Medical Plan updates

​The following updates have been made to Medical Plan benefits as a result of the COVID-19 crisis.

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COVID-19 testing

All three medical options (PPO, EPO, and HDHP) will pay 100 percent of the cost — you pay no deductible, copay, or coinsurance — for COVID-19 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 COVID-19 when your doctor orders the test. The plan does not cover COVID-19 testing for employment purposes; for example, an employer screens all employees before they return to the workplace.

Home COVID-19 testing

After May 11, 2023, traditional Medicare will no longer cover over-the-counter (OTC) home COVID-19 tests​ at $0 cost to members. If you are enrolled in the Medicare Supplement Plan, you can get OTC home COVID-19 tests for $0 copay, by presenting your prescription drug ID card (instead of your Medicare card) at any participating Express Scripts pharmacy. Read more about this coverage​, including certain limits that may apply.​

The Medical Plan will cover up to eight over-the-counter (OTC) home COVID-19 tests approved by the U.S. Food and Administration (FDA) in a 30-day period through December 31, 2023. Simply present your prescription drug ID card when buying an OTC home COVID-19 test at the pharmacy counter of a participating Express Scripts pharmacy and you won't be charged a copay. You can also use Express Scripts Pharmacy home delivery service to get your eight tests with no copay. Read more about this coverage, including certain limits that may apply. 

COVID-19 vaccinations

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 and approved booster shots. 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 about COVID-19 vaccines and to find a vaccine provider near you, visit the Centers for Disease Control (CDC) website. ​​