UHC – COVID-19 Testing Guidance
July 6, 2020During the national public health emergency period, UnitedHealthcare will cover medically necessary COVID-19 testing at no cost share when ordered by a physician or appropriately licensed health care professional for purposes of the diagnosis or treatment of an individual member.*
Tests must be FDA authorized to be covered without cost sharing (copayment, coinsurance or deductible). FDA-authorized tests include tests approved for patient use through pre-market approval or emergency use pathways, and tests that are developed and administered in accordance with FDA specifications or through state regulatory approval.
This coverage applies to members enrolled in Medicare Advantage, Medicaid and Individual and Group Market health plans. Benefits will be otherwise adjudicated in accordance with the member’s health plan. State variations and regulations may apply during this time.
UnitedHealthcare is requesting all physicians and health care professionals who perform and bill for COVID-19 antibody tests to register the test(s) that will be used for members.
*Licensure requirements vary by state. In some states, a pharmacist or other health care professional, such as a nurse practitioner, may have the appropriate licensure to order a test. Please refer to state-specific licensure requirements for appropriate guidance.