Hi Greetings!
On January 10,2022 the Administration released guidance clarifying the announced expanded coverage requirements for at-home COVID-19 test. The expanded coverage requirement will apply to tests purchased on or after January 15,2022.
As a refresher, the Families First Coronavirus Response Act ("FFCRA") requires group health plans and health insurance issuers to provide coverage for COVID-19 diagnostic testing without cost-sharing, prior authorization or other medical management.
This applies to those individuals with private health insurance coverage or covered by a group health plan who buys an over-the-counter (OTC) COVID-19 test that's authorized, cleared or approved by the FDA will be able to have those test costs covered by their plan or insurance provider during the public health emergency.
Insurance companies and health plans are required to cover 8 free OTC COVID-19 test per individual per month. The guidance does not require a plan to provide coverage by reimbursing sellers of OTC COVID-19 test directly - a plan or issuer may instead require a participant to submit a claim for reimbursement.
Minimum Essential Coverage Plans
Innovative Health Insurance Advisors Basic Minimum Essential Coverage (MEC) and richer buy up Minor Medical plans will provide at-home testing coverage to it's members group minor medical health plan. Our enrolled members are now able to purchase OTC COVID-19 test and submit a claim for reimbursement to the plan.
Ask me how and learn more about our plans...
