Oakland Southfield Physicians

OSP News

Priority Health Has Some Changes Regarding COVID-19 Cost Sharing and Coverage Extensions

Posted: 12/04/2020

To continue to support the physicians and their members as COVID-19 cases rise in the community, Priority Health is extending many temporary changes into 2021.

Telehealth at $0 extended, reimbursement continues at in-person rates
Priority Health will continue to offer $0 cost share for telehealth services, including medical, behavioral health and substance use, for nearly all fully funded HSA and non-HSA plans ahead of deductible as well as most Medicare plans throughout 2021. They are also continuing to reimburse for telehealth services at in-person rates.

Treatment for COVID-19
Priority Health is going to continue to waive all copays, deductibles and coinsurance for medically necessary treatment of COVID-19 through March 31, 2021.

This means all fully funded commercial, individual, Medicaid and Medicare members can get the treatment they need for COVID-19 with no out-of-pocket health insurance costs.

Covered treatment may be inpatient or outpatient from an in-network provider. Patients must have a confirmed primary COVID-19 diagnosis and be receiving evidence-based care for treatment to be fully covered.

COVID-19 vaccine coverage
When a COVID-19 vaccine is available to the public, all members will have no out-of-pocket costs. As Priority Health gets more details about coding, billing and reimbursement, they’ll share those details.

Click here to get the complete list of temporary changes and their expiration dates.

To review all Priority Health COVID-19 related information click here.

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