With the release of the COVID-19 booster this fall, Point32Health would like to remind providers of the following COVID-19 coverage:
- COVID-19 vaccines: Point32Health reimburses providers for the administration of COVID-19 vaccines and associated services. In-network COVID-19 vaccines will remain covered at no cost to our members. We follow federal and state guidance related to out-of-network member cost shares for these services.
- COVID-19 testing: Point32Health covers in-person polymerase chain reaction (PCR), antigen and antibody laboratory testing for COVID-19 consistent with federal and state guidance. Testing for COVID-19 infection is covered when ordered or referred by a physician or appropriately licensed health care provider, or in accordance with state regulatory guidelines. Members are encouraged to use participating providers/laboratories for all COVID-19 testing. We encourage providers to remind members that every U.S. household can once again receive four free COVID-19 rapid tests mailed to their home through a program from the Department of Health and Human Services.
- COVID-19 treatment: Treatments and services ordered by a provider, including Paxlovid, are covered. We follow federal guidelines regarding approved treatments, and state guidance related to cost shares for these services.
For more information, please refer to our COVID-19 page for providers.
Director, Provider Relations & Communications
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,