COVID-19 Update: Telehealth and Treatment Cost-Share Waivers

June 26, 2020

We continue to monitor the COVID-19 pandemic and are committed to helping our employer customers and members stay informed. We have updates to some of our coverage dates. As always, members should call the number on their ID card for answers to their specific benefit questions.

Initiative

Effective Date

Projected End Date

COVID-19 Testing

3/7/20

Cost-share waiver ends with the end of Health and Human Services (HHS) public health emergency

COVID-19 Testing-related visits

3/18/20

Cost-share waiver ends with the end of HHS public health emergency

Telehealth/Telemedicine

3/18/20

Cost-share waiver extended through 7/31/20*

For Medicare (not Part D) and Medicare Supplement plans, cost-share waiver extended through 12/31/20*

COVID-19 Treatment

4/1/20

Cost-share waiver ends 6/30/20

*Date change/extension

As we let you know in April, self-funded customers (ASO) who aligned with our decisions for fully insured members would continue that alignment unless we were notified. We will suspend the cost-share waiver for COVID-19 treatment as of June 30, 2020, and extend the cost-share waiver for telehealth through July 31, 2020.

What this means for self-funded (ASO) groups:

  • Your prior decision to waive cost-share for COVID-19 treatment will be suspended effective July 1, unless you request from us continuance of the cost-share waiver for COVID-19 treatment.
    • Options are to extend to Aug. 31, 2020, Dec. 31, 2020, or update benefits as part of your renewal for your future plan year.
  • Your prior decision to waive cost-share for telehealth will be extended to July 31, 2020, unless you contact us to request ending the cost-share waiver on June 30, 2020.

If you would like to make a change from your original decision, please contact your account executive no later than Friday, July 3. If you don’t communicate that change by July 3, your decision will continue as currently coded. Change decisions made after July 3 cannot be accommodated for a July 1, 2020, effective date.

As a reminder, COVID-19 testing and testing-related visits are covered at no cost-share for fully insured and ASO members as required by the Families First Coronavirus Response Act until the end of the federal public health emergency.