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Coverage Rules Following the End of the Public Health Emergency in Florida

The federal Public Health Emergency (PHE) ended on May 11, 2023. Carriers may return to their standard benefit provisions following the end of the federal PHE. Below represents the changes our carrier partners have made to their benefits. 

CARRIER VACCINES TESTING TREATMENT RESOURCES
Aetna In-network
No member cost-share.

Out-of-network
Cost-share will apply based on members plan benefits.
Cost-share for lab tests will apply based on members plan benefits.

OTC COVID tests will no longer be covered.
In-network
No member cost-share for COVID-19 anti-viral medications or treatments.

Out-of-network
Cost-share will apply based on members plan benefits.
  • Announcement
  • Aetna COVID Resources
Florida Blue In-network
No member cost-share.

Out-of-network
Cost-share will apply based on members plan benefits.
Cost-share for lab tests will apply based on members plan benefits.

OTC COVID tests will no longer be covered.
Cost-share will apply based on members plan benefits.
  • Announcement
  • Florida Blue COVID Resources
Healthy Advantage In-network
Covered as approved by FDA. No member cost-share.

Out-of-network
Cost-share will apply based on members plan benefits.
Cost-share for lab tests will apply based on members plan benefits.

OTC COVID tests will no longer be covered.
Cost-share will apply based on members plan benefits.

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