The following updates have been made to Medical Plan benefits as a result of the COVID-19 crisis.
The Medical Plan will cover COVID-19 vaccinations approved by the U.S. Food and Drug Administration (FDA) at no cost to members, including when two doses are required. If getting the vaccine at a pharmacy, present your prescription ID card; at the hospital or doctor’s office show your medical ID card.
If you're enrolled in Medicare Supplement, Medicare pays 100 percent of the cost for FDA-approved vaccines.
For information on the vaccine process in your state, visit the Centers for Disease Control (CDC) website and choose your state from the drop-down menu under How Do I Get a Vaccine.
Effective immediately, all three medical options (PPO, EPO, and HDHP) will pay 100 percent of the cost — you pay no deductible, copay, or copayment — for coronavirus testing (diagnostic and antibody testing ordered by your physician). If you're enrolled in Medicare Supplement, Medicare pays 100 percent of the cost for lab testing for the coronavirus. The plan does not cover COVID-19 testing for employment purposes; for example, an employer screens all employees before they return to the workplace.
Under the PPO and EPO options, deductibles and copayments will be waived for inpatient treatment of COVID-19 at a network hospital. Members enrolled in Medicare Supplement also will not be responsible for paying a deductible or copayments for inpatient COVID-19 care at a Medicare-participating hospital. The plan will pay 100 percent of allowable charges after Medicare pays its portion. The Board will re-evaluate this decision every 30 days.
For members enrolled in the PPO, EPO, or HDHP option, all copays, deductibles, and copayments when using telemedicine or virtual visits with your primary care physician or specialist will be waived. The Board will re-evaluate this decision every 30 days.
In addition, if you are enrolled in the PPO, EPO, or HDHP option, all copays, deductibles, and copayments when using Teladoc will be waived. The Board will re-evaluate this decision every 30 days.
Employers may allow employees to make midyear changes to their medical coverage during the COVID-19 national emergency. Midyear changes to spending account elections may also be allowed. For details, call the Board and speak to an employer services representative.
coronavirus resource page is designed to answer your diabetes-related questions and let you know what you can do to manage your health. If you have any questions regarding your diabetes care plan, including medications, contact your doctor.