Priority Health - Extensions of COVID-19 Coverage into 2021

December 9, 2020

To continue to support you and our members as COVID-19 cases rise in our communities, we’re extending many temporary changes into 2021. Get the complete list of temporary changes and their expiration dates.

Telehealth at $0 extended, reimbursement continues at in-person rates
We’ll continue to offer $0 cost share for telehealth services, including medical, behavioral health and substance use, for nearly all fully funded* HSA and non-HSA plans ahead of deductible as well as most Medicare plans throughout 2021. 

We’re also continuing to reimburse for telehealth services at in-person rates.

Treatment for COVID-19
We’ll continue to waive all copays, deductibles and coinsurance for medically necessary treatment of COVID-19 through March 31, 2021.

This means all fully funded commercial*, individual, Medicaid and Medicare members can get the treatment they need for COVID-19 with no out-of-pocket health insurance costs.

Covered treatment may be inpatient or outpatient from an in-network provider. Patients must have a confirmed primary COVID-19 diagnosis and be receiving evidence-based care for treatment to be fully covered.

COVID-19 vaccine coverage
When a COVID-19 vaccine is available to the public, all members will have no out-of-pocket costs. As we get more details about coding, billing and reimbursement, we’ll share those details.

*Employer plans that are self-insured determine benefit coverage for their employees and dependents at their discretion.

Thank you for your dedication to your patients and your partnership with us as we work together to ensure our communities get the care they need.