We at the After Hours Medical Group are a Covid-19 testing clinic site.
If you have a fever of 100.4 or more and one of the following symptoms of: cough, shortness of breath, or chest
pressure, loss of taste,and/or your a health care worker (as defined by the State of California), our office can perform testing for you.
If you have a fever of 100.4 or more and one of the following symptoms
of: cough, shortness of breath, or chest pressure, our office can perform testing for you.
- COVID-19 Coronavirus Patient
If you have
symptoms of respiratory illness after 2-14 days after exposure
- Fever (temperature > 100.4
- Cough with shortness of breath
- Loss of taste
you been in close contact with anyone known or suspected to have the COVID-19 coronavirus illness? Close contact is defined as within 6 feet for 3 minutes or more.
If you answered
yes to one or both of these questions and have respiratory symptoms:
- Stay home.
- If you believe your symptoms are life threatening, go to the nearest hospital
emergency department. We recommended that you call the emergency department immediately so the staff can provide you with arrival instructions.
- If you develop emergency warning signs for COVID-19
get medical attention immediately. Emergency warning signs include:
- Difficulty breathing or shortness of breath
- Persistent pain or pressure in the chest
- New confusion or inability to arouse
- Bluish lips or face
- CDC and CAHAN criteria on who may be eligible for testing to ensure testin for those that need the test most:
- PRIORITY 1 Ensures optimal care options for all hospitalized patients, lessen the risk of healthcare-associated infections, and
maintain the integrity of the U.S. healthcare system • Hospitalized patients • Healthcare facility workers with symptoms
- PRIORITY 2 Ensures those at highest risk of complication of infection are rapidly identified and appropriately triaged • Patients in
long-term care facilities with symptoms • Patients 65 years of age and older with symptoms • Patients with underlying conditions with symptoms • First responders with symptoms
- PRIORITY 3 As resources allow, test individuals in the surrounding community of rapidly increasing hospital cases to decrease
community spread, and ensure health of essential workers • Critical infrastructure workers with symptoms • Individuals who do not meet any of the above categories with symptoms • Healthcare facility
workers and first responders • Individuals with mild symptoms in communities experiencing high numbers of COVID-19 hospitalizations
- NON-PRIORITY • Individuals without symptoms
Steps to help prevent the spread of COVID-19 if you are sick:
Stay home except to
get medical care
- Stay home: People who are mildly ill with COVID-19 are able to recover at home. Do not leave, except to get medical care. Do not visit
- Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you feel worse or you think it is an emergency.
- Avoid public transportation: Avoid using public transportation, ride-sharing, or taxis.
Separate yourself from other people in your home, this is
known as home isolation
- Stay away from others: As much as possible, you should stay in a specific “sick room” and away from other people in your home. Use a separate
bathroom, if available.
- Limit contact with pets & animals: You should restrict contact with pets and other animals, just like you would around other people.
- Although there have not been reports of pets or other animals becoming sick with
COVID-19, it is still recommended that people with the virus limit contact with animals until more information is known.
- When possible, have another member of your household care for your animals while you
are sick with COVID-19. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with them.
- According to the National Institute of Health (NIH) a study conducted by experts from the US Centers for Disease Control and Prevention (CDC), NIH, UCLA, and Princeton University
investigated how long the virus remained infectious on different surfaces. The investigators found that SARS-CoV-2 is detectable in aerosols for up to 3 hours, on copper up to 4 hours, up to 24 hours
on cardboard, and up to 3 days on plastic and stainless steel.
Call ahead before
visiting your doctor
- Call ahead: If you have a medical appointment, call your doctor’s office or emergency department, and tell them you have or may have
COVID-19. This will help the office protect themselves and other patients and let you know what the visit protocols are.
- If you are sick: You should wear a facemask when you are around other people and before you enter a healthcare provider’s office. Healthcare
providers are currently in short supply of personal protectice equipment, therefore health care providers cannot provide these to patients as they did in the past.
- If you are caring for others: If the person who is sick is not able to wear a facemask (for example, because it causes trouble breathing), then people who
live in the home should stay in a different room. When caregivers enter the room of the sick person, they should wear a facemask. Visitors, other than caregivers, are not
Clean your hands often
- Wash hands: Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose,
coughing, or sneezing; going to the bathroom; and before eating or preparing food.
- Hand sanitizer: If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of
your hands and rubbing them together until they feel dry.
- Soap and water: Soap and water are the best option, especially if hands are visibly dirty.
- Avoid touching: Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid sharing personal household items
- Do not share: Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people in your
- Wash thoroughly after use: After using these items, wash them thoroughly with soap and water or put in the dishwasher.
- Clean all “high-touch” surfaces everyday
- Clean high-touch surfaces in your isolation area (“sick room” and bathroom) every day;
let a caregiver clean and disinfect high-touch surfaces in other areas of the home.
- Clean and disinfect: Routinely clean high-touch surfaces in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in
common areas, but not your bedroom and bathroom.
- If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so
on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom.
- High-touch surfaces
include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.
- Clean and disinfect areas that may have blood, stool, or body fluids on
- Household cleaners and disinfectants: Clean the area or item with soap and water or another detergent if it is dirty. Then, use a household
- Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products
recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the
- Most EPA-registered household
disinfectants should be effective i.e. Lysol brand disinfectant.
The New Normal:
- Wear a facemask: If possible, put on a facemask before you leave home. Please use a non surgical reusable cloth mask that covers your
nose and mouth. Due to the shortage of medical grade masks the CDC and health care providers appreciate the public saving the dwindling national supply of medical grade masks for those practicing
medicine and nursing on the front lines of this epidemic.
- DO NOT WEAR GLOVES in public. The virus can live much longer on the gloves and once
contaminated will continue to contaminate everything you touch throught the day and endanger the wearer more. It is safer to avoid touching high touch surfaced (door knobs, hand rails, etc) in public
areas and to employ frequent handwashing and use of hand sanitizers with at least 60% alcohol content.
Call 911 if you have a medical
emergency and need to call 911, notify the operator that you have or
think you might have, COVID-19. If possible, put on a facemask before medical help arrives.
How to discontinue home isolation:
- People with COVID-19 who have stayed home (home
isolated) can stop home isolation under the following conditions:
- If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
- You have had no fever for at least 72 hours (that is three days of no fever without
the use medicine that reduces fevers)
- other symptoms have improved (for example, when your cough or shortness of breath have
improved, and regained the sense of taste)
- at least 10 days have passed since your symptoms first appeared
- If you will be tested to determine if you are still contagious,
you can leave home after these three things have happened:
- You no longer have a fever (without the use medicine that reduces fevers)
- other symptoms have improved (for example, when your cough or shortness of breath have
you received two negative tests in a row, 24 hours apart. (One test required per CDC if limited testing supplies)
How much will patients pay for COVID-19 testing?
Since the passage of the Families First Coronavirus Response Act (FFCRA) on March 18,
most people should not face costs for the COVID-19 test or associated costs. Starting on March 18 and lasting for the duration of the public health emergency, all forms of public and private
insurance, including self-funded plans, must now cover FDA-approved COVID-19 tests and costs associated with diagnostic testing with no cost-sharing, as long as the test is deemed medically
appropriate by an attending health care provider. This includes high-deductible health plans and grandfathered plans, but does not apply to short-term, limited duration plans. As outlined by CMS
in a series of FAQs, there is no limit on the number of COVID-19 tests that an insurer or
plan is required to cover for an individual, as long as each test is deemed medically appropriate and the individual has signs or symptoms of COVID-19 or has had known or suspected recent exposure to
SARS-CoV-2. Federal guidance does not require coverage of routine tests that
employers or other institutions may require for screening purposes as workplaces reopen.
The Coronavirus Aid, Relief, and
Economic Security (CARES) Act, enacted on March 27, 2020, expanded protections by requiring private plans to also fully cover out-of-network tests. The CARES Act requires health plans to
reimburse out-of-network COVID-19 test claims at up to the cash price that the provider has posted on a public web site. The CARES Act also does not prohibit out-of-network providers from
billing patients directly for the COVID-19 test; if that happens, and if the up-front expense is unaffordable, it could deter some patients from getting a test. Otherwise, when providers charge cash
up front, it falls to the patient to submit the bill to the health plan for reimbursement.
Medicare, Medicaid, and private plans also must cover serology tests (blood tests) that can determine whether an individual has been infected with SARS-CoV-2, the
virus that causes COVID-19, and developed antibodies to the virus.
Hospitals and other providers may apply to a Cares Act relief fund that has yet to
be funded to be reimbursed for care they provide to uninsured patients, subject to availability of funding.
Hospitals and other providers can also decide on a case-by-case basis whether to bill patients or seek
reimbursement from the Relief Fund. If providers submit claims for reimbursement from the Relief Fund, they
are prohibited from billing uninsured patients.
Our office is not applying for funds from the Relief Fund, and therefore the cost is the
sole responsibility of the patient seeking care from our clinic. This insures that we can see each patient in a timely manner and remain fiscally viable to provide the highest standard of care. Our
standar price for Covid specific testing is $120 for the 1st visit and for reporting of results. A $70 charge may come from our affiliated lab that runs out tests if the Relief fund fails to pay for
the testing as we hope it will.