COVID Treatment: Cost Share Effective 9/1/21

COVID Treatment: Cost Share Effective 9/1/21

At the outset of the pandemic, the Trust elected to waive member cost share for treatment related to COVID. As average daily COVID-19 cases and hospitalizations continue to drop amid widespread vaccine adoption, we’re at an important turning point for our country and community. CareFirst Administrators has revisited with the Trust some of the benefits we enacted at the height of the pandemic.

Effective September 1, 2021, the Trust is ending member cost share waivers for COVID-19 treatment. Providers may collect the appropriate member cost share (copay, coinsurance, and deductible) for treatment rendered on and after September 1, 2021.

In keeping with local and federal requirements, the cost share waiver will continue for the following until further notice:

• Visits (in all settings) associated with diagnostic COVID-19 testing
• Diagnostic COVID-19 tests
• FDA-authorized COVID-19 antibody tests

The COVID-19 vaccination is not considered treatment and will remain at zero cost share for members.

A template email communication was provided via email to HR contacts on 8/4/21.  You may use this to communicate this change to employees.  Feel free to update it with your own logo and colors if you desire, or use the language to formulate your own communication to employees.