On January 7, 2021, Commissioner Caride issued Bulletin No. 21-01, which provides guidance to health insurers on preventive health services, including COVID-19 immunizations. The bulletin prohibits carriers – including those administering self-funded plans – from charging any cost sharing for qualifying coronavirus preventive services delivered in-network or out-of-network. Additionally, the Department of Banking and Insurance expects carriers to assess their readiness and take all steps to ensure that insureds have access to COVID-19 immunizations and their administration. When vaccines require multiple doses, carriers should communicate to insureds that they need to get both doses of the same vaccine. Carriers should also provide information to providers on how to submit claims for reimbursement of the immunizations.
Although this bulletin is directed towards insurance carriers, employers based in New Jersey should familiarize themselves with this guidance as individuals begin to access COVID-19 immunizations.
Bulletin No. 21-01 »
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