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.
Member Resources
Employer Service Center
For groups headquartered in Minnesota, North Dakota, South Dakota and Wisconsin:
1-800-936-6880
For groups headquartered in Iowa and Nebraska:
1-866-894-8052
Monday – Friday: 8 a.m. - 5 p.m. CT
Closed 8 a.m. - 9 a.m. Thursdays