[UCRDBR] Postdoctoral Scholars Health Net PPO Benefit Plan COVID-19 Changes

Departmental Benefits Representatives ucrdbr at lists.ucr.edu
Wed Sep 13 13:22:11 PDT 2023


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To: Department Benefits Representatives
From: Central HR Benefits Office on behalf of UC Office of the President
Re: Postdoctoral Scholars Health Net PPO Benefit Plan COVID-19 Changes
________________________________________________________________________________________________
DBRs please share this information via your internal department listserv.

Per state guidance and with the COVID-19 Public Health Emergency (PHE) having ended, beginning November 12, 2023, the Postdoctoral Scholars Health Net PPO plan will resume normal health plan coverage for certain COVID-19 benefits.

PPO Plan:
What is changing?

  *   COVID-19 vaccines, testing, and therapeutics received from an out-of-network provider will be subject to plan benefits. No prior approval is required.
  *   Over the counter (OTC) COVID-19 kits purchased at an out-of-network provider pharmacy are subject to the plan's lab office visit copay. A medical claim form will need to be submitted*.

What's not changing?

  *   COVID-19 vaccines, testing and therapeutics received from an in-network provider remain at no cost. No prior approval required.
  *   OTC COVID-19 Test kits are at no cost if you use one of Health Net's in-network retail pharmacies*.

*Maximum of eight tests per covered member in a 30-day period. The maximum reimbursement for each test per member is $12, includes costs such as taxes and shipping fees.

The Health Net PPO Member COVID Update letter<https://hr.ucr.edu/sites/default/files/2023-09/Health%20Net%20PPO%20Member%20COVID%20Update.pdf> has been mailed to Postdocs PPO members. If members have any questions, they should contact Health Net's Customer Contact Center at the phone number listed on the Member ID card.


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