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There were changes to certain coverage and/or out-of-pocket costs when the federal COVID-19 public health emergency ended on May 11, 2023. Here is what changed beginning May 12, 2023:

Vaccines

Just like other preventive health services, you have no out-of-pocket costs for the COVID-19 vaccine and boosters when you use an in-network provider. The COVID-19 vaccine and boosters are still the best way to protect yourself from serious illness related to COVID-19.

COVID-19 Testing and Treatment

• “Diagnostic” Testing and Treatment through a Healthcare Provider: If you need to be tested because you have symptoms or were exposed to someone who has COVID-19, your testing is considered “diagnostic.” You will continue to have coverage for “diagnostic” lab tests and treatment when received in network. However, you may have to pay a copay, deductible and/or coinsurance based on your benefits. If you have out-of-network coverage and use an out-of-network provider, you will pay more out of pocket.
• “Surveillance” Testing through a Healthcare Provider: If you need to be tested to go to work or school, for travel or for some other reason not related to illness, then your testing is considered for “surveillance.” These claims are not covered by insurance, and you will have to pay the entire cost of the test.
• Over-the-Counter Testing: While supplies last, you can order four at-home COVID-19 test kits per household for free from the federal government. You will have to pay for other over-the-counter, at home COVID-19 tests.

Telemedicine

COVID-19-related care will be treated like any other telemedicine service. For in-network care, you will pay your copay, coinsurance and/or deductible. This includes services received through Horizon CareOnline℠.