• July 13, 2020 1:28 PM

Will I be charged for a COVID-19 viral (diagnostic) test?

Will I be charged for a COVID-19 viral (diagnostic) test?

Will I be charged for a COVID-19 viral (diagnostic) test? 150 150 Sonoma County Emergency and Preparedness Information

There are reports of some healthcare providers collecting copays or deductibles for performing a COVID-19 viral test. However:

“Since the passage of the Families First Coronavirus Response Act (FFCRA) on March 18, most people should not face costs for the COVID-19 test or associated costs. Starting on March 18 and lasting for the duration of the public health emergency, all forms of public and private insurance, including self-funded plans, must now cover FDA-approved COVID-19 tests and costs associated with diagnostic testing with no cost-sharing, as long as the test is deemed medically appropriate by an attending health care provider. . . The CARES Act requires health plans to reimburse out-of-network COVID-19 test claims at up to the cash price that the provider has posted on a public web site. . . The CARES Act also does not prohibit out-of-network providers from billing patients directly for the COVID-19 test; if that happens, and if the up-front expense is unaffordable, it could deter some patients from getting a test. Otherwise, when providers charge cash up front, it falls to the patient to submit the bill to the health plan for reimbursement” (Source: Kaiser Family Foundation). Discuss this matter directly with your healthcare provider and/or insurance company.