As we enter a change in seasons and look ahead to family gatherings and holidays, please keep in mind a new COVID-19 vaccine is available and free under our health insurance. Public health officials advise that vaccines can take at least twelve days to be fully effective, so plan ahead.
Information about the updated COVID-19 vaccine is available through the Centers for Disease Control and Prevention (CDC) at https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect.html. The CDC webpage includes tools to find a vaccine near you and answers to common questions including guidance on vaccination if you recently had COVID or about taking the vaccine with a flu shot.
Coverage for Covid Vaccine:
Members will have no out-of-pocket costs for the COVID-19 vaccine and boosters when they use an in-network provider. If the member uses an out-of-network provider, the member may have out-of-pocket costs.
Coverage for Covid Testing:
Members will have coverage for lab tests when received in-network. However, the member will have to pay their copay, deductible and/or coinsurance based on their benefits. If the member uses an out-of-network provider, the member may have additional out-of-pocket costs.
Rapid COVID tests, defined as point of determination tests with direct optical results are eligible for coverage when performed in a physician’s office.
Viral antigen tests, which need to be run and resulted through a clinical lab process are not eligible as an office billed test since the office is not actual running the results of the test. Viral antigen tests must be performed at an in-network lab.
Over the counter, at-home Covid tests are no longer covered.