Commercial and Medicare Advantage Plans

Vaccinations for COVID-19 are covered in full 

COVID-19 vaccines and boosters are still covered in full. Although the national and state emergency declarations have ended, COVID-19 is still a concern, especially for people who have a weakened immune system or chronic illness. We encourage you to keep up with your COVID-19 vaccinations and boosters, as people who have received their vaccines have lower risk of severe illness, hospitalization and death from COVID-19.

To keep up-to-date about COVID-19 vaccinations and for more information, visit the website.

Coverage for Testing

When the COVID-19 public emergency declaration ended on May 11, 2023, there were changes to how covered services related to the prevention, diagnosis and treatment of COVID-19 for commercial plans:

  • Lab tests for the diagnosis of COVID-19 are covered like other lab tests. Check your plan coverage for your cost share. This includes any pre-surgical testing that is required. If you have a diagnostic COVID-19 test at an urgent care center, your urgent care cost share will apply.
  • At-home, over-the-counter COVID-19 tests are not covered.

Federal Employees Health Benefits Plan (FEHB): The FEHB plan will continue to cover at-home, over-the-counter COVID tests at the same cost share as other lab services.

Self-funded Plans: please check your specific coverage with your employer.

State Programs (MediSource, MediSource Connect, Child Health Plus, Essential: No changes to current coverage.

Additional Changes to Medicare Advantage plans as of June 12, 2023

COVID-19 related treatment at out-of-network providers or facilities will take the out-of-network cost share, according to your benefit plan, as of June 12, 2023. These services will no longer take the in-network cost share.  If your benefit plan does not have an out-of-network benefit, then you would be responsible for the cost of the visit.

Vaccinations for COVID-19

Getting vaccinated is the best way to prevent serious illness from COVID-19. Learn more about how to get vaccinated and why it’s important.

  • Coverage for vaccinations and boosters
  • Where to get vaccinated and booster shots
  • Vaccination Facts

Stay Informed

We encourage all members to create their own Independent Health member accounts in order to review their benefits and have access to key details related to their plan.

Last Updated 4/21/23