Anthem, UnitedHealthcare and UMR Extend COVID-19 Treatment and Care Coverage

Updated February 12, 2021

Anthem, UnitedHealthcare and UMR recently announced an extension of COVID-19 coverage, treatment and testing. As such, the First Person team put together a simple outline to explain the differences in the extensions for the various plan types and service types. Should you have any additional questions please do not hesitate to contact your advisor or account executive.

Anthem Fully Insured

  • COVID Test/Diagnosis Covered under mandate.
  • COVID Treatment – Covered through December 31, 2020.
  • Non-COVID Visit via Physician Telemedicine – Applicable cost sharing applies based on plan provisions as of October 1, 2020.
  • Non-COVID Visit via Live Health Online, Virtual Visits or Teladoc – Applicable cost sharing applies based on plan provisions as of October 1, 2020.

Anthem Self-Funded

  • COVID Test/Diagnosis Covered under mandate.
  • COVID Treatment – Applicable only if the employer elected to cover treatment at no cost share.
  • Non-COVID Visit via Physician Telemedicine – Applicable cost sharing applies based on plan provisions as of October 1, 2020. Employer needs to elect to waive, if desired.
  • Non-COVID Visit via Live Health Online, Virtual Visits or Teladoc – Applicable cost sharing applies based on plan provisions as of October 1, 2020. Employer needs to elect to waive, if desired.

UnitedHealthcare

  • COVID Test/Diagnosis UnitedHealthcare will cover medically appropriate COVID-19 testing during the national public health emergency period (currently scheduled to end April 20, 2021), at no cost share, when ordered by a physician or appropriately licensed health care professional for purposes of the diagnosis or treatment of an individual member.
  • COVID Treatment – UHC extended medically necessary network inpatient COVID-19 treatment at no cost share for medical expenses for covered services between Jan 1, 2021 and January 31, 2021. Beginning Feb 1, 2021, treatment for COVID-19 will be based on plan benefits.
  • Non-COVID Visit via Physician Telemedicine – Applicable cost sharing applies based on plan provisions as of October 1, 2020.
  • Non-COVID Visit via Live Health Online, Virtual Visits or Teladoc – Applicable cost sharing applies based on plan provisions as of October 1, 2020.

UMR

  • COVID Test/Diagnosis Covered under mandate.
  • COVID Treatment – Employer needs to elect to waive, if desired.
  • Non-COVID Visit via Physician Telemedicine – If the employer initially elected to waive cost share for non-COVID-related physician medicine, the coverage is extended through the emergency period.
  • Non-COVID Visit via Live Health Online, Virtual Visits or Teladoc – Employer needs to elect to waive, if desired.