu is caused by influenza. There are four main kinds of influenza, each with different strains – Influenza A, B, C, and D. The flu vaccine is about 60% effective against these viruses.

Although your body is well-equipped to deal with the common cold or the flu – unless your immune system is somehow compromised – there are some medications and protocols that will help you get rid of cold or flu faster.

To manage the symptoms of your flu or cold:

• Use over-the-counter flu or cold medication – Tylenol cold and flu, Vock VapoRub, and cough syrup can help
• Honey – Eases soreness in your throat and if you find pure honey from the farmer’s market, which can have some added benefits from the nutrients in it
• Lozenges or hard candy can also help you with your sore throat
• Acetaminophen or ibuprofen for the pain – if you do not like to use cold and flu medication because it makes you drowsy

If you would like to help your body’s response to cold or flu, you can also do the following:

• Rest well – Sleep does wonders for your body!
• Make sure you drink water, tea, juice, and other such beverages to stay hydrated
• Add moisture to the air – some people even like to nebulize, although you should check with your doctor first to understand how to do it

The common cold does share some symptoms with Covid-19, which is why if you are having cold or flu-like symptoms, it is important that you contact your doctor, get tested, and follow your state’s public health protocols.

The best way of not having cold sores, is to avoid getting them. You can reduce the likelihood of getting cold sores and spreading them to other parts of your body if you:

• Wash your hands thoroughly after coming into contact with a cold sore
• Replacing items such as lip balms, toothbrushes, towels, and anything else that touches your face, when you have an outbreak
• Avoid sharing items such as razors
• Apply sunscreen if you are going to spend significant time under the sun
• Do not kiss or come into close contact with people who have cold sores, or avoid coming into close contact with other people if you have an outbreak

The only way to get rid of cold sores faster than usual, is with antiviral medication. Otherwise, you can only treat the discomfort caused by your cold sores.

If you notice a cold sore on your lip, this does not necessarily mean you have an STD. It is true that Herpes, the underlying virus that causes cold sores, can be transmitted sexually. Nevertheless, this is not the only kind of transmission vector for Herpes and therefore, it is not the only way you might end up getting cold sores.

People suffer from acid reflux every now and then. If it is sporadic, it might not be serious at all. Other factors to consider to understand how serious your acid reflux is, might include:

• Whether you get more than one symptom at the same time
• How intense your symptoms are
• Diet
• If over-the-counter medication alleviates the situation or not

You should always take tick bites seriously. If you see one, remove the tick following our instructions above. It is prudent to contact your doctor after you have identified that you were bitten by a tick.

If you see a tick bite – you will see the tick, there – it is important that you remove the tick carefully. To remove it from you skin, do the following:

• Using fine-tipped tweezers, grab the tick as close to your skin as possible
• Pull the tick upward slowly with a steady hand
• Do not twist when you pull. If you do, you risk leaving part of the tick inside your skin
• Place the tick in a plastic bag or container – your doctor might want to see it
• Take a close-up picture of the tick with a cell phone just in case you lose the bag or clear container 
• Never touch the tick with your hands
• Do not use any kind of substance like petroleum jelly, or heat from matches, cigarettes, or car lighters to remove the tick. Use the tweezers only
• Wash your hands and the bite thoroughly
• Disinfect the bite

When you check for tick bites it is important to look for redness, irritation, or rash. These indicate that you might have been bitten by a tick. Tick bites can look like mosquito bites, but if you look closely, you are likely to see the tick still latching onto your skin – unlike mosquito bites.

You should discuss your diet with your clinician to make sure that you avoid foods that are triggers such as

• Caffeine
• Nicotine
• Dark chocolate
• Mint/ peppermint

Most importantly, if you experience heartburn or any of the symptoms above repeatedly after you eat, you might have developed acid reflux disease. This disease is also known as Gastroesophageal Reflux Disease – GERD.

Mild yeast infections might go away on their own. Nevertheless, they are also likely to worsen. If you have any of the symptoms that are typical of a yeast infection, it is important to tackle the problem as soon as possible. Consult your physician and get the necessary treatment.

Antifungal medication is the standard course of treatment for yeast infections. Depending on your doctor’s recommendation and the severity of the infection, you can use over the counter antifungal medication. Usually, doctors will prescribe 3 to 7 days of antifungal ointment or cream. In some cases, there are also tablets and suppositories. There is also a single oral tablet that patients can take once to treat a yeast infection.

Yeast infections are caused by bacterial imbalances that allow candida fungi – which are present in the female genital area, but also on skin in general – to overgrow. Bacteria keep the various types of candida fungus from overgrowing, which is why the use of antibiotics increases the chance of contracting a yeast infection.

People acquire pinworms by swallowing their eggs on fingers, under fingernails, or from other contaminated objects or surfaces.

When there is itching in the rectal area, it is likely the worms are migrating and depositing eggs.

They can be seen by the naked eye and are white and about the size of staple.

Many UTI's are treated on the basis of the history and don't need an actual urine sample to make the diagnosis. That being said, there are times when the physician may decide to send you for a urine test and culture before treatment is initiate.

Most UTI symptoms go away within 24- 48 hours after treatment with antibiotics has started.

Your doctor will suggest what the best course of treatment might be for your UTI. Often treatment requires antibiotics.

A UTI is not a sexually transmitted infection, however you can pass the bacteria that causes a UTI to a partner.