CMS Issues Guidance on Coronavirus Coverage

According to Politico Pro , CMS has released information detailing how federal government health programs and certain plans will cover coronavirus-related services. Additionally, the agency developed an additional code that labs can use to bill for coronavirus diagnostic tests not made by CDC, which CMS officials are hopeful will help boost testing and tracking of new cases. Medicare will cover diagnostic tests on or after Feb. 4 for the coronavirus test, and the health program for seniors also covers medically necessary hospitalizations, virtual "check-ins," and more. Under Medicaid, coverage standards vary by state although they tend to be covered. CMS reiterates in the new guidance that Obamacare plans will generally have to cover lab tests. The one caveat is that states don't all require the same standard of benefits. Some people may see cost-sharing if the insurers have yet to waive co-pays for the tests. CMS notes that large employer plans are not required to follow Obamacare's rules. Consequently, patients with those plans may not be covered or may be on the hook for a co-pay. The agency hasn't decided whether a vaccine would be free under Obamacare's rules for covering preventive treatment. New guidance will be offered if and when such a vaccine hits the market.