mblem Health: Stay Informed- The Public Health Emergency has Ended

May 11, 2023

Category

On May 11, 2023, the Public Health Emergency officially ended. Emblem Health wants to make sure you have the most up-to-date coverage information to support your clients.

What you need to know

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:

	During Public Health Emergency	After Public Health Emergency Ends
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 authorizations required	PCR tests covered if medically necessary and ordered by an authorized provider Cost-share applies (based on plan benefit design) Out-of-network services covered only if plan has out-of-network benefits At-home tests will not be 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 on Emblem Health's Covid-19 coverage details, visit the updated COVID-19 page on their website.

For more information contact your Amwins Connect Sales Representative.

Emblem Health: Stay Informed - The Public Health Emergency has Ended