Apr 27, 2023
The Federal Public Health Emergency (PHE), as related to the COVID-19 pandemic, will end on May 11, 2023.
Although the Federal PHE ends on May 11, 2023, California state laws add six months to the federal COVID-19 public health emergency requirements on health plans to continue covering COVID-19 tests, vaccines, and COVID-19 therapeutics from any licensed provider (in or out-of-network) with no prior authorization or enrollee cost sharing. The state six-month extension of these requirements is set to expire after November 11, 2023.
Health Net of California, Inc, (Health Net) will continue covering COVID-19 tests, vaccines, and therapeutics from any licensed provider (in or out of network) with no prior authorization, or member cost sharing, through November 11, 2023.
What you need to know
After November 11, 2023, Health Net members may continue to access COVID-19 tests, vaccines, and therapeutics, with no prior authorization or cost sharing, when they access these services through their health plan’s network.
Note: If the member’s plan offers Out of Network (OON) benefits, they may still receive therapeutics OON but may be subject to cost sharing.
- Over the counter (OTC) COVID-19 tests: Health Net members can have up to eight free OTC at-home COVID-19 tests per month.
- Member notification: Health Net will communicate the end of PHE, and the impact of the benefit changes, to members 60 days prior to November 11, 2023.
