This Is What Your Health Insurance Covers For COVID-19

As more Americans test positive for COVID-19 and practice social distancing, you may be wondering what your insurance company covers. Local, state and federal authorities have shut down restaurants, bars and restricted them to only delivery or take-out orders to reduce the spread of COVID-19, which still lacks a vaccine or cure.  

While there is no antiviral treatment or immunization for COVID-19, if there were immunization, it should be covered by all health plans and with no cost-sharing, as required by the Affordable Care Act (ACA). In most cases, testing for the coronavirus is free, which includes people with family and individual coverage and those enrolled in Medicare. However, many people don’t have access to tests in the U.S., which may possibly delay treatment.

Unfortunately, three in 10 people in the past year had to resort to desperate means to deal with substantial debt and even borrowing money from family and friends due to health care costs. This should not happen to individuals that are properly insured.

Your Deductible

COVID-19 is covered by health insurance providers just like other illnesses but consumers are still responsible for their deductibles. If you need to be hospitalized or to receive medical care for COVID-19, that will be covered based on the conditions of your plan. It’s important you stay updated on developments from insurance companies and government regulators.

Furthermore, when consumers receive medical care for coronavirus, they will probably face out-of-pocket costs such as a co-pay, deductible or coinsurance prior to coverage starting. However, there is no specific limitations or restrictions for coverage of the coronavirus. Also, many health insurance plans are beginning to cover telemedicine, which comes in handy during this time.

Blue Cross Blue Shield, one of the largest health insurers with 36 independent and locally operated companies nationwide will cover the medical necessary diagnostic testing for the coronavirus.  They also said they will wave the authorization required for medically necessary services.

Hospitalization and Quarantine

If you are quarantined or hospitalized in a medical facility due to COVID-19, you should receive the same coverage you would receive in other inpatient stays. For instance, health costs linked to hospitalization, doctor visits, laboratory testing, and support therapy should be covered under your health insurance plan. There are also individuals covered by short-term plans or health care sharing ministries – coverage is based on the limits of the individual plan. Medical care rendered in your home may also be covered by your health insurance provider.

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