Thursday, September 29, 2022
HomeHealth InsuranceNew Necessities to Cowl Over-the-counter COVID Checks: Implications for State Insurance coverage...

New Necessities to Cowl Over-the-counter COVID Checks: Implications for State Insurance coverage Regulators


Starting January 15, 2022, well being insurers face new federal necessities to cowl and waive cost-sharing for over-the-counter diagnostic assessments for COVID-19 during the federal public well being emergency. Previous federal steering required insurers to completely cowl COVID-19 assessments, however allowed them to require enrollees to first get hold of a well being skilled’s dedication {that a} check is medically obligatory. The brand new necessities, revealed January 10th, allow shoppers to acquire the assessments instantly from pharmacies or on-line retailers with out being seen by a well being skilled.

State insurance coverage regulators shall be on the entrance traces of imposing the brand new testing protection mandate for totally insured particular person and group insurance coverage. In her newest Professional Perspective for the Robert Wooden Johnson Basis’s State Well being & Worth Methods challenge, Sabrina Corlette breaks down the brand new guidelines, potential client entry and well being fairness challenges, and implications for state insurance coverage departments. You may learn her full publish right here.



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