Skip to Main Content
Coverage Changes

Coverage Changes for COVID-19

Updated April 3, 2020

The number of people diagnosed with COVID-19 continues to rise and we are monitoring the changing status of COVID-19 daily. Cost should not be a barrier for members that need treatment for COVID-19. Medica has implemented the following coverage changes related to care for COVID-19. These changes are retroactive to March 1, 2020 and will extend through May 31, 2020.

  1. Member cost-sharing for in-network COVID-19 hospital care will be waived. This includes copays, co-insurance and deductibles and applies to fully insured group, individual, Medicare and Medicaid members. Self-insured employers will have an opportunity to also waive member cost sharing for inpatient hospital services.
  2. Member cost-sharing for in-network COVID-19 testing will be waived. This includes copays, co-insurance and deductibles for office visits, urgent care and ER visits associated with COVID-19 testing. This change applies to all fully insured groups, self-funded groups, individual, Medicare and Medicaid members.
  3. Expansion of telehealth services. Medica has expanded the availability of telemedicine visits to include visits from a member's home, utilization of additional technologies such as FaceTime or Skype, and audio only, for most visits, when video is not available.This change applies to all fully insured groups, self-funded groups, individual, Medicare and Medicaid members.
  4. Prior authorization requirements have been waived. This applies to admissions to long-term care facilities, acute inpatient rehabilitation and skilled nursing facilities and home health care. This change applies to all fully insured groups, self-funded groups, individual, Medicare and Medicaid members.

About COVID-19

Information about the 2019 novel coronavirus, also known as COVID-19, is now headline news. This new strain of viral respiratory illness was first identified in Wuhan, China, but has since spread to other areas of the world, including the United States. Scientists are working to better understand the virus and answer questions about its severity and duration and how easily it can be transmitted between people.  

The health and well-being of members is a priority and Medica will continue to monitor the status of COVID-19 and its impact on our members.

New Form of a Common Virus

"Coronavirus is the name of a family of viruses that we've known about for a long time. In fact, a form of it causes about 30% of cases of the common cold. But this strain is new and there is still much to learn about it," explained John Piatkowski, M.D., Medica's Senior Medical Director.

How to Protect Yourself

"The best defense against any type of viral illness is to avoid being exposed to it. The infectious disease experts who are tracking coronavirus recommend the same everyday precautions you already use to avoid catching a cold or the flu," said Dr. Piatkowski. These include:

  • Wash your hands thoroughly — and often — with soap and water. If soap and water are not available, use hand sanitizer with at least 60% alcohol.
  • Avoid touching your eyes, nose and mouth.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Avoid close contact with people who are sick.
  • Stay at home when you are sick.

Learn More

The CDC offers helpful information on COVID-19 and related viral illnesses:

CDC coronavirus website

CDC travel health notices

Date: 4/4/2020 10:57:34 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB02