COVID-19 Updates - Individual Members

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

• Will GeoBlue provide coverage and waive cost-sharing for COVID-19 testing?

  Standard cost sharing for all COVID-19 testing resumed on May 12, 2023.  Your GeoBlue plan covers medically necessary testing. Testing that is not medically necessary or is required as a prerequisite for work, school or entry into country is not covered.

  Please consult your Certificate of Coverage for more information on coverage and benefits.

• Are members covered if they contract COVID-19?

  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.

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

  GeoBlue Voyager and Trekker plans

  Our Voyager and Trekker plans are designed to provide medical coverage outside of the United States only and do not include an immunization/vaccination benefit. The cost of the COVID-19 vaccine and boosters will not be covered by these plans. Based on the country where the vaccination is administered, the government may or may not fund the cost.

   

  GeoBlue Navigator and Xplorer plans

  If the vaccine and/or booster is administered in the U.S.

  Navigator and Xplorer Premier plans include an immunization/vaccination benefit in the U.S. GeoBlue will pay eligible vaccination costs based on your plan immunization/vaccination benefit (subject to usual, customary and reasonable cost standards; member cost share and limits may apply).

  Xplorer Essential and Select plans do not include an immunization/vaccination benefit in the U.S.; you will be responsible for the cost of the vaccine and any administration costs charged separately from the cost of the vaccine.

  If the vaccine and/or booster is administered outside the U.S.

  All Navigator and Xplorer plans include an immunization/vaccination benefit outside the U.S. Based on the country where the vaccination is administered, the government may or may not fund the cost. GeoBlue will not reimburse any claims for the cost of the vaccination in locations where the government funds the cost. GeoBlue will pay eligible non-government paid vaccination costs based on your plan immunization/vaccination benefit (subject to usual, customary and reasonable cost standards; member cost share and limits may apply).

• 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.

  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.

• Am I covered for medical evacuations related to COVID-19?

  All our plans provide coverage for medical evacuations, which would be covered under the following circumstances:

  - Sudden accident or unforeseen illness that leads to a recommendation for medical evacuation by the local attending physician.

  - Medical evacuation is medically necessary and subject to approval by our physicians in consultation with the attending physician

  - Medical evacuation is advisable i.e., the patient is stable enough to travel, noting that evacuation is always to the nearest capable facility

  - Evacuation is practically possible (e.g., with due consideration of origin and destination government rules and restrictions, the availability of commercial air ambulance providers and a receiving facility)