COVID-19 Updates - Group Members

End of COVID-19 PHE – Coverage Questions (Group Members)

• Will my healthcare plan provide coverage and waive cost-sharing for COVID-19 testing?

  Standard cost sharing for all COVID-19 testing resumed on May 12, 2023. Please consult your Certificate of Coverage for more information on coverage and benefits.

  There is an exception for groups underwritten in California. Waived cost sharing for COVID-19 testing will remain in place until 11/11/2023, This includes up to eight (8) at home tests per month, which are covered at 100% until 11/11/23.

• Is the cost of COVID-19 treatment covered under my healthcare policy?

  Medically necessary treatment for COVID-19 is covered as an illness under your policy. Standard cost sharing for all COVID-19 treatment services resumed on May 12, 2023. Please consult your Certificate of Coverage for more information on coverage and benefits.

  There is an exception for groups underwritten in California. Waived cost sharing for COVID-19 related services will remain in place until 11/11/2023.

• Will the cost of a COVID-19 test be covered when required prior to receiving inpatient surgery?

  The normal inpatient cost share under the policy continues to apply to the underlying admission or procedure. Please refer to your Certificate of Coverage for more information on coverage and benefits.

• Is the COVID-19 vaccination (including boosters) covered under my healthcare policy?

  The COVID 19 vaccine and proceeding boosters will continue to be covered as a preventive service, similar to any other vaccination, at no cost when obtained from an in-network provider. If the vaccine is administered by an out-of-network provider, your group health plan’s out-of-network benefits would apply. Check your benefits to confirm if you have out-of-network coverage. 

  There is an exception for groups underwritten in California. Waived cost sharing for COVID-19 related services will remain in place until 11/11/2023.

• Will my healthcare plan cover anti-body testing?

  Standard cost sharing for COVID-19 anti-body testing resumed on May 12, 2023. Please consult your Certificate of Coverage for more information on coverage and benefits.

  There is an exception for groups underwritten in California. Waived cost sharing for COVID-19 anti-body testing, if ordered by a doctor, will remain in place until 11/11/2023. Testing requested by non-medical personnel (members, employers, school programs, governmental agencies) for non-diagnostic treatment purposes, such return to work/school requirements, are not covered.