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Important Updates and Payer COVID-19 Resources Aetna

24 June 2021


The insurers who have agreed to waive cost-sharing are: • Aetna • Blue Cross Blue Shield of Michigan • HAP, Alliance Health • McLaren Health Plan • Meridian Health Plan • Molina Healthcare Michigan • Oscar • Physicians Health Plan (PHP) • Priority Health Aetna • Aetna’s liberalized coverage of Commercial telemedicine services, as described in it. [...] Members are encouraged to check their plan documents for details about their 2021 coverage • Medicaid plans will continue to follow state requirements for COVID-19 treatment • Humana will waive member cost share in 2021 on COVID-19 testing and related services for Medicare Supplement, fully-insured group commercial and self-insured group commercial plan members during the COVID-19 public health em. [...] McLaren Health Plan • McLaren Health Plan will continue to provide COVID-19 testing and related treatment with no cost sharing through September 30, 2021 • Members who seek services at an out-of-network provider for treatment will be responsible for out-of-network cost share • There is no cost-sharing for both in-network and out-of-netwo. [...] • For pharmacy prior authorizations set to expire, we've extended the approval date by 90 days from the date it was set to expire until further notice • Early refills for chronic medications until further notice • Removal of all out-of-network rendering site restrictions for Medicare Advantage and Medicaid until further notice • Movement all eviCore authorizations to a 180-day period, dependent on. [...] To help you submit claims for COVID-19 testing, treatment and vaccines, UHC has updated the COVID-19 Billing Guide: • COVID-19 testing: Clarified effective dates for Z codes, how to bill for E&M services, and added an additional CPT code for Medicare billing.


Michigan State Medical Society