COVID-19 resources for your employees

The federal public health emergency (PHE) related to COVID-19 ends May 11, 2023. After this date, Medica’s coverage of COVID-19 related care will revert to standard benefit coverage for members of all fully insured and self-funded groups. 

 

What’s remaining

Generally, Medica’s expanded coverage of emergency telemedicine/virtual health services — when patients and providers are at different sites — will continue at least through the end of 2023*.

What’s changing 

For dates of service starting May 12, 2023: 

• Diagnostic testing and associated services: Standard benefit coverage will apply
• Anti-body testing: Standard benefit coverage will apply
• Over the-counter-(OTC) tests: OTC COVID-19 tests will no longer be covered
• Vaccines: Advisory Committee on Immunization Practices (ACIP) recommended vaccines will be covered as preventive with no member cost share when received at an in-network provider. Cost sharing will apply for out-of-network vaccines.

Self-insured groups that want to change from Medica’s standard benefit coverage should reach out to their account manager. 

Contact your Medica representative with any questions.

* Some behavioral health telemedicine/virtual services, such as psychological testing and applied behavioral analysis (ABA), will revert to pre-pandemic standard benefit coverage and only specific services will be covered virtually.

COVID-19 Employer FAQ (PDF)