Priority Health waives member costs for COVID-19 treatment (update)

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Health care workers
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Update (10:39 a.m. April 10, 2020): The Michigan Department of Insurance and Financial Services announced the state has received agreements from nearly all of the state’s health insurance companies to waive cost-sharing, including copays, deductibles and coinsurance for coronavirus (COVID-19) testing and treatments. 

The insurers who have agreed to waive cost-sharing are:

  • Aetna Better Health of Michigan
  • Blue Cross Blue Shield of Michigan, Blue Care Network, MI Blue Cross Complete
  • HAP, Alliance Health
  • Humana Insurance
  • McLaren Health Plan
  • Meridian Health Plan
  • Molina Healthcare Michigan
  • Physicians Health Plan (PHP)
  • United Healthcare Insurance, United Healthcare Community Plan

Priority Health announced it will waive all copays, deductibles and coinsurance for the treatment of COVID-19 through June 30.

During this time, all of the company’s nearly 1 million members across commercial, individual, Medicaid and Medicare plans can get testing and treatment for COVID-19 with no out-of-pocket health insurance costs.

Covered treatment may be inpatient or outpatient from an in-network provider. Self-funded employer groups also are included unless they choose to opt-out.

“We are committed to ensuring our members have access to the health care they need for COVID-19 when they need it without worrying about cost,” said Joan Budden, president and CEO of Priority Health. “These are unprecedented times, and we will do what is necessary to keep our members and communities safe.”

At this time, patients can only be tested for COVID-19 if a physician orders a test. Patients must have a confirmed primary COVID-19 diagnosis and be receiving evidence-based care for treatment to be fully covered.

Anyone experiencing symptoms of COVID-19 should contact their health care provider to determine eligibility for testing. Priority Health is encouraging members to use virtual care whenever possible, to prevent further spread of the virus and help avoid overwhelming health care providers and facilities.

To support members throughout the crisis, Priority Health previously announced the following:

  • Fully covering the cost of physician-ordered COVID-19 testing for all members
  • Expanding free virtual care to all members for COVID-19 screening and testing
  • Expanding free home medication delivery for all members with the largest pharmacies in the state

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