COVID-19 Employee Benefits Information

Posted by jtgoebel on Mar 12^th 2020

Information about COVID-19 from our Benefit Providers.

All dates/information subject to change based on Federal and State mandates. The following information is accurate as of August 11, 2021.

Service	Blue Shield	Kaiser Permanente
No out-of-pocket cost sharing for all COVID-19 diagnostic testing (and vaccines) Note: All carriers follows the Families First and CARES Acts requirements to determine coverage for COVID-19 testing. Diagnostic/viral (PCR) and antibody testing is covered at $0 cost share when it’s done for individual diagnostic purposes even when the individual being tested is asymptomatic or has no known exposure; administered by a licensed provider; or approved by the Food and Drug Administration. When the COVID-19 test doesn’t have a diagnostic purpose, such as for public health surveillance or employment testing, carriers may charge a plan copay or deductible and/or require other plan limits or restrictions just like any other lab or diagnostic testing benefit.	Waived in accordance with applicable state and federal law	No cost as mandated by federal regulations
National Benefit Policy to waive member out-of-pocket costs for treatment related to a positive COVID-19 diagnosis	Expired Feb. 28, 2021	Expired July 31, 2021
No cost for telemedicine for treatment of COVID (including HDHP)	$0 copay for Teladoc until December 31, 2021 (even for non-COVID)	Expired July 31, 2021 for HDHP. HMO still at no cost.

Service

Blue Shield

Kaiser Permanente

No out-of-pocket cost sharing for all COVID-19 diagnostic testing (and vaccines)

Note: All carriers follows the Families First and CARES Acts requirements to determine coverage for COVID-19 testing.

Diagnostic/viral (PCR) and antibody testing is covered at $0 cost share when it’s done for individual diagnostic purposes even when the individual being tested is asymptomatic or has no known exposure; administered by a licensed provider; or approved by the Food and Drug Administration.

When the COVID-19 test doesn’t have a diagnostic purpose, such as for public health surveillance or employment testing, carriers may charge a plan copay or deductible and/or require other plan limits or restrictions just like any other lab or diagnostic testing benefit.

Waived in accordance with applicable state and federal law

No cost as mandated by federal regulations

National Benefit Policy to waive member out-of-pocket costs for treatment related to a positive COVID-19 diagnosis

Expired Feb. 28, 2021

Expired July 31, 2021

No cost for telemedicine for treatment of COVID (including HDHP)

$0 copay for Teladoc until December 31, 2021 (even for non-COVID)

Expired July 31, 2021 for HDHP.
HMO still at no cost.