State Plan Office Visit Out-of-Pocket Waiver Extended to Dec. 31

In response to the COVID-19 pandemic, the DHRM Office of Health Benefits is extending the original cost share waivers for health plan members to the following:

COVID–19 Testing and Related Office Visits:

Out-of-pocket costs for COVID-19 testing, as well as the associated office visit as recommended by CDC guidelines, are included. Contact your provider regarding availability of testing. This cost-share waiver will be in place through the duration of the Federal Emergency and no end date has been provided at this time.

Virtual Office Visits:

In an effort to encourage continued management of your health care, while you may not have access to or prefer to avoid an in-person office visit, the out of-pocket cost for virtual visits under the COVA Care, COVA HealthAware and LODA non-Medicare plans will be waived through Dec. 31, 2020. The original waiver was through June 14, 2020, for COVA Care and through June 4, 2020, for COVA HealthAware, and then extended to Sept. 30. This will include not only LiveHealth Online and Teladoc providers but other providers delivering virtual care. However, under the COVA HDHP, the $0 cost will apply only to COVID-19-related virtual visits.

Important Notes:

• Out-of-pocket costs for virtual/telephonic visits for physical, occupational, and speech therapy will not be waived for COVA Care.
• Participants in the Kaiser plan should contact Kaiser customer service at 800-777-7902 or visit them online for plan guidance.    
• See the updated Health Benefits sheet on the DHRM COVID-19 web page for additional information.