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Health & Welfare Plans Newsletter

BULLETIN
February 27, 2021

 

[Official Guidance]

Text of Agency FAQs About FFCRA and CARES Act Implementation, Part 44: Coverage of COVID-19 Diagnostic Testing Without Cost Sharing (PDF)

11 pages; 14 Q&As. "This document addresses the requirement under section 6001 of the [FFCRA], as amended by section 3201 of the [CARES Act], for group health plans and health insurance issuers offering group or individual health insurance coverage, including grandfathered health plans, to provide benefits for certain items and services related to diagnostic testing for COVID-19, without imposing any cost-sharing requirements, prior authorization, or other medical management requirements. In addition, this document addresses the requirement under section 3203 of the CARES Act for non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage to cover, without cost sharing, qualifying coronavirus preventive services, including recommended COVID-19 vaccines. This document also addresses other health coverage issues related to COVID-19 and includes information about how providers may seek federal reimbursement when delivering COVID-19 related services to the uninsured."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S.Treasury Department

[Guidance Overview]

Administration Strengthens Requirements That Plans and Issuers Cover COVID-19 Diagnostic Testing Without Cost Sharing and Ensures Providers Are Reimbursed for Administering COVID-19 Vaccines to Uninsured

"This guidance makes clear that private group health plans and issuers generally cannot use medical screening criteria to deny coverage for COVID-19 diagnostic tests for individuals with health coverage who are asymptomatic, and who have no known or suspected exposure to COVID-19. Such testing must be covered without cost sharing, prior authorization, or other medical management requirements imposed by the plan or issuer.... In addition, the guidance confirms that plans and issuers must cover point-of-care COVID-19 diagnostic tests, and COVID-19 diagnostic tests administered at state or locally administered testing sites. "  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.

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