DMHC California plans: Continued Access to COVID-19 Tests, Vaccines and Treatment with No Cost-Sharing

Health plans regulated by the California Department of Managed Health Care (DMHC) must cover COVID-19 tests, vaccines and treatment with no health plan prior authorization or enrollee cost-sharing. Enrollee cost-sharing includes co-pays, co-insurance, deductibles or other enrollee out-of-pocket costs not including health plan premiums.

California state laws add six months to the federal COVID-19 public health emergency requirements on health plans to continue covering COVID-19 tests, vaccines and treatment from any licensed provider (inor out-of-network) with no prior authorization or enrollee cost sharing. The public health emergency ends on May 11, 2023, and state laws extend these requirements for six months through November 11, 2023.

Source: https://www.dmhc.ca.gov/Portals/0/Docs/DO/COVID-FactSheet2022.pdf