Employers
Costs Being Waived for Fully Insured Members
Throughout the pandemic, CareFirst has enhanced our benefits to ensure members can get the care they need. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19.
We will continue to track the situation to make sure our benefits are appropriate and update as necessary. Prior notice will be given before ending any benefit enhancements.
View this chart for details on the benefit changes we’ve made.
Changes to Health Spending Accounts
Recent COVID-19-related federal legislation includes several requirements that impact how individuals can use and fund their health spending account—including Health Savings Accounts (HSA), Health Reimbursement Accounts (HRA) or Flexible Spending Accounts (FSA). These FAQs can help you and your employees understand new guidelines for funding and using a health spending account during the
COVID-19 pandemic.
Member Communications Toolkit
We understand that the stress and complexity to business operations caused by COVID-19 has also heightened uncertainty for many employees. To help address some common concerns, we have assembled a package of member communication resources that you can share with your employees. Topics include stress reduction, healthy habits, CareFirst Video Visit, Sharecare’s relaxation, diabetes prevention and financial well-being resources and other CareFirst support services. These resources will be housed on the Return to Work page and will be updated regularly.
For CareFirst BlueCross BlueShield and CareFirst BlueChoice Members
|
Deductibles, Copays and Coinsurance | |||
|---|---|---|---|
| Service | Cost Share Waiver must be related to COVID-19? | In-Network | Out-of-Network |
| Diagnostic Test for COVID-19 | YES | Waive member liability for deductibles, copays and coinsurance |
CareFirst/Plan Sponsor pays 100% up to charge (no balance billing) |
| FDA-Authorized Antibody (Blood) Test for COVID-19 | YES | Waive member liability for deductibles, copays and coinsurance |
CareFirst/Plan Sponsor pays 100% up to charge (no balance billing) |
| Visits (regardless of setting) associated with Diagnostic Testing | YES | Waive member liability for deductibles, copays and coinsurance | CareFirst/Plan Sponsor pays 100% up to our allowed amount, but member can be balance billed |
|
FDA Emergency Use Authorized or Approved COVID-19 Vaccines |
YES |
Waive member liability for deductibles, copays and coinsurance for administration of vaccines and associated office visit Cost of vaccine is covered by the federal government |
CareFirst/Plan Sponsor pays 100% up to charge for administration of vaccines and associated office visit (no balance billing) |
|
Monoclonal Antibody Infusion |
YES | Waive member liability for deductibles, copays and coinsurance |
CareFirst/Plan Sponsor pays 100% up to our allowed amount, but member can be balance billed |
|
Oral Antiviral Pills for COVID-19 |
YES | Waive member liability for deductibles, copays and coinsurance |
CareFirst/Plan Sponsor pays 100% up to charge (no balance billing) |
CareFirst covers, with no cost share to the member (including our members enrolled in high deductible health plans), the appropriate diagnostic testing for COVID-19. CareFirst does not provide benefits for COVID-19 testing for surveillance, work or social purposes. This policy will apply to all CareFirst members except where testing for surveillance, work or social purposes is required by law.