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Coverage and member cost-sharing will revert to pre-pandemic requirements
The federally declared public health emergency (PHE) related to the COVID-19 pandemic will end on May 11, 2023. This will result in changes in coverage and cost-sharing requirements for members of Arkansas Blue Cross and Blue Shield’s and Health Advantage’s fully insured health plans, as described below.
Please note: Coverage and cost-sharing changes for members of self-funded health plans administered by BlueAdvantage Administrators of Arkansas or Health Advantage are determined by the employers or plan sponsors who fund those self-funded plans. If you have questions about coverage for such plans, please call the number on the back of the health plan member ID card.
On May 11, 2023, federal mandates for coverage (without member cost-sharing) of certain healthcare services will end. Affected services rendered May 12, 2023, and thereafter will be subject to member cost-sharing requirements of the member’s plan (copays/deductibles/coinsurance, etc.).
This resumption of member cost-sharing requirements for covered services includes:
This resumption of member cost-sharing requirements will not include (meaning that members will not be subject to cost-sharing):
Coverage for such tests will end May 11, 2023.
There currently are no monoclonal antibody treatments approved for COVID-19. Accordingly, any related services rendered May 12, 2023, and thereafter will not be covered.
After May 11, 2023, there will be no coverage for COVID-19 tests performed by entities that are not contracted participants in our health plans’ provider networks. Fee schedule pricing will be applied to covered lab codes only.
24/7, free consultation with a registered nurse
Access to medical help through your smartphone, tablet, and/or computer when unable to see your primary care physician.
Enrollees can contact case managers 8 a.m. – 6:30 p.m.
Enrollees can contact case managers 8 a.m. – 4:30 p.m. Members not enrolled in case management who would like to speak to a registered nurse about COVID-19 or any healthcare needs can call 800-225-1891.