ConnectiCare Plans for End of the Public Health Emergency (PHE)

Jun 05, 2023

Category

With the Public Health Emergency ended on May 11, 2023, ConnectiCare want to make sure you have the most up-to-date coverage information to support your clients.

Coverage for testing, treatment, vaccinations, and certain other services related to COVID-19 will return to pre-pandemic plan benefit status. This means your clients and members may now incur out-of-pocket costs for COVID-19-related care.

Please reference the grid below for answers to COVID-19 coverage questions:

BENEFIT	DURING THE EMERGENCY PERIOD	AFTER THE EMERGENCY PERIOD
COVID-19 Testing	All COVID-19 tests covered, cost-share waived for in- and out-of-network coverage Out-of-network services covered at provider rate No referrals or prior authorization required	PCR tests covered if medically necessary and ordered by an authorized provider Cost-share applies (based on plan benefits design) Out-of-network services covered only if plan has out-of-network benefits At-home tests not covered (members may use FSA/HSA accounts to cover these costs)
COVID-19 Treatments	All treatments covered, cost-share waived	Standard cost-share applies
COVID-19 Testing Related Services	All treatments covered, cost-share waived	Standard cost-share applies
COVID-19 Vaccines	Cost-share waived for in- and out-of-network services	Covered as a preventive service No cost-share for in-network services Out-of-network services only covered if plan has out-of-network benefits; standard out-of-network cost-share applies

For more detailed information, please visit ConnectiCare's updated COVID-19 page.