News
Earlier this year, the White House announced that the COVID-19 Public Health Emergency would end on May 11, 2023. As described below, this may affect some of your benefits under the Plan.
COVID-19 SERVICES AFTER THE END OF THE PUBLIC HEALTH EMERGENCY
During the Public Health Emergency, the Plan covered COVID-19 testing expenses, preventive services and vaccinations without any participant cost-sharing in- and out-of-network.
COVID-19 Tests
After May 11, 2023, the Plan will no longer cover items and services related to COVID-19 testing without participant cost-sharing (i.e., deductibles, copayments, or coinsurance), prior authorization or other medical management requirements. Services rendered to participants prior to May 11, 2023 will not be subject to these changes.
Until further notice, however, the Plan will continue to cover the cost of four (4) over-the-counter COVID-19 tests per covered member or dependent per month if purchased at a participating pharmacy. For a list of participating pharmacies near you, please use our Online Pharmacy Locator. Make sure the pharmacy has your insurance information and processes the purchase through the Plan. If you purchase an over-the-counter COVID-19 test at a non-participating pharmacy, you may submit a claim for reimbursement for up to $12.00 per test through caremark.com for up to four tests per covered member or dependent per month.
COVID-19 Vaccines and Preventive Services
After May 11, 2023, the Plan will no longer cover out-of-network vaccines and preventive treatment for COVID-19 without normal cost-sharing. Coverage for in-network vaccines and preventive treatment for COVID-19 will continue without any participant cost-sharing.
Telehealth Visits
After May 11, 2023, the Plan will no longer cover without cost sharing telehealth visits for the treatment and diagnosis of medical health services, including COVID-19. If the telehealth provider is in-network, coverage will be provided as any other in-network, in-person office visit. If the telehealth provider is out-of-network, coverage will be provided at the Plan’s maximum out-of-network allowance, and all out-of-network requirements, including participant cost-sharing, will apply.