[UCRDBR] Health Net COVID Testing Updates

[Departmental Benefits Representatives]

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October 29, 2024

To:
Department Benefits Representatives (DBRs)
From:
Central HR Benefits Office on behalf of UC Office of the President
Re:
Health Net Out of Network COVID-19 Services Update

DBRs, please share this information via your internal listserv.  Do not reply to this email.  Please
send a separate email with questions to benefits at ucr.edu<mailto:benefits at ucr.edu>.


Effective January 1, 2025, the UC Blue and Gold and UC Postdoctoral HMO plans, offered by Health Net, will change their coverage for out-of-network COVID-19 tests, vaccines, and therapeutics to 50% coinsurance, from no cost in 2024. The attached letter will be sent to members on October 28, 2024. Members must pay out-of-pocket for over the counter (OTC) antigen COVID-19 tests that are purchased out-of-network and submit a medical claim form for reimbursement. The tests are limited to eight per member in a 30-day period, and the reimbursement is capped at $12, including tax and shipping costs per test.

For the latest coverage for COVID-19 tests by UC non-Medicare medical plans, visit UCnet on COVID-19 tests updates<https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/covid-vaccine-coverage.html#ucbg>.

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