Member cost-sharing will be waived, including copays, coinsurance, and deductibles, for COVID-19 diagnostic testing(Virus /antigen)through the national public health emergency period(currently set at 04/20/2021). Tests must be ordered by a physician or appropriately licensed health care professional for purposes of diagnosis or treatment of an individual member. UnitedHealthcare also waiving cost sharing for COVID-19 testing related visits during this same period. This coverage applies to in-network and out-of-network tests and physician visits.
This builds on the company’s previously announced efforts to waive cost-sharing for COVID-19 testing and testing-related visits, and the expansion of other member services.
COVID-19 Diagnostic Testing
Cost-sharing will be waived for medically necessary diagnostic testing (ordered by a licensed physician or other health care professional) from April 20 , 2021 through the national public health emergency period.
COVID-19 Antibody Testing
Cost-sharing will be waived for FDA-authorized antibody testing (ordered by a licensed physician or other health care professional) from April 20, 2021 through the national public health emergency period.
COVID-19 Testing-Related Visits
Cost-sharing will be waived for visits to a health care provider’s office, urgent care center, emergency department, or through telehealth from April 20, 2021 through the national public health emergency period.
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.
TelehealthAll 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 through Apr. 20, 2021.
- For COVID-19 out-of-network telehealth services, UnitedHealthcare is waiving cost share through the national public health emergency period, currently set at Apr. 20, 2021.
- For non-COVID-19 in-network-only telehealth services, UnitedHealthcare previously waived cost share through Sept. 30, 2020. As of Oct. 1, 2020, cost sharing does apply.
- For non-COVID-19 out-of-network telehealth services, cost sharing according to policy benefits, does apply.