Extended: Temporary provisions waiving COVID-19 treatment cost-sharing
UnitedHealthcare is waiving cost-sharing for COVID-19 inpatient treatment at in-network facilities for Individual and Group Market fully insured plans, as well as UnitedHealthcare Individual Exchange plans.
- All States
- Fully Insured and Self-Funded
- Reform and Regulatory
UnitedHealthcare has extended temporary provisions waiving cost-sharing for the treatment of COVID-19. For Individual and Group Market fully insured health plans from Jan. 1, 2021, through Jan. 31, 2021, UnitedHealthcare is waiving cost-sharing for COVID-19 inpatient treatment at in-network facilities only. This also applies to UnitedHealthcare Individual Exchange plans. Implementation of the standard is optional for self-funded customers (ASO) and state variations and regulations may apply during this time.
Please note, this is a change to the cost share waivers in effect from Oct. 23, 2020, through Dec. 31, 2020, during which period, cost share was waived for in-network services.
From Jan. 1, 2021, through Jan. 31, 2021, cost share will be waived for emergency ground transportation that results in an inpatient admission for COVID-19 treatment at an in-network facility.
Telehealth reimbursement policy effective Jan. 1, 2021
As a reminder, a new commercial telehealth reimbursement policy went into effect on Jan. 1, 2021. Most benefit plans will include telehealth visits with in-network providers. Members will be responsible for any copay, coinsurance or deductible according to their benefit plan.
Testing and test-related visits
Cost share waivers for testing and test-related visit (including telehealth), when ordered by a physician or appropriately licensed health care professional for purposes of the diagnosis or treatment of an individual member, align with the national public health emergency period, currently scheduled to end Jan. 20, 2021.
If the U.S. Department of Health and Human Services extends the national public health emergency period, we will communicate that change shortly after it is announced.
Please contact your broker or UnitedHealthcare representative with questions.