Getting care for coronavirus (COVID-19)

Updated on

This advice is based on our medical staff and CDC guidelines about COVID-19. We update this site when new information is available. New information may also be available from the CDC.

When to call 911

Is this an emergency?

If you’re suffering from a life threatening condition, stop and call 911.

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What symptoms of COVID-19 require immediate attention

If someone is having any of these signs/symptoms*, they should seek emergency medical care immediately:

  • Trouble breathing and/or inability to speak in full sentences
  • Persistent pain or pressure in the chest
  • New onset of confusion
  • Inability to fully wake up or stay awake
  • Bluish lips or face

*While this list does not include all possible emergency signs/symptoms, call your health care provider for any symptoms which are concerning to you.

Getting care for COVID-19

If you have symptoms of COVID-19

People who have COVID-19 symptoms and any of the following should get care:

If you have a fever (unrelieved with routine use of medications), persistent or worsening cough, or difficulty breathing, contact your provider.

If you have mild symptoms (like a fever and cough without shortness of breath or difficulty breathing) stay home and self-isolate to protect others.

Who is at increased risk for complications of COVID-19

People who are at increased risk of severe illness include:

  • Older adults.  
    • As you age, your risk increases.  For example, someone who is 60 years old will have a higher risk than someone who is 50 years old.  The highest risk for severe illness from COVID-19 is among those aged 85 or older.
    • 8 out of 10 COVID-19 deaths reported in the U.S. have been in adults aged 65 and older according to the CDC.
  • People with the following underlying medical conditions have shown more complications related to COVID-19 infection:
    • Cancer
    • Type 2 diabetes mellitus
    • Chronic kidney disease
    • COPD (chronic obstructive pulmonary disease) 
    • History of solid organ transplant resulting in immunodeficiency (weakened immune system)
    • Obesity (body mass index [BMI] of 30 or higher)
    • Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
    • Sickle cell disease (blood condition)

According to the CDC, there are also some people who might be at increased risk of severe disease, but more data is needed to confirm.  This includes people who have the following:

  • Asthma (moderate-to-severe)
  • Smokers
  • High blood pressure
  • Pregnancy
  • Type 1 diabetes mellitus
  • History of stroke
  • Other specific lung diseases, such Cystic fibrosis or Pulmonary fibrosis (having damaged or scarred lung tissues)
  • Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
  • Neurologic conditions, such as dementia
  • Liver disease
  • Thalassemia (a type of blood disorder)

All persons with symptoms of COVID-19 are encouraged to contact their health provider if they have concerns about worsening symptoms. Persons with increased risk should contact their provider as soon as symptoms are first noticed.

Where to get care

If you are not a Crossover member

This website is intended to be helpful to anyone looking for health information about COVID-19.

If you’re not an eligible member patient of Crossover through your employer’s health benefits package and need medical attention or advice, please seek care from a provider in your local community or health insurance network.

Care for Crossover members

Here’s what to do if you need care.

Don’t come to a health center. Call or send us a message first

  • If you’re a Crossover member, find your company below and click to log in.
  • Your provider will let you know if you need to be seen in person.

If you think you need to be tested for COVID-19

First, self-isolate if you think you have symptoms of COVID-19.

  • Don’t come to a health center. Call or send us a message first.
  • If you’re a Crossover member, find your company below and click to log in.
  • Schedule a free 15-minute COVID-19 phone screen appointment.
  • Your provider will let you know if you need to be tested and where to go for testing.

If your provider says you need to go to a health center

  • Use social distancing when you travel.
  • If you can, driving to your appointment on your own is best.
  • Don’t take public transportation unless you have to.
  • We’ve stopped our Lyft rideshare program, for now, to help reduce the spread of COVID-19.
  • When you arrive at our health center, you’ll be given a surgical face mask that you must wear.

Read our mask and face covering guidelines.

COVID-19 appointment types and fees for Crossover members

Appointment typeFees
COVID-19 prescreening
15 minute phone consultation
No cost
COVID-19 in person test
Where available
No cost
COVID-19 in person visit
Where available
No cost
COVID-19 lab feesNo cost
(Lab fees apply for non-COVID-19 tests)

Getting care that isn’t for COVID-19

This includes long term or chronic conditions like diabetes, or asthma, or new conditions like a rash or anxiety.

  • Don’t come to a health center unless you have a pre-scheduled appointment. Call or send us a message first.
  • If you’re a Crossover member, find your company below and click your company’s name to log in.

You can make a virtual appointment with us if you need

  • day-to-day care if you’re sick
  • day-to-day care if you have an ongoing illness
  • nursing
  • physical therapy
  • chiropractic 
  • acupuncture 
  • mental, emotional, and behavioral health
  • eye care and lens prescription reorders
  • health coaching

Where applicable, standard in person fees apply for all of these services. 

Crossover health center status

On-campus health centers

If you use our on-campus health centers, check the home page of your health center for scheduling status.

California

MathildaVirtual only
North FirstVirtual only
San TomasPrimarily virtual + In-person, as needed
Testing available
ShorelineVirtual only
SOMAPrimarily virtual + In-person, as needed

Texas

Las ColinasPrimarily virtual + in-person, as needed
SpringPrimarily virtual + in-person, as needed

New York

MidtownVirtual + In-person

Where to log in to get Crossover care

If you are a Crossover member at one of these companies, use your company’s link below to log in and get care.

Not sure if you’re a Crossover member through your employer?

It is possible that you are an employee at one of these companies but are not offered or eligible to be a member of Crossover as part of your health benefits.

Call Crossover from 8am to 5pm PT at 1-408-708-0204 to check your eligibility.

How COVID-19 is treated

Is there an at home medication cure for COVID-19

No

  • While many may have heard of studies with treatments for COVID-19 with drugs such as remdesiver or dexamethasone, these treatments are reserved for those receiving significant in-hospital support for their infection.
  • Drugs such as hydroxychloroquine and chloroquine (with or without azithromycin) have not been shown to be effective in the treatment or prevention of COVID-19. 

For those at home with COVID-19, symptom relief is currently the only option. If you feel additional care is needed or have significant symptoms, contact your healthcare provider for additional guidance.  

Is it safe to seek care in the ER during COVID-19

Yes

Hospitals have many protocols in place to prevent the spread of COVID-19- some may even have separate triage areas for patients.  If you have serious symptoms, such as chest pain or pressure, shortness of breath, numbness and tingling or weakness, or severe pain, then you should not delay medical care and should proceed to the ER.

Some studies have shown that hospitals are seeing less heart attack and stroke admissions during the COVID-19 pandemic.  This could be because people are not seeking care if they have serious symptoms due to fears of contracting COVID-19. Fear of contracting COVID-19 should not delay your care for emergency conditions.

What treatments are available to hospitalized patients with COVID-19

For now, remdesivir is the only medication approved by the FDA for use in hospitals. Additional non-medication treatments have also shown to improve outcome.

  • Supportive care such as providing supplemental oxygen and prone positioning (laying someone on their stomach to help open up the airways) have been shown to be an important part of treatment.  
  • If someone is so severely ill that they cannot breathe on their own a breathing tube and ventilator may also be needed.
  • Using the plasma of a patient who was previously infected by COVID-19 continues to be studied as to the effectiveness it has in treating newly infected patients.
  • There are several drugs under investigation that may be available through clinical trials.

Can remdesivir treat people with COVID-19?

There is new evidence from a trial that remdesivir can help people recover faster from COVID-19.

For now, remdesivir has been approved by the FDA for use in hospitals.

In a trial, an IV (intravenous) treatment of remdesivir was shown to reduce how long COVID-19 symptoms last from 15 days down to 11 in a clinical trial. The trial of 1,063 people was run by the U.S. National Institute of Allergy and Infectious Diseases (NIAID) at hospitals around the world.

Remdesivir was originally made to treat Ebola and other coronaviruses. It is an antiviral medication, and works by attacking an enzyme a virus needs inside our cells.

New information about how COVID-19 can be treated may be available from the CDC.

What you can do to feel better if you have COVID-19

Take these steps to feel better:

  • get plenty of rest—but you don’t need to stay in bed
  • stay well hydrated
  • take acetaminophen (like Tylenol) to reduce fever and ease aches and pains
  • follow the directions of any medicine you take

⚠️ If you take acetaminophen (like Tylenol), you should not take more than 3,000 milligrams from all products in one day.

If you are taking any combination of cold or flu medicine, keep track of all the ingredients and the doses.

Does taking ibuprofen (NSAIDs) make signs of COVID-19 worse?

When it’s safe to take ibuprofen (like Advil)

  • you still need relief from signs of COVID-19
  • you have signs of COVID-19 and can’t take acetaminophen, like Tylenol
  • you’ve already taken 3,000 milligrams of acetominophen, like Tylenol (the highest daily dose) in one day

The CDC, FDA, and World Health Organization say that either acetaminophen (Tylenol) or ibuprofen can be used to treat the symptoms of COVID-19, like fever and aches and pains.

Because some doctors are worried that taking ibuprofen, like Advil, (also called NSAIDs, or non-steroidal anti-inflammatory drug) has caused some people with signs of COVID-19 to feel worse, they say to choose acetaminophen, like Tylenol, first, but use no more than 3,000 milligrams per day.

Can hydroxychloroquine or chloroquine be used to treat COVID-19 patients

There are no drugs or other therapeutics approved by the US Food and Drug Administration to prevent or treat COVID-19.

Scientists are quickly studying the use of hydroxychloroquine and chloroquine to treat people who have positive test results for COVID-19 and have mild, moderate, or severe conditions.  

Hydroxychloroquine and chloroquine are oral prescription drugs that have been used for treatment of malaria and certain inflammatory conditions.

The FDA has issued permission to use these drugs for treatment of hospitalized people during the COVID-19 emergency.

What about steroids (like dexamethasone) for treatment of COVID-19

Steroids, used intravenously (in the vein), are currently being studied as a possible treatment option for COVID-19.  A few trials have shown benefit in seriously ill patients with COVID-19.  Recently, the World Health Organization made a recommendation for steroid use in severe and critical patients with COVID-19.  Steroids are not being used to treat milder cases of COVID-19 because it may harm in this group.  There are ongoing investigations into the use of steroids.

COVID-19 and Flu Season

As flu (influenza) season approaches, protecting yourself and your family from the flu is important. Signs and symptoms of the flu are very similar to those of COVID-19 infection. While there remains no vaccination against COVID-19, flu vaccination is an important part of preventing infectious disease in the community.

Who can get the flu shot

The CDC recommends that everyone aged 6 months and older should receive the influenza vaccine for the 2020-2021 flu season, as long as they do not have contraindications.

How important is it to get the flu shot for the 2020-2021 season

Extremely important

The flu shot is the best protection for you and your family from the flu.  It is especially important during the COVID-19 pandemic because the symptoms of influenza can be similar to symptoms of COVID-19.  This may lead to extra testing to determine the cause of the symptoms.  The flu shot will also decrease the amount of outpatient visits, hospitalizations, and ICU admissions related to the flu.  Overall, this will decrease the burden on the health care system within our country during a pandemic.

Again, it is important to remember that influenza alone is responsible for numerous hospitalizations and deaths in the United States each year.  With the pandemic virus circulating that can severely affect the respiratory system, you want to have the most protection that you can from other respiratory illnesses such as the flu.  The flu shot can offer you this protection.

When should I get the flu shot

The CDC recommends September and October as the optimal months to get the shot, but it can be given any time while the flu virus is circulating.  So, getting your shot early during the flu season is optimal, getting it in November or even January is still better than getting no shot at all.

What is the link between flu, heart attack, and COVID-19

During recent flu seasons, about half of the adults hospitalized for flu had underlying heart disease.  Studies have also shown that getting influenza leads to an increased risk of heart attack and stroke.  One study from 2018 found that the risk of heart attack was 6 times higher within one week of having the flu. While still being researched, a link between COVID-19 and heart attack has also been found.

We don’t often think of prevention of viral illnesses, such as getting a flu shot, as being able to help prevent heart issues, but it does.  Vaccination has been shown to have an association with a lower chance of cardiac events in people with heart disease, especially if they have had a recent heart event.  This protection from flu-related illness is vital, as we are learning more everyday about COVID-19 and its potential effects on the heart as well. 

Safety and security with virtual Crossover visits using Zoom

Is it safe to use Zoom

Yes, it’s safe.

Crossover follows recommended security configuration guides to make sure our Zoom meetings are secure and has a Business Associate Agreement (BAA) with Zoom.

Are Zoom meetings encrypted

Yes, Zoom meetings are encrypted.

Zoom uses a combination of end to end and transport encryption between participants and Zoom servers depending on the devices and applications used in the meeting.

Are we at risk of being “Zoom Bombed” (an unauthorized person joining the call)

No.

Crossover uses HIPAA Compliant Zoom accounts.

  • anyone who joins a Zoom meeting is placed into the waiting room until the meeting owner allows them to join the meeting
  • people in the waiting room can’t see or hear anything happening in the meeting

Is my personal data or meeting data being shared with 3rd parties

No.

Zoom does not collect, share, or sell any personal information from Zoom meetings.