Covering costs for COVID-19 treatment Updated August 24, 2020 to extend the service date to December 31, 2020
August 24, 2020
For service dates beginning April 1 through December 31, 2020, all member cost sharing for treatment of COVID-19 will be waived. This applies to in-network inpatient, outpatient, facility and professional visits. This change is applicable for all members on an individual and family plan, small group fully insured plan and large group fully insured plan. We are working directly with our self-funded employers to determine the best approach for each of their specific needs.
Health Plan Premium Grace Period
May 8, 2020
Many individuals and businesses are already struggling to pay their health insurance premiums as a result of the impact of the coronavirus on the economy. Providence Health Plan is proactively taking action to ensure continuity of coverage – so members can continue to receive care and medications during this time of uncertainty.
- If an employer group has furloughed or laid off employees, we will continue to cover those employees contingent on payment of premium by the employer. This means that normal minimum hour requirements will be waived. COBRA may be an option for some of those employees, but this “premium continuation” approach may provide additional stability in the event employers are willing to participate in hopes that they may be able to resume business in the near term.
- People who purchase individual plans through the federal marketplace and who receive an advance premium tax credit will continue to receive a 3-month grace period, established by federal law that we will continue to follow without adjustment.
- We will grant a two month extension for the following people that are unable to pay some or all of their premium:
- People who purchase individual plans through the federal marketplace and who do not receive an advance premium tax credit
- People who purchase individual plans direct (not through the federal marketplace)
- Fully-insured employer group plans (small and large)
Failure by employers or individuals to pay all premium obligations before the end of the grace period may result in direct member liability for medical services and supplies received after the first month of the grace period. These grace period and premium continuation allowances will be available for premium attributable to March, April, May, June, July, August, September, October, November and December coverage. This message will be updated if the allowances are continued beyond that period.
Support for health plan members and Medicare beneficiaries impacted by COVID-19
March 11, 2020
Your health and the health of our communities is our priority. Effective immediately, we’ve taken the following steps:
- We are waiving all cost sharing out-of-pocket costs for testing services related to COVID-19. Cost-sharing means things like copays, coinsurance and deductibles.
- Members are encouraged to obtain 90-day supplies of medication through their mail order pharmacy or via home delivery, and we will allow early refills for most medications
This applies to our commercial insured, large group, small group, individual and family, and Medicare members.
Providence Health Plan members who have questions about their cost share or any other issues related to COVID-19 are encouraged to contact our customer service center for additional information at 503-574-7500 or 1-800-878-4445, TTY: 711, Monday through Friday, 8 a.m. to 5 p.m. (Pacific Time).
Providence Medicare Advantage Plans members should call our Medicare customer service center at 503-574-8000 or 1-800-603-2340, TTY: 711, Monday through Sunday, 8 a.m. to 8 p.m. (Pacific Time).
To limit the possibility of person-to-person exposure of COVID-19, Providence is suspending in-person services at our Murray Business Center in Beaverton. We look forward to returning to normal services in the future.
Please note: Cost-sharing and benefits may vary depending on your plan, eligibility, changes in coverage for members or their dependents, current status of the “State of Emergency,” and status of the COVID-19 outbreak.