All 10 major health insurers in Pa. to cover costs for 'medically appropriate' COVID-19 tests - Insurance News | InsuranceNewsNet

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March 10, 2020 Newswires
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All 10 major health insurers in Pa. to cover costs for 'medically appropriate' COVID-19 tests

Intelligencer Journal (Lancaster, PA)

All 10 major health insurers in Pennsylvania have agreed to waive cost-sharing for "medically appropriate" COVID-19 testing, Gov. Tom Wolf has announced.

A news release called the decision "critical," saying until now coronavirus testing been done only by the CDC or state labs, which covered the cost of testing, but now commercial labs are starting to perform tests and will begin billing insurance as they would for any other diagnostic test.

Insurers proactively waiving testing costs "helps the commonwealth identify additional cases and gives us a better opportunity to increase our resources appropriately and better protect all Pennsylvanians," Wolf said. "No Pennsylvanian should forego testing for any reason, if deemed medically necessary, including fear of what it might cost.”

The insurers are:

* Aetna

* Capital Blue Cross

* Cigna

* Geisinger

* Highmark

* Independence BlueCross

* Oscar

* Pennsylvania Health & Wellness

* UnitedHealthcare

* UPMC Health Plan

However, a subsequent release noted companies that self-insure are not within the department's regulatory powers, and may have different limitations on testing. About a quarter of Pennsylvania residents have coverage through self-insured businesses, which are generally big or mid-sized employers.

Anyone with questions about their insurance policy is encouraged to contact the insurer or the state insurance department with questions; the department has a hotline at (877) 881-6388 and has posted Frequently Asked Questions on insurance coverage of the testing.

Officials also noted that people with excepted benefit policies, short-term, limited duration health insurance coverage or health care sharing ministries "need to understand these plans can have significant limitations on coverage and may not provide the same level of access."

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