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|Text of Agency FAQs, Part 50: Rapid Coverage of Preventive Services for Coronavirus; HIPAA Nondiscrimination and Wellness Programs (PDF)|
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
Oct. 4, 2021
"Q1: How does the December 12, 2020 ACIP recommendation impact when plans and issuers must provide coverage without cost sharing for COVID-19 vaccines under section 3203 of the CARES Act and its implementing regulations ? ... Q2: Does FAQs Part 44, Q8, continue to apply? ... Q3: May a group health plan (or health insurance issuer offering coverage in connection with a group health plan) offer participants in the plan a premium discount for receiving a COVID-19 vaccination? ... Q4: May a group health plan or health insurance issuer condition eligibility for benefits or coverage for otherwise covered items or services to treat COVID-19 on participants, beneficiaries, or enrollees being vaccinated? ... Q5: How are premium discounts and surcharges for receiving or not receiving the COVID-19 vaccination, respectively, treated for purposes of determining affordability of coverage with respect to the employer shared responsibility payment under section 4980H(b) of the Code?"
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