Nov 13, 2023
While the federal COVID-19 public health emergency (PHE) officially ended on May 11, 2023, fully-insured members can expect the following changes after November 11, 2023 (six months after the official end of the PHE) can be found below:
- Out-of-network cost-share waivers are no longer required, and cost-share may apply.
- There are, however, no changes to in-network coverage, and member cost-share for services received in-network will be waived.
- For those without out-of-network coverage, Blue Shield made a decision to continue to waive cost-shares.
- While members can continue to request reimbursement for up to 8 test kits per month, reimbursement will be limited to $12 per test.
The member COVID-19 End PHE landing page is currently undergoing updates to reflect the changes in coverage. Blue Shield of CA invites brokers and employers to direct members to this page for the latest information on coverage.
