The State Health Plan put multiple temporary benefit provisions in place to assist Plan members during the COVID-19 public health emergency. In January 2023, the federal government announced that the COVID-19 public health emergency will end on May 11, 2023. Here’s what it means regarding coverage as it relates to COVID-19:
- The Plan will continue to cover both the cost of the COVID-19 vaccine and vaccine administration at 100 percent when members receive the vaccine at an in-network provider as part of the Plan’s preventive care benefits. If members receive any other service during the visit, the visit may be subject to a copay. This is true for all other vaccines the Plan covers.
- The Plan will cover COVID-19 tests that are administered by a provider. If members receive any other service during the visit, the visit may be subject to a copay.
- The Plan will no longer cover the cost of over-the-counter COVID-19 tests. Members will be responsible for the cost.
- The Plan will no longer cover the cost of COVID testing as it relates to returning to work.
The Plan continues to cover telehealth. Members should always ask their provider if they offer telehealth services. Please call the State Health Plan’s customer service line at 888-234-2416 if you have any questions about telehealth benefits.