Your PPO Plan Options
We are providing a Medical Plan Response to COVID-19 from each of the UC health plan providers in relation to COVID-19 plan services. The medical plan response summarizes the latest information from Anthem, Health Net and Kaiser Permanente regarding the waiver of cost-sharing for services related to COVID-19 – all changes are highlighted in yellow.
The UCppoplans.com website remains the central source of information for the plans administered by Anthem. All benefits updates are posted there. Here are the direct links to the six medical plans:
Anthem continues to waive cost share for screening and testing related to COVID-19. However, related treatment will be subject to cost-sharing similar to non-COVID-19 conditions.
Plan members may visit their plan website for more information.
Anthem Blue Cross
Anthem continues to waive cost share for screening and testing related to COVID-19. However, related treatment will be subject to cost-sharing similar to non-COVID-19 conditions. Visit the Anthem website at https://www.anthem.com/ca/coronavirus/
Health Equity (Health Savings Account)
HealthEquity’s microsite for UC members is now updated to show information from the CARES Act.
Health Net / Managed Health Network
- Health Net continues to waive cost share for screening and testing related to COVID-19. However, related treatment will be subject to cost-sharing similar to non-COVID-19 conditions.
- Health Net will reinstate the $20 copay for all medical and behavioral telehealth visits on June 1, 2021. Health Net waived copays for medical and behavioral telehealth visits obtained through their participating providers in response to the COVID-19 state of emergency.
- Member cost share for Babylon telehealth visits will remain at $0 copay.
- Member cost-share for COVID-19 testing and screening will also continue at $0 copay.
For more information, please visit the Health Net website for important COVID updates and review the following resources:
Kaiser Permanente
Please visit the Kaiser Permanente Coronavirus and COVID-19 website.
- Standard cost sharing will apply for positive COVID-19 admissions beginning on or after August 1, 2021.
UnitedHealthcare (UC Medicare Choice)
Virtual Visits Easily Accessible Via Member Site: On April 9, 2020, a new visual queue was added to the UHCRetiree.com member site so when members log in, they are made aware of, and can take action to have the option of a virtual visit for their care.
As we mentioned in our last e-mail, starting March 31, 2020, until June 18, 2020, UnitedHealthcare will waive cost sharing for in-network, non-COVID-19 telehealth visits for its Medicare Advantage, Medicaid and fully-insured Individual and Group market health plans (for plans not already covering virtual visits at 100% in-network and out-of-network). The company previously announced the waiving of cost sharing for telehealth visits related to COVID-19 testing, in addition to the waiving of cost sharing for 24/7 Virtual Visits with preferred telehealth partners.
Fitness moves at home through SilverSneakers: SilverSneakers On-Demand provides instructions for accessing on-demand fitness classes.
UnitedHealth Group Accelerates Nearly $2 Billion in Payments and Support to Health Care Providers to Help with COVID-19 Financial Challenges
UnitedHealth Group, through UnitedHealthcare and Optum, has announced it is taking steps immediately to accelerate payments and other financial support to health care providers in the U.S. to help address the short-term financial pressure caused by the COVID-19 emergency. UnitedHealth Group’s move to accelerate claim payments to medical and behavioral care providers applies to UnitedHealthcare’s fully insured commercial, Medicare Advantage (UC Medicare Choice) and Medicaid businesses. For answers to questions about UnitedHealthcare policy updates, please refer to their COVID-19 Frequently Asked Questions (FAQs).
Via Benefits (Health Reimbursement Accounts/Medicare Coordinator Program)
As the novel coronavirus (COVID-19) continues to spread globally, Willis Towers Watson (WTW) is continuing to monitor new developments with an impact on the Medicare Coordinator Program benefits administration.
The CARES Act includes important provisions for users of Health Reimbursement Arrangements (HRAs), specifically:
- Over-the-counter (OTC) drugs and medications not prescribed by a physician can now be reimbursed pre-tax. Menstrual care products are also now considered eligible expenses. The changes to eligible expenses are retroactive to January 1, 2020.
The HRA that accompanies the Medicare Coordinator Plan is now being administered consistent with these changes to approve all OTC medications. High level information will be provided to participants in their Spring Newsletter, sent via e-mail in late May/early June 2020.
This information is now posted on Via Benefits microsite for UC.
Additional Resources
Direct members to their plan website or they can call the number(s) on the back of their ID card.
The COVID-19 situation continues to evolve quickly. Members should go to the Centers for Disease Control and Prevention for the latest information on COVID-19, including how to protect themselves and what to do if they are sick. If a member believes they have been exposed to COVID-19 or have symptoms such as fever, cough or difficulty breathing, they should contact their health care provider right away. Only health care providers can order a COVID-19 test.
From the Health & Welfare Medical Team:
In an environment where changes are taking place so quickly, we want to ensure that the latest news is shared as soon as it is received. Our hope is that you find these updates helpful and will continue sharing information in this format.
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