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Frequently Asked Questions: 

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Delta Variant | COVID-19 Vaccine | Booster Shots | Diagnosis & Testing | Antibody Testing | Insurance & Cost | Patient Safety | Research Study | Risk Factors | Symptoms | When to Seek Care | Treatment | Prevention | Returning to Work | Social Distancing 

COVID-19 Delta variant

• What is the Delta variant?

  The Delta variant (known as B.167.2) is a highly contagious (and possibly more severe) SARS-CoV-2 virus strain. The CDC considers the Delta variant a Variant of Concern (VOC). A VOC seems to spread more easily and quickly than other variants, which may lead to more cases of COVID-19. An increase in the number of cases will put more strain on healthcare resources, lead to more hospitalizations, and potentially more deaths primarily for unvaccinated individuals. Currently, the Delta variant accounts for the majority of new COVID-19 cases in the US. It’s possible it has a slightly higher likelihood of causing more severe disease, but the data is inconclusive.

• What are the symptoms of the Delta variant?

  Symptoms of the Delta variant are slightly different than those of the first variant that spread through the US. It’s more like a bad cold. The most common symptoms are:

  • Headache
  • Sore throat
  • Runny nose
  • Fever
  • Cough

• Are vaccines effective against the Delta variant?

  The current vaccines available in the US – Pfizer, Moderna, and Johnson & Johnson – all are effective at preventing severe disease (hospitalization or death) for the current circulating variants, including Delta. The concern for the Delta variant is primarily for those that are unvaccinated, but breakthrough infections can occur in vaccinated individuals. Infection in vaccinated individuals is usually mild.

• Does ARC lab test for variants in vaccinated patients who have tested positive for COVID-19?

  Currently, variant testing is only available through hospitals for patients that have severe COVID-19 infection.

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COVID-19 Vaccine latest updates

• What vaccines do you have available? (View Chart) 

  View the list below to see which COVID-19 vaccine is now available at an ARC clinic near you.

  Location	Mon 10/18	Tue 10/19	Wed 10/20	Thur 10/21	Fri 10/22
  ARC Anderson Mill
  ARC Bastrop
  ARC Bee Cave	Pfizer	Pfizer	Pfizer	Pfizer	Pfizer Moderna
  ARC Buda
  ARC Cedar Park
  ARC Center Street (Kyle)				Moderna
  ARC Dripping Springs
  ARC Far West	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna
  ARC Georgetown
  ARC Hutto
  ARC Kelly Lane
  ARC Kyle Plum Creek	Moderna	Moderna	Moderna	Moderna
  ARC Leander
  ARC Liberty Hill
  ARC Manor
  ARC Pflugerville
  ARC Quarry Lake
  ARC Round Rock
  ARC Sendero Springs
  ARC South 1st		Pfizer Moderna		Pfizer Moderna
  ARC Southwest
  ARC Wilson Parke	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna	Pfizer Moderna

  Available

  No Availability

• What is the difference between the COVID-19 vaccine and the COVID-19 booster?

  The terms are used to differentiate between the point in time in which they are received, as well as their intent. The Pfizer and Moderna vaccines consist of two shots spaced out over several weeks, meant to create antibodies in your system to fight the coronavirus. The booster shot will be the same formulation as the first and second doses that you already received, offered six months or more after the receipt of the second shot of the vaccine. Booster shots are offered to people who got the full course of a vaccine and either did not get an adequate immune response due to immune compromise or the immune response has waned over time. The intent of the booster shot is to “boost” the effects of the initial vaccinations.

  In the case of the COVID-19 vaccine, the dosages and formula are the same between the vaccine and the booster.

• Is the Pfizer BioNTech COVID-19 Vaccine safe for children ages 12-15?

  Yes, in participants aged 12-15 years old, the Pfizer BioNTech vaccine demonstrated 100% efficacy and robust antibody responses.

  • This study included 2,260 adolescents in the United States, including some from Central Texas.
  • The vaccine demonstrated strong immunity in adolescents one-month after the second dose.
  • In the trial there were zero cases of COVID-19 in the vaccinated group of 1,131 adolescents and 18 cases confirmed in the placebo group of 1,129 adolescents.
  • Side effects of the vaccine were consistent with those observed in older participants.

• Is the Pfizer vaccine dosage and schedule the same for 12-15 year olds as it is for adults?

  The dosage and schedule for 12-15 year olds is the same as it is for adults: two doses of Pfizer COVID-19 vaccine, 21 days or more apart.

• Can 12-15 year olds get their regular vaccinations and the COVID-19 vaccine at the same time?

  Yes. As per CDC guidelines, regular vaccinations and the COVID-19 vaccine can be administered at the same time.

• Can a vaccinated person get sick and transmit the virus to someone else?

  There is compelling evidence that vaccinated patients are unlikely to develop COVID-19 (0.05% chance based on multiple studies). In breakthrough COVID-19 cases that have occurred, patients have lower nasal viral loads and there are no reports yet of vaccinated patients passing the virus to someone else, so this suggests there is a low risk of a vaccinated person transmitting virus to someone else.

• Was the COVID-19 vaccine rushed?

  Some people are concerned that the COVID-19 vaccine was rushed. While it was fast, neither science nor safety shortcuts were taken in development or testing. The facts:

  • Scientists have been studying coronaviruses for 50 years.
  • Dedicated vaccine funding helped move vaccine candidates through the pre-clinical/clinical assessments and trials both quickly and thoughtfully. This enabled researchers to advance into phase 3 clinical trials in six months instead of the typical two years.
  • The vaccine was mass produced before the clinical studies were complete to save time.
  • The FDA authorized it for emergency use.

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COVID-19 Vaccine Initial Doses at ARC

• How do I know where to get my second dose of vaccine?

  If you received dose 1 at an ARC facility, you can book dose 2 at any ARC facility. We can schedule patients for their second dose of Pfizer or Moderna at ARC when we have vaccine available, regardless of where they received the first dose. 

• How do I book my appointment to get my second dose of vaccine?

  You can book the appointment for your second dose in ARC MyChart, or by calling 866-453-4525.

• Will I need to book an appointment to get a COVID-19 vaccine?

  Yes. You can view scheduling options at ARCcovidvaccine.com. You can expect to provide the necessary personal and insurance information and sign consent forms in order to get vaccinated.

• Will I be able to get the COVID-19 vaccine in the clinic or curbside?

  ARC provides in-clinic vaccinations at all locations; ARC South 1st offers curbside vaccination. We will monitor patients for any reactions if you get the vaccine in-clinic or curbside. You can expect to book an appointment, provide necessary personal and insurance information, and sign consent forms in order to get vaccinated.

• How much does the COVID-19 vaccine cost?

  There is no cost to patients for either the vaccine or for the administration of the vaccine.  The federal government will pay for each COVID-19 vaccine through the end of the national public health emergency. Medicare, Medicare Advantage, Medicaid, and most commercial plans will cover the vaccine and the vaccine administration fee without out of pocket expenses through the end of the national public health emergency. 

  	Medicare & Medicare Advantage	Medicaid -	Private Plans	Uninsured
  Required to cover vaccine and administration	Yes, all plans	Yes, State agencies and CHIP	Most plans	Yes, covered by Cares Act Provider Relief Fund
  No copayment/coinsurance
  No deductible

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COVID-19 Booster Vaccine at ARC

• Can I get a COVID-19 booster shot at ARC?

  At this time, ARC is prioritizing COVID-19 booster vaccines for anyone 65 and older or anyone 18 and older with increased risks for severe COVID-19, and those with occupational risk, per CDC recommendations.

  If you would like to schedule your booster now, you can schedule online at MyChartARC.com or call 866-453-4525.

• Can I get a COVID-19 booster at ARC if I did not get my first shots there?

  You don’t have to have gotten your first two mRNA doses at ARC to get your booster at ARC.

• Do I have to be a patient of ARC to get a COVID-19 booster at ARC?

  No. New patients can schedule a booster at ARC at 866-453-4525.

• Does my booster need to be the same type of shot I got the first time?

  Currently, the CDC is advising that people get their booster as the same type as their first doses. Moderna gets Moderna, Pfizer gets Pfizer.

• I got the J&J shot; can I get a booster?

  There is no booster for the Jensen (J&J) vaccine at this time. If you received the Jensen vaccine at least six months ago, can start the mRNA series at ARC. You can schedule online at MyChartARC.com or call 866-453-4525.

• What is the CDC recommendation for a COVID-19 booster shot?

  The CDC currently recommends a COVID-19 vaccine booster only for:

  • Immune compromised who completed their COVID vaccination at least 28 days ago
  • Age 65 and over who completed their COVID vaccination at least 6 months ago
  • Age 18 and over with health condition that increases risk for severe COVID-19 (see prior update for list) and completed their COVID vaccination at least 6 months ago
  • Age 18 and over with occupation that increases risk of exposure to COVID-19 (see prior update for list) and completed their COVID vaccination at least 6 months ago

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COVID-19 Vaccine information

• What is the difference between the Johnson & Johnson, Moderna, and Pfizer COVID-19 vaccines?

  	Johnson and Johnson	Moderna	Pfizer
  Age	18+	18+	12+
  Efficacy rate in preventing hospitalization and death	100%	100%	100%
  How it works	Uses cold virus (does not replicate, does not make you sick) to deliver a genetic message to your body to make spike protein which produces an immune response	Uses tiny lipid bubbles to deliver a genetic message (mRNA)  to your body to make spike protein which produces an immune response	Uses tiny lipid bubbles to deliver a genetic message (mRNA)  to your body to make spike protein which produces an immune response
  How many doses	1	2	2
  When can I return for my 2nd dose?	No 2nd dose needed	**28 days after the 1st dose	**21 days after the 1st dose
  When is full effectiveness achieved?	2 weeks after administration of the single dose	2 weeks after administration of the 2nd dose	2 weeks after administration of the 2nd dose

  **CDC allows second doses to be given up to 4 days early (17 days for Pfizer and 24 days for Moderna.)
  
  **Ideally, the second doses should be administered as close to the recommended interval as possible, but may be given within 42 days of the first dose. If a second dose is given after the 42-day interval, it does not need to be repeated.

• What are the guidelines if I've been vaccinated?

  According to the CDC, if you’ve been fully vaccinated, you can now:

  • Gather indoors with fully vaccinated people without wearing a mask or staying 6 feet apart.
  • Gather indoors with unvaccinated people of any age from one other household (for example, visiting with relatives who all live together) without masks or staying 6 feet apart, unless any of those people or anyone they live with has an increased risk for severe illness from COVID-19.
  • Gather or conduct activities outdoors without wearing a mask except in certain crowded settings and venues.
  • If you travel in the United States, you do not need to get tested before or after travel or self-quarantine after travel.
  • You need to pay close attention to the situation at your international destination before traveling outside the United States; be sure to check their requirements vis-à-vis testing and quarantining.
  • If you’ve been around someone who has COVID-19, you do not need to stay away from others or get tested unless you have symptoms.
  • But, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you don’t have symptoms.

  If you’ve been fully vaccinated, continue to:

  • Wear a mask whenever you are:
  • In indoor public settings
  • Gathering indoors with unvaccinated people (including children) from more than one other household
  • Visiting indoors with an unvaccinated person who is at increased risk of severe illness or death from COVID-19 or who lives with a person at increased risk.
  • Avoid indoor large gatherings.
  • If you travel, you will still be required to wear a mask on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States, and in U.S. transportation hubs such as airports and stations.
  • To watch out for symptoms of COVID-19, especially if you’ve been around someone who is sick.

  ARC continues our current practice of masking for all patients, doctors, and staff when in our clinics.

  Learn more.

• What are the Pfizer and Moderna COVID-19 vaccines?

  The Pfizer and Moderna COVID-19 vaccines are both Messenger RNA (mRNA) vaccines. The FDA has authorized the emergency use of both vaccines to prevent COVID-19. The Pfizer vaccine can be used for individuals 16 years of age and older and the Moderna vaccine is for individuals 18 years of age and older under an Emergency Use Authorization (EUA). Learn more.

• What are the side effects after getting a COVID-19 vaccine?

  It is normal to have some side effects after any vaccination, like pain and swelling where you received the shot. You may also have fever, chills, tiredness, and headache. They are normal signs that your body is building protection. These side effects may slow you down but should go away in a few days.

• What are the risks of allergic reaction after getting a COVID-19 vaccine?

  The CDC recommends that someone with a history of severe allergic reactions or anaphylactic reaction to anything NOT in the vaccine can still get the COVID vaccine but must be observed for 30 minutes after vaccination instead of 15 minutes. If someone has had an anaphylactic reaction to any component that is PART OF the vaccine, then the vaccine should not be given.

• Who should NOT get the Pfizer or Moderna COVID-19 vaccine?

  You should not get the Pfizer or Moderna COVID-19 vaccine if you:

  • had a severe allergic reaction after a previous dose of this vaccine.
  • had a severe allergic reaction to any ingredient of this vaccine. Learn more.

• What are the ingredients in the Pfizer-Biontech COVID-19 vaccine?

  The Pfizer BioNTech COVID-19 vaccine includes the following ingredients: mRNA, lipids ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3- phosphocholine, and cholesterol), potassium chloride, monobasic potassium phosphate, sodium chloride, dibasic sodium phosphate dihydrate, and sucrose. Learn More.

• What are the ingredients in the Moderna COVID-19 vaccine?

  The Moderna COVID-19 vaccine contains the following ingredients: messenger ribonucleic acid (mRNA), lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC]), tromethamine, tromethamine hydrochloride, acetic acid, sodium acetate, and sucrose. Learn more.

• What are the ingredients in the Johnson & Johnson COVID-19 vaccine?

  The Janssen COVID-19 Vaccine contains the following ingredients: Recombinant, replication-incompetent adenovirus type 26 expressing the SARS-COV-2 spike protein, citric acid monohydrate, trisodium citrate dehydrate, ethanol, 2-hydroxypropyl-B-cyclodesxtrin (HBCD), polysorbate, and sodium Chloride. Learn more.

  It is best not to get the vaccine within 48 hours of an allergy immunotherapy shot (allergy shot.)

• How are the Pfizer and Moderna COVID-19 vaccines given?

  • Both the Pfizer and Moderna COVID-19 vaccines are given as an injection into the muscle.
  • Both are a vaccination series of 2 doses.
  • Pfizer’s 2nd dose is given 21 days after the first dose and Moderna’s is given1 month after the first dose.
  • You must receive a second dose of the same vaccine to complete the vaccination series. Learn more.

• What is the difference between an mRNA and viral vector vaccine?

  Messenger RNA (mRNA) is the genetic material that a virus or a cell in your body uses to teach our cells how to make a protein—or even just a piece of a protein—that triggers an immune response inside our bodies. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies.

  A viral vector vaccine uses a harmless version of a different virus, called a “vector,” to deliver information to the body that helps it protect you. The vaccine teaches your body how to make copies of the spike proteins. If you are exposed to the real virus later, your body will recognize it and know how to fight it off.

• How does the COVID-19 mRNA vaccine work?

  The COVID-19 virus uses mRNA to produce the spike protein that forms the outer layer of the virus. The spike protein in the virus generates an immune response. The COVID-19 mRNA vaccines give instructions for our cells to make a harmless piece of the spike protein, our immune system recognizes it does not belong and begins making antibodies. The advantage of an mRNA vaccine is that it generates a stronger type of immunity –making antibodies and immune system killer cells – a double strike against viruses. Learn more.

• How new are mRNA vaccines?

  Scientists have been exploring developing mRNA vaccines as far back as 30 years ago, so it’s not an entirely new concept. In fact, it’s relatively easy and fast to make mRNA in large quantities in the laboratory. mRNA vaccines have been studied before for flu, Zika, rabies, and cytomegalovirus (CMV). Beyond vaccines, cancer research has used mRNA to trigger the immune system to target specific cancer cells. Learn more.

• Should I be concerned about having genetic material injected into me?

  Messenger RNA (mRNA) enters the immune cells in your body as a message for that cell to create proteins that generate an immune response. The mRNA gets rapidly degraded inside the cell and never enters the nucleus of the cell (where your DNA is contained). So, the mRNA is not interfering or interacting with your genetic material.

• Should I get the vaccine if I am pregnant?

  ARC OB doctors support the recommendations of the American College of Obstetrics and Gynecology and the Society of Maternal and Fetal Medicine – both recommend COVID-19 vaccination during pregnancy. Pregnancy increases the risk of severe COVID-19 and recently published studies have confirmed the safety of COVID-19 vaccines during pregnancy. If you have questions about COVID-19 vaccination during pregnancy, you can discuss with your OB doctor.

• What are mammography recommendations for women receiving the COVID-19 Vaccine?

  Screening mammograms and COVID-19 vaccines are both very important for your health.

  • COVID-19 vaccine
    Some women who receive the COVID-19 vaccine develop swollen lymph nodes under their arm on the same side as their vaccine injection. This is the normal immune reaction to a vaccine. These swollen lymph nodes usually return to normal on their own in a few days or weeks.
  • Why do swollen lymph nodes matter?
    Breast radiologists look closely for any changes on your mammogram. Swollen lymph nodes under one arm can be seen on a mammogram and can be a rare sign of breast cancer
  • What happens if there are swollen lymph nodes on my mammogram?
    Depending on your medical history and when you received your vaccine, the breast radiologist may recommend that you return to the breast center for an ultrasound of your underarm area and they also may recommend a follow up exam to show that the lymph nodes have returned to normal size.
  • When should I schedule my screening mammogram?
    Try to schedule your screening mammogram before your first COVID-19 vaccine dose or at least 4 weeks after your second vaccine dose. This reduces the chance that swollen lymph nodes from the vaccine will appear on your mammogram.
  • What if my mammogram is already scheduled?
    Keep your vaccination appointment. Getting vaccinated is critical to stop the spread of COVID-19. Consider rescheduling your screening mammogram if possible before your vaccine. However, if you are already overdue for your screening exam or cannot reschedule within the next few months, keep your screening mammogram appointment and keep your COVID-19 vaccination appointments. Regular screening mammograms ensure that breast cancer can be detected as early as possible. Both are very important to ensure that you stay healthy. It’s especially important to keep your mammogram appointment if you are significantly overdue for screening. Remember: annual screening saves the most lives.
  • What should I tell the technologist on the day of my screening mammogram?
    Notify your mammography technologist if you have received a COVID-19 vaccine. Tell her when you received the vaccine, and which arm the vaccine was given. State whether it’s your first or second dose. This information will help the breast radiologist interpreting your screening mammogram
  • What if I have other breast problems?
    If you have any changes in your breast or underarm, such as pain or a lump, contact your medical provider. The guidelines above are only for women with no breast symptoms who are scheduled for a COVID-19 vaccine.

• If I had a positive COVID-19 test or if I have antibodies is the vaccine needed?

  People who have gotten sick with COVID-19 may still benefit from getting vaccinated as re-infection is possible. Experts do not yet know how long someone is protected from getting sick again after recovering from COVID-19. We won’t know how long immunity produced by vaccination lasts until we have more data. Click here for more information.

• How long does immunity last from the vaccine?

  We won’t know how long immunity produced by vaccination lasts until we have more data. Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about. Click here for more information.

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Diagnosing & testing

• What types of COVID-19 tests are available at ARC?

  ARC offers the molecular test, known as the RT-PCR test, which normally results within 1-2 days. PCR testing is considered the “gold standard” as it detects RNA (or genetic material) that is specific to the virus within days of infection, even in those who have no symptoms.

• Can I get tested without an appointment with a doctor?

  New and established patients can schedule drive-up testing for COVID-19 at ARC WITHOUT a telemedicine or in-person visit. If you are asymptomatic you can schedule a drive-up Direct COVID-19 Test. Currently, it takes 1-2 days to receive results.

  • Book at ARC MyChart, if you already have an account.
  • Book online if you are new to ARC or do not have a MyChart account.

• What is the difference between the RT-PCR test and antigen test?

  Both the molecular (PCR) test and antigen test for COVID-19 are diagnostic tests. The PCR test detects the genetic material of the virus and the antigen test detects specific proteins from the virus. According to the FDA, antigen tests are more likely to miss an active COVID-19 infection compared to molecular tests. ARC offers the RT-PCR test. Learn more.

• Can I get tested at ARC for travel to Hawaii?

  ARC performs the necessary test that Hawaii requires, however, the State of Hawaii has temporarily suspended the onboarding of new domestic testing partners. We hope to be added to their list. In the meantime, if you are traveling to Hawaii, you must get tested at one of their testing partner sites.

• Where can I get pre-op COVID-19 testing?

  ARC offers pre-op COVID-19 testing at our drive-up sites for new and established ARC patients. 

  • If an ARC physician is doing the surgery, they will enter the lab order and you can go straight to a drive-up testing site.
  • If a non-ARC physician is doing the surgery:
  • Book at ARC MyChart, if you already have an account.
  • Call the 24/7 COVID-19 hotline at 866-453-4525 if you are new to ARC or you do not have a MyChart account.
  • Schedule your appointment within 7 days of your surgery.

• Is there a number I can call with questions?

  The ARC COVID-19 Information and Advice Hotline is open 24/7 at 866-453-4525. The hotline provides advice on self-care and treatment recommendations.

  You always have the option of scheduling an appointment with us if needed or you can speak with a nurse if you have questions.

• How do I know if I need a viral test or antibody test?

  A viral test is a nasal swab and tells you if you have a current infection. An antibody test is a blood test and can tell you if had a past infection. Both tests are offered at ARC to new and established patients. We can also set up business accounts for employers who would like to pay for testing for their employees.

• Where do you offer drive-up testing?

  ARC conducts COVID-19 drive-up testing at the locations listed below.

  Drive-up COVID-19 Testing Locations - North to South

  ARC Cedar Park ARC Round Rock  ARC Far West  ARC South 1st  ARC Southwest ARC Kyle Plum Creek Read more about drive-up testing at ARC

• How does drive-up testing work?

  New and established patients can schedule drive-up testing for COVID-19 without a telemedicine or in-person visit if they are asymptomatic. An ARC clinician will screen each patient at the drive-thru testing site. For those who do not require immediate medical attention, a nasal swab will be obtained and sent to the lab for COVID-19 testing. 

  Read more about drive-up testing

• How long does it take to get the results?

  Currently, it takes 1-2 days to receive results.

• Will I see my results in ARC MyChart?

  Yes. It takes 1-2 days for postive or negative results to appear in ARC MyChart. 

• Can I do a telemedicine visit with my ARC doctor?

  Most ARC primary and specialty care doctors offer telemedicine visits if appropriate. A telemedicine visit may be carried out by video or phone call. You can request a telemedicine visit at the time you book your appointment. In some cases, if an in-person office visit is booked, your doctor may decide to see you via telemedicine. If that happens your healthcare team will contact you in advance. Many of our patients appreciate being able to take care of their medication refills and COVID-19 evaluations without leaving their homes. You can book many telemedicine visits on ARC MyChart.

• What if I test negative for COVID-19 and still have symptoms?

  If your COVID-19 test result is negative but you have symptoms related to the illness, you may still have the virus in your system and should continue to protect yourself and minimize spread.

  Please remain in home quarantine no less than 10 days from the onset of symptoms AND until you have been fever-free without medications for 24 hours AND until you have improvement in cough and shortness of breath. Practice strict home hygiene to avoid spread in your household.

  Treat your symptoms with over the counter medications and call the ARC 24/7 COVID-19 hotline at 866-453-4525 if you have emergency warning signs such as persistent and worsening shortness of breath, pain in the chest, or confusion. Our nurses and doctors can determine if we can care for you in our clinic or if you need to go to the ER.

• Should I do a blood type test?

  There was a study published in the New England Journal of Medicine (NEJM) that suggests that blood type can impact the risk of developing severe COVID-19. However, the study is still inconclusive and your blood type will not change recommended preventive or treatment measures. The presence or absence of underlying health problems, like chronic heart and lung disease, has much more of an impact than the possible association with blood type.

  It is not currently recommended that you do blood type testing to determine COVID-19 risk and there are contradictory findings at other institutions. A blood type test is also not covered by most health plans. If you would like to check your blood type and prefer not to spend the out-of-pocket lab fees, we recommend donating blood if you meet the requirements. When you donate blood, you are informed of your blood type and also help the community's blood supply.

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Antibody testing

• What is an antibody test?

  An antibody test might tell you if you had a past COVID-19 infection. It is most accurate if you get the test at least 2 weeks after the onset of symptoms. It is a blood test and results can take 1-5 days depending on demand.

• Can I get an antibody test at ARC?

  Yes. ARC offers antibody testing for individuals and businesses. If you have a lab order from an ARC physician, you can make an appointment at any ARC clinic for a blood draw. Businesses can call 512-407-8686 to set up an account. Results take about 3-5 days. 

• Can I get a COVID-19 anti-body test at ARC after I have my COVID-19 vaccine?

  Every situation is different so you should talk to your doctor if you have concerns. There are different types of antibody tests – some that look for prior infection, and others that could indicate prior vaccination. However, the correct timing and titer of antibody testing for vaccine response is unknown. Vaccine immunity comes from other responses by the immune system (like T cell immunity), not just antibodies. Because of these facts, antibody testing for vaccine immunity is not recommended.

• Do I have to be an ARC patient to get an antibody test at ARC?

  No. New and established patients can have an antibody test at ARC. New patients must have a telemedicine visit with a doctor to determine if an antibody test is indicated.

• How do I get a lab order for an antibody test?

  • If you have had a visit with an ARC doctor for COVID-related symptoms, you can message that doctor on MyChart or call the clinic to request a lab order.
  • If you suspect you had COVID-19 or had direct contact with someone with COVID-19 but we have not seen you for COVID-related issues, then you must schedule an in-clinic or telemedicine visit with an ARC doctor. ARC doctors will explain antibody testing to you and how to interpret the results specific to your situation. We recommend a telemedicine visit for your convenience.

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Insurance and cost

• How can I continue to see my doctor if I lose my health insurance due to this pandemic?

  You may qualify for a Special Enrollment Period to get covered through the Marketplace, Medicaid, or CHIP. If you do, you can enroll outside the yearly Open Enrollment Period. We can help you stay with your ARC doctor.

  • View austinregionalclinic.com/insurance to check accepted health plans at ARC.
  • Visit healthcare.gov to check if you qualify for the special enrollment period.
  • Visit yourtexasbenefits.hhsc.texas.gov/programs/health to learn about health benefits through Texas state programs.

• What is the cost of the COVID-19 test if I am uninsured?

  Insurance companies currently cover costs for tests. For patients without insurance, the cost of the test at ARC is $134 ($100 with our cash pay/discount).

• What discounts do you offer uninsured patients?

  As a courtesy, ARC offers a 25% cash discount on most services to uninsured patients who pay in full at the time of service or by the “Due Date” on the first billing statement received. Please call (512) 407-8686 for further details. For an estimate of charges it is best to call your clinic in advance. Some services, such as lab tests, may be billed by the laboratory conducting testing.

• Is there an affordable option for prescription medication?

  Express Scripts has set up a temporary program called Parachute RX for uninsured patients to make medications more affordable. It contains thousands of generic medications for $25 or less and some brand-name drugs for $75 or less. The program is available for medications from Express Scripts mail order and over 50,000 retail pharmacies.

   

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Patient safety

• Do I have to wear a mask to my visit?

  Yes, please wear a surgical mask to your visit for the health and safety of yourself and others. Strict mask use has proven successful in protecting the health and safety of our doctors and staff. We also comply with all local ordinances concerning COVID-19 health and safety measures. A surgical mask is preferred; a cloth mask is acceptable. If you have a valved mask, you can ask for a surgical mask from the greeter to replace or wear with your valved mask.

• If I prefer not to come in, can I have a telemedicine visit?

  Your ARC primary or specialty care doctor will determine if you need to have your visit in the clinic or if a telemedicine visit is possible. You can schedule many telemedicine visits through ARC MyChart. You can also call your clinic and press "1" and request a telemedicine visit when you speak to a scheduler. Read more at ARCtelemedicine.com.

• How does ARC separate patients exhibiting respiratory symptoms from others?

  ARC greeters screen all patients for symptoms of potential viral illness before entering the clinic. This protocol applies to all visits at all clinics, both primary care and specialty care.

  • For patients with symptoms, the greeter checks them in from outside the clinic and asks them to wait in their car. An ARC staff member meets them at the door when their exam room is ready and escorts them directly to the exam room.
  • Patients without symptoms check in at the front desk and wait in the lobby.

• Can I bring a visitor with me to my visit?

  Due to the spread of COVID-19, ARC discourages guests. Patients may be accompanied by one healthy adult per patient, if help is needed for the visit. ARC greeters screen all visitors before entering the clinic and visitors with symptoms of any viral illness will be required to wait outside of the clinic.

• How does ARC protect patients from getting coronavirus from staff?

  ARC follows CDC and City of Austin guidelines taking the following precautions.

  • Physicians, clinicians, and staff self monitor for symptoms and fever and wear masks at all times.
  • Anyone with a temperature or suspicion of COVID-19 gets tested and goes home to self-isolate.
  • If they test negative, they self-isolate until the fever is gone 24 hours AND symptoms improve.
  • If they test positive, they self-isolate until their fever is gone for 24 hours AND it has been at least 10 days since symptom onset AND symptoms improve.
  • If they do not have symptoms but had direct contact with a household member who tested positive and with whom they had prolonged close content, they self-quarantine for 14 days. 

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COVID-19 vaccine research study

• Where can I participate in a COVID-19 vaccine research study?

  Austin Regional Clinic offers opportunities for participation in clinical research studies. We are currently conducting a COVID-19 vaccine study at ARC Wilson Parke. Please visit the COVID-19 Vaccine Study page for more information. To sign up, call 512-225-5931.

• Is it risky to participate in a COVID-19 vaccine research study?

  Research standards are very strict; this helps to ensure maximum safety to participants. This is a phase III trial. This is usually the last stage before FDA approval, meaning it has passed strict safety measures to get to this point. This study, like all others at ARC, has been reviewed by teams of government and research experts to ensure the benefits outweigh any risks of the study.

• Will I have side effects from the COVID-19 vaccine?

  All medications and vaccines currently used can have side effects. Study participants may experience side effects. Our research team is there to carefully track any side effects and benefits you may have. Monitoring your health and safety is our top priority.

• Am I paid to participate in the COVID-19 vaccine study?

  You are compensated for your participation to cover your time, travel, and participation. All your study medications, lab tests, and health evaluations are free. You can also have the satisfaction of helping to advance medical science.

• How do I sign up for your COVID-19 Vaccine research study?

  Call 512-225-5931 to sign up for the study. For more information, visit the COVID-19 Vaccine Study page.

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Risk factors

• Am I at risk for COVID-19 in Central Texas?

  There is community spread of COVID-19 in Central Texas. The Texas Department of State Health Services (DSHS) and the City of Austin work closely with CDC in monitoring the developing outbreak.

  Read more about the risk of COVID-19 in the Austin area

  Read more about the risk of COVID-19 in Texas

  View the Johns Hopkins University COVID-19 tracking map

• How easily does COVID-19 spread?

  The virus that causes COVID-19 spreads easily and sustainably in the community ("community spread"). Community spread means people have been infected with the virus in an area and may not be sure how or where they became infected. The virus spreads between people who are in close contact with one another and through respiratory droplets produced when an infected person coughs or sneezes.

  Read more about how COVID-19 spreads.

• How can I tell if information online is true?

  There is a lot of information online about coronavirus that is untrue or misleading. In addition, fraudsters are targeting beneficiaries in a number of ways, including telemarketing calls, social media platforms, and door-to-door visits. Please be cautious of unsolicited requests for any ID or credit card information. A good resource to determine if something you read online is true is www.snopes.com. If you suspect COVID-19 fraud, contact National Center for Disaster Fraud Hotline (866) 720-5721 or disaster@leo.gov.

  The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes. Read more.

• Are children at increased risk for severe illness, morbidity, or mortality from COVID-19 infection compared with adults?

  Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date. However, a few children have developed multisystem inflammatory syndrome (MIS-C). Currently, information about this syndrome is limited. CDC is working with state and local health departments to learn more about MIS-C.

  Read more about COVID-19 and children.

• Are pregnant women more susceptible to infection, or at increased risk for severe illness with COVID-19?

  The CDC advises that pregnant women have no greater chance of getting sick from COVID-19 than the general public. However, they recognize that pregnant women experience changes in their bodies that may increase their risk of some infections with viruses from the same family as COVID-19. It is always important for pregnant women to protect themselves from illnesses.

  Read more about COVID-19 and pregnant women.

• Is breastfeeding safe when a mother has an infectious illness?

  Breast milk provides protection against many illnesses. The limited data available suggests that the virus does not likely spread through breast milk. The CDC recommends a mother with symptoms or with confirmed COVID-19 should take all possible precautions to avoid spreading the virus to her infant, including washing her hands before touching the infant and wearing a face mask, if possible, while feeding at the breast.  If expressing breast milk with a manual or electric breast pump, the mother should wash her hands before touching any pump or bottle parts and follow recommendations for proper pump cleaning after each use. If possible, consider having someone who is well, feed the expressed breast milk to the infant.

  Read more about COVID-19 and breastfeeding.

   

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Common symptoms

• What is COVID-19?

  COVID-19 is a respiratory illness caused by the new coronavirus.

  Read more about COVID-19.

• What are the symptoms?

  Most people, especially children and those under 60 with no chronic medical conditions, who contract COVID-19 develop very mild symptoms that include fever, a dry cough, and fatigue, few will develop more advanced symptoms such as shortness of breath.

  

• What symptoms require immediate attention?

  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.

  Read more about COVID-19 symptoms.

  *This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

   

• What are similarities between flu, and COVID-19?

  Both COVID-19 and flu can have varying degrees of signs and symptoms, ranging from no symptoms (asymptomatic) to severe symptoms. Common symptoms that COVID-19 and flu share include:

  • Fever or feeling feverish/chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue (tiredness)
  • Sore throat
  • Runny or stuffy nose
  • Muscle pain or body aches
  • Headache
  • Some people may have vomiting and diarrhea

  Signs and symptoms of COVID-19, different from flu, may include change in or loss of taste or smell.

  Click here to read more.

• How can I tell if I have a cold, flu, allergies, or COVID-19?

  A stuffy nose, sore throat, and a cough are all common symptoms. While there are subtle ways to help you distinguish between cold, flu, and allergies, COVID-19 is less predictable. No matter what may be slowing you down, we recommend extra caution this season. Stay home if you are not feeling well to avoid spreading any virus you may be carrying. Book an in-clinic or telemedicine visit if your symptoms worsen, if you want a flu or COVID-19 test, or if you have other health concerns.

  Click here to read more.

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When to seek medical care

• When should I call my doctor?

  You should seek medical advice if you have symptoms of fever, a dry cough, fatigue, or shortness of breath, especially if you are over 60 or have underlying health conditions. 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

  Call the 24/7 ARC COVID-19 Information and Advice Hotline at 866-453-4525 if you have questions.

• Do I need to go to the ER?

  You should call 9-1-1 or go to the ER only if you experience emergency warning signs. 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

  We recommend you call your primary doctor at the first sign of symptoms. This will help limit the spread of the virus in our community. It will also allow emergency departments to care for patients with the most critical needs first.

  Call the 24/7 ARC COVID-19 Information and Advice Hotline at 866-453-4525 if you have questions.

   

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Treatment

• Are there any treatments available for children and adults with COVID-19?

  Currently, two new treatments for COVID-19. These treatments are what is referred to as monoclonal antibodies, and both have been authorized to treat non-hospitalized adults and children 12 years of age and older. Learn more. 

  Antibiotics are not effective to treat COVID-19 since it is caused by a virus and antibiotics do not work against viruses, they only work on bacterial infections.

• How should I take care of myself or family members if I suspect COVID-19 or test positive?

  If you display any signs of COVID-19, the best course of treatment in the majority of cases is to stay at home and treat your symptoms with over the counter medications. Here is what our ARC doctors recommend:

  • The CDC recommends continuing self-isolation until fever is resolved for 24 hours AND symptoms improve AND it has been at least 10 days since symptom onset.
  • Take acetaminophen (Tylenol) for headache, body aches, fever, and pain.
  • Use the lowest amount of a drug that makes your fever get better as your body is working to fight the virus.
  • Get plenty of rest.
  • Stay well hydrated. Drink plenty of liquids including broth, tea, or another warm beverage.
  • Use cough drops or an over the counter cough suppressant as needed. (Ask the pharmacist what over-the-counter cough medicine is best for your cough. There any many options and your pharmacist can give you good advice).
  • Honey has been shown to help decrease coughing at night. The adult dose is 2 teaspoons (10 ml) at bedtime.
  • Avoid smoking to protect your lungs from infection.

  Read more about what to do if you get sick. 

• What is the ordinance for people who are sick with coronavirus disease?

  If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, the shelter-in-place ordinance requires you to remain in home quarantine no less than 10 days from the onset of symptoms AND until you have been fever-free without medications at 24 hours AND until you have improvement in cough and shortness of breath.

  While sick, you must practice social distancing within the residence, and observe hygiene practices for prevention of household spread, notifying the county health department if that is not possible. You must also notify your county’s public health authority if you leave your county.

• Would you like to become a COVID-19 convalescent plasma donor? 

  We Are Blood is actively collecting convalescent plasma donations from individuals who have had a lab-confirmed diagnosis of COVID-19 and have fully recovered from a COVID-19 infection. This plasma is being used to treat patients currently fighting COVID-19. To qualify as a convalescent plasma donor you must have had a prior lab-confirmed diagnosis of COVID-19, have experienced no COVID-19 symptoms for at least 14-28 days, and meet standard donor eligibility criteria.

  COVID-19 convalescent plasma has not yet been fully tested for its effectiveness in treating the virus. However, before a vaccine is developed, COVID-19 convalescent plasma is an option for treating current COVID-19 patients and has been used successfully in the past to treat diseases like SARS and Ebola before vaccines were available.

  If you are a fully recovered COVID-19 patient and want to be considered as a convalescent plasma donor, please visit the We Are Blood website for more information. We Are Blood is the provider and protector of the Central Texas blood supply since 1951.

• Where can I get monoclonal infusion treatment for COVID-19?

  In the Austin area, a Regional Infusion Center for monoclonal antibody treatment has been set up at the Travis County Expo Center. This Center offers infusions 7 days a week from 8 am – 6 pm. A physician referral is required.

  Many area hospitals and private infusion centers are also offering monoclonal antibody treatments to COVID patients. If you have tested positive for COVID-19, seek a referral for monoclonal infusion from your doctor

• What is monoclonal infusion treatment?

  The FDA has granted Emergency Use Authorization (EUA) for two new treatments for COVID-19. These treatments are what is referred to as monoclonal antibodies, and both have been authorized to treat non-hospitalized adults and children 12 years of age and older.

  Monoclonal antibodies are laboratory-produced molecules that act as substitute antibodies to restore, enhance, or mimic the immune system’s function to attack foreign cells, in this case the COVID-19 virus. These treatments attack a COVID-19 protein making it more difficult for the virus to attach to and enter human cells.

• Who is eligible for monoclonal infusion treatment?

  Currently, there are no antivirals that are approved for usage unless someone is hospitalized. There are several ongoing clinical trials to treat COVID-19, including an anti-viral study that the ARC Research department is participating in. Currently, the only treatment for COVID-19 that the FDA has authorized for emergency use is monoclonal antibody infusion to treat non-hospitalized adults and children 12 years of age and older if they are at risk of severe COVID-19 and/or hospitalization.

  This includes people who are:

  • 65 years of age and older
  • Have moderate to severe obesity
  • Have certain chronic medical conditions

  Monoclonal antibody treatment is available in the Austin area. If you are at elevated risk of severe COVID-19 and/or hospitalization, it is best to speak to your physician to determine the best course of action.

   

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Prevention

• Should I wear a face mask or covering when I go out?

  As of June 18, 2020, the City of Austin and Travis County has made it mandatory for all businesses to require that all employees and customers wear a face mask or covering. This requirement does include a doctor’s office. This is an additional protective measure to prevent asymptomatic carriers from spreading the virus and further slow the spread of COVID-19. The recommendation is for use of cloth face coverings and not medical-grade masks or N-95 respirators, which, while better, are in short supply and should be conserved for healthcare workers and first responders. At the clinic, if you have any symptoms of viral illness, the ARC greeter at the entrance will give you a medical-grade surgical mask to wear. This ensures the safety of a healthcare visit.

• Is a valve mask as safe as other masks?

  No. A "valve mask" only protects the wearer but does not protect people around the person wearing the mask. The valve is one-way, filtering air breathed in, not breathed out. It does not protect people around the wearer because droplets from breath, sneezes, and coughs still spread through the valve. Valved masks do not prevent transmission from infected individuals (with or without symptoms) to people around them. During this pandemic, a surgical mask or cloth mask is far superior. Surgical mask is preferred when you come into the clinic; cloth mask is acceptable. Please ask for a surgical mask from the greeter to replace or wear with your valved mask.

  

• If I wear a mask do I still need to social distance?

  Yes, it is critical to understand that a face covering or mask does not substitute for the need to maintain physical distancing. Instead, face coverings — coupled with physical distancing — are seen as important tools to decrease the risk of illness spread.

  Read the CDC recommendation for face coverings
  View the fabric face covering flyer

• How can I protect myself and my family?

  The best way to prevent illness is to avoid being exposed to this virus. Everyday preventive measures are effective; the same ones that prevent the spread of colds and the flu:

  • Stay home if you are sick and self-isolate until fever is resolved for 24 hours AND symptoms improve AND it has been at least 10 days since symptom onset.
  • Avoid contact with those over 60 and with anyone who has any serious chronic medical conditions.
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Cover your mouth and nose with a tissue when you cough or sneeze. Put your used tissue in a waste basket and wash your hands. If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands.
  • Use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
  • Practice social distancing by avoiding large crowds.
  • Avoid handshakes, hugs, and kisses. Learn how to greet without exposure.
  • Maintain at least 6 feet between yourself and anyone else.
  • Avoid non-essential travel.

  Read more about how to protect yourself. 

• How can I talk to my kids about Coronavirus?

  Dr. Elizabeth Knapp, Co-Chief of ARC Pediatrics, suggests that before starting the conversation, parents should first check their own anxiety level. If you are anxious about this conversation, perhaps the other parent or a grandparent or another adult should be the one to have the conversation. Start by asking kids of any age about what they already know. Listen to what they say and correct any misinformation. Start with a question like, “Have you heard grownups talking about a new sickness going around?”

  Read the full article here

• What can I do to reduce stress and anxiety?

  A few things to reduce stress and anxiety include:

  • Give yourself a break from screens: watching the news, social media, your smart phone.
  • Take deep breaths, eat healthy, outdoor exercise, and get plenty of rest.
  • Do activities you enjoy (keeping in mind the social distancing measures above).
  • Connect with friends and family online or by phone, or in person if everyone is feeling healthy and symptom-free.

• Is it safe to attend local events?

  No, due to community spread, all local events have been canceled until further notice.

   

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Returning to work after COVID-19 illness

• Do I need to require a doctor’s notes for my employees to return to work?

  No. According to the Austin Public Health Department, during the pandemic, employees who meet the following criteria for returning to work should NOT be required by employers to provide a healthcare provider’s note to return to work.

  The employee has had no fever for at least 24 hours, WITHOUT the use of fever reducing medications
  AND
  Respiratory symptoms have improved (for example, cough or shortness of breath have improved)
  AND
  At least 10 days have passed since their symptoms first appeared.

  Download the Austin Public Health Return to Work Guidance flyer.

• Do the EEOC and CDC recommend doctor’s notes to return to work?

  No. The Equal Employment Opportunity Commission (EEOC) as well as the Centers for Disease Control (CDC) advise that, practically speaking, doctors and other healthcare providers may be too busy to provide such documentation, so employers should consider allowing these employees to return to work as they see fit. Because of this, the CDC does not recommend that employers require their employees to provide communication from a physician or healthcare provider, "clearing," them to return to work.

  Download the Austin Public Health Return to Work Guidance flyer.

   

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Social distancing

• Is it still important to practice social distancing?

  Social distancing minimizes the spread of the virus. When we stay away from many people we deprive the virus the opportunity to move from one person to another. What does that mean in everyday actions?

  • Stay at home as much as possible.
  • Avoid gathering in public places.
  • Get your exercise outside rather than in a space with groups of people.
  • Take advantage of grocery delivery and pick-up services or shop when it is less crowded. Keep 6 -10 feet away from other people.
  • Avoid handshakes, hugs, and kisses. Learn how to greet without exposure.

  Social distancing feels awkward and unnatural. We are social beings who need human interaction, so this call to distance ourselves from each other will be difficult. It has proved successful in places like Hong Kong and Singapore where they were able to flatten out the curve, unlike in Italy where it has overwhelmed their healthcare resources. The best we can do is learn from others' success.

  Read more about how to protect yourself.