COVID-19 treatment coverage with $0 cost share extended to Sept. 30
We'll continue to waive all copays, deductibles and coinsurance for medically necessary treatment of COVID-19 through September 30, 2021.
This means all fully funded commercial*, individual, Medicaid and Medicare members can get the treatment they need for COVID-19 with no out-of-pocket health insurance costs.
Covered treatment may be inpatient or outpatient from an in-network provider. Patients must have a confirmed primary COVID-19 diagnosis and be receiving evidence-based care for treatment to be fully covered.
Get the full details at our COVID-19 Provider information center.
*Employer plans that are self-insured determine benefit coverage for their employees and dependents at their discretion.
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December 19: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training by Dec. 31
December 18: Register now for our 2025 provider webinars
December 17: Medicare therapy cap changes effective Jan. 1, 2025
December 13: Prior authorization changes coming for diabetic insulin supplies for Medicare members
December 13: Reminder: Authorizations for some varicose vein procedures will be required starting Jan. 1, 2025
December 5: Final 2025 PCP Incentive Program (PIP) manual and supporting resources are now available
December 4: Reminder: The best way for practices to communicate with us is through prism
December 4: Reminder: Credentialing and enrollment status updates are available in prism
December 4: New HMA landing page available for our TPA product launching January 1
November 20: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training
November 20: Reminder: Photos are required for home health wound care authorizations after 60 days
November 20: Peer-to-peer policy update cancelled