Jun 02, 2023
Cigna + Oscar has released their strategy for the end of the Public Health Emergency.
There are some changes to coverage details that may impact how much your clients will pay for COVID-19 testing.
At-home tests
Over-the-counter (OTC) COVID-19 tests will no longer be covered for clients outside of California. However, your clients will be able to use funds from health savings accounts and flexible spending accounts to buy tests. Over-the-counter (OTC) COVID-19 tests will continue to be covered for clients with a health plan in California.
Lab tests
Lab testing for COVID-19 is still covered under your clientsʼ health plan benefits. This includes COVID-19 PCR or Rapid Antigen tests. Your clientsʼ standard lab deductible and cost-share may apply, but know that they are covered for in- network labs.
Treatment
Treatment for COVID-19 will now be covered under standard health plan benefits, the memberʼs normal cost-share will apply, which may include payments up until their deductible is met. FDA-approved antiviral and therapeutic treatments will also continue to be covered and will have a cost-share.
Vaccines
COVID-19 vaccines and boosters will be covered under the Preventive benefit at 100% for in-network only for most plans, same as other immunizations such as the flu shot. Out-of-network coverage based on plan design. When covered, cost share applies.
Contact your Amwins Connect Regional Sales Manager to discuss Cigna + Oscar options for your groups.
