COVID-19 Testing and Testing-Related Services Update February 19, 2021

UnitedHealthcare will cover medically appropriate COVID-19 testing at no cost share during the national public health emergency period (currently scheduled to end April 20, 2021) when ordered by a physician or appropriately licensed health care professional for purposes of the diagnosis or treatment of an individual member. Scope-of practice 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.

• State and federal mandates, as well as self-insured customer benefit plan designs, may supersede the information listed below

• Centers for Medicare & Medicaid Services (CMS) guidelines for place of service may vary

• Cost share will be waived for testing and testing-related services through the national public health emergency period for tests ordered by an appropriate provider and test-related services specific to the diagnosis of COVID-19.


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