COVID-19 Coverage

On March 6, 2021, the Insurance Department issued Notice 2021-03 reminding insurers of their obligation to provide certain coverage related to COVID-19. The notice also serves as a good reminder for employer plan sponsors of the coverage available under a group health insurance policy issued in Pennsylvania.

• As required by the FFCRA and CARES Act, insurers must provide coverage for COVID-19 testing without cost sharing for the insured when recommended by a health care provider as medically appropriate.
• As required by the CARES Act, insurers must provide coverage for the approved COVID-19 vaccinations without cost sharing for the insured without regard to the network participation status of the health care provider.
• The Insurance Department encourages insurers to be flexible with their telehealth coverage and policies through the end of the public health emergency and communicate any policy changes to insureds 60 days in advance.

Employers with plans issued by the state should be aware of this development.

Notice 2021-03 »