Insurance Reimbursement For Covid Testing

As background the centers for medicare and medicaid services has announced that medicare will reimburse providers up to 100 per test depending on the test.

Insurance reimbursement for covid testing. Unitedhealthcare will reimburse out of network providers for covid 19 testing related visits and covid 19 related treatment or services according to the rates outlined in the medicaid fee schedule. Health care providers who have conducted covid 19 testing or provided treatment for uninsured individuals with a covid 19 diagnosis on or after february 4 2020 can request claims reimbursement through the program electronically and will be reimbursed generally at medicare rates subject to available funding. Covid 19 testing would continue to be covered with no cost sharing by private and public insurers for all tests consumers independently seek but the federal government would pay directly for. Laboratories using the test developed by the center for disease control and prevention cdc would be reimbursed 36 per test.

Unitedhealthgroup will also remove member cost sharing including copays coinsurance and. What is the difference between the funds available to reimburse providers for covid 19 testing and treatment services furnished to uninsured individuals through the health resources and services administration hrsa and the funds available through the families first coronavirus response act ffcra to provide medicaid coverage of covid 19 testing services for uninsured individuals. On march 16 the cms released details about how covid 19 testing would be reimbursed to health care providers administering the tests. Both cigna and aetna said it will waive copays or cost shares for coronavirus testing on many plans.

Treatment co pays and co insurance dozens of insurers including aetna cigna and humana have. Because if it s a straightforward garden variety pneumonia that a person is admitted to the hospital for if they re medicare typically the diagnosis related group lump sum payment would be. Those using a non cdc test will be reimbursed 51 per test.