From News Nation:
“How your
insurance plan will cover a coronavirus vaccine and treatments”
Federal health
officials Wednesday issued insurance coverage rules designed to deliver on the
promise that every American will have access to free COVID-19 vaccines when
they are approved. The regulations from the Centers for Medicare and Medicaid
Services, or CMS, will also increase what Medicare pays hospitals for COVID-19
treatments. The changes arrive at a time when coronavirus infections are rising
in much of the country.
Congress and
President Donald Trump have already enacted legislation that calls for vaccines
to be free, but the new rules were needed to align that policy with the many
arcane payment requirements for public and private insurance. “CMS is acting
now to remove bureaucratic barriers while ensuring that states, providers and
health plans have the information and direction they need to ensure broad
vaccine access and coverage for all Americans,” agency head Seema Verma said in
a statement. The rules aim to resolve potential legal issues over whether
Medicare could cover a vaccine that receives “emergency use authorization” from
the Food and Drug Administration. That’s a step short of full approval, and
questions arose about whether Medicare could pay under its standard coverage
policies.
Under
Wednesday’s announcement:
Seniors with
traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and
deductibles are waived.
The government
will pay private Medicare Advantage plans to administer the vaccine to seniors.
Enrollees will not be charged.
Workplace and
individual health insurance plans will cover the COVID-19 vaccine as a
preventive service, with no cost sharing. The requirement applies to the vast
majority of private plans, which are mandated to cover approved preventive care
under the Obama-era Affordable Care Act — even as the Trump administration is
trying to overturn that law at the Supreme Court.
State Medicaid
and Children’s Health Insurance plans will have to provide vaccines for free
for the duration of the coronavirus public health emergency.
Doctors,
clinics and hospitals vaccinating uninsured people will be able to get paid
through a federal fund set up to assist health care providers under financial
stress.
The regulations
take effect immediately.
^ Here’s hoping
that a free vaccine that is independently verified as safe will encourage
people to get vaccinated so we can stop all of these restrictions and move on.
^
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