Medically-appropriate COVID-19 tests have $0 cost-share during the national public health emergency period, currently scheduled to end January 10, 2023. Medically-appropriate COVID-19 tests must be FDA-authorized or approved, and be ordered or reviewed by a health care professional to either 1) diagnose if the virus is present in a person due to symptoms or potential exposure, or 2) help in the treatment of the virus for a person. This coverage applies to in-network and out-of-of-network tests.
For COVID-19 Home Test, beginning January 15, 2022, UnitedHealthcare (UHCSR) will cover health plan members’ FDA authorized or approved over-the-counter (OTC) at-home COVID-19 diagnostic tests without a doctor’s prescription. This at-home COVID-19 test benefit includes up to 8 tests per member per calendar month. For more information, please click the link: https://www.uhcsr.com/news-main.
For COVID-19 treatment, If treatment rendered at an in-network provider and occurs under a COVID-19 admission or diagnosis code, the cost will be covered based on the Policy. This includes office, urgent care, and emergency department visits, observation stays, inpatient hospital episodes, acute inpatient rehab, long-term acute care, and skilled nursing facilities.
All policies that have access to HealthiestYou telehealth will continue to provide virtual visits at no costs throughout the policy year. For other visits see below:
- For COVID-19 in-network-only telehealth services, UnitedHealthcare will extend the cost share waiver to January 10, 2023.
- For COVID-19 out-of-network telehealth services, UnitedHealthcare is waiving cost share through the national public health emergency period, currently set at January 10, 2023.
- For COVID treatment and non-COVID 19 telehealth visits, both in and out-of-network, policy benefits would apply with cost share.
If someone thinks they have been exposed to COVID-19 and develops symptoms such as fever, cough and/or difficulty breathing, they should first CALL a health care professional for medical advice. Please refer to https://covid19testcenterlocator.uhc.com/ctcl#/CTC-Search.