Lifetime Benefit Solutions Update on COVID-19 (Coronavirus)
3/3/23 Update: The White House recently announced plans to end the federal COVID-19 emergency effective end of day May 11, 2023. This will likely mean coverage changes for COVID-19 lab testing and related visit, over-the-counter (OTC) testing, COVID-19 vaccines, recovery treatments, and telehealth services. The amount you pay for these services will depend upon your plan. We will keep you updated as we learn more about these changes.
Please note: Federal guidance effective Jan. 15, 2022 regarding coverage for at home COVID-19 tests pertains to coverage under prescription plans only. Please contact your prescription plan carrier for additional information.
The safety and wellbeing of our members, our employees, and our community are at the center of everything we do. Lifetime Benefit Solutions is monitoring developments about novel coronavirus disease 2019 (COVID-19) and what it means for our community.
We are in contact with local, state and federal health officials, and will implement applicable orders and regulations as they become effective. We will keep you informed of any changes to your health plan or benefits as soon as possible.
- No cost to members for COVID-19 testing where medically necessary consistent with CDC guidance
- No cost to members for medically necessary office, urgent care, or ER visits related to COVID-19
- No cost to members for telehealth services related to COVID-19. Some groups are covering all telehealth visits (both COVID-19 and non-COVID-19 related). Please contact the number on the back of your member ID card to confirm telehealth coverage.
- We will provide coverage for COVID-19 vaccines in accordance with applicable state and federal guidance.
- Some groups are waiving cost share for COVID-19 treatment. Please contact the number on the back of your member ID card to confirm treatment coverage.
- Preauthorization is waived beginning on December 23, 2020 through February 21, 2021 for scheduled inpatient surgeries, inpatient mental health services, hospital admissions, inpatient rehabilitation, in-network home health care services following an inpatient hospital stay; and pre-authorization is waived for transfers between hospitals. Please note: Preauthorization will continue to be required for non-emergency air transport.
- Extended timeframes to file appeals
- Members are encouraged to use their 90-day mail order benefit for prescription medications
- Early medication refills available for prescriptions during state of emergency
- Information and FAQs for employers on COBRA programs
- Don’t Fall for Fraudulent Schemes During Our National COVID-19 Fight
Contact us for personalized care and questions about your coverage.