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<p class="MsoNormal"><img width="159" height="60" id="_x0000_i1025" src="cid:image001.jpg@01DA5429.59ABBAF0"><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:6.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">January 31, 2024<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
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<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
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<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in">
<span style="font-family:"Arial",sans-serif">Department Benefits Representatives (DBRs)<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">Central HR Benefits Office on behalf of UC Office of the President<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">COVID-19 Test Coverage for 2024</span><span style="color:#1A475F"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:6.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">DBRs, please share this updated information via your internal listserv.<o:p></o:p></span></b></p>
<p><span style="font-family:"Arial",sans-serif">UCOP has provided the latest <a href="https://hr.ucr.edu/sites/default/files/2024-01/coverage-for-covid_0.pdf">
coverage for COVID-19 tests</a>. The information may be found on UCnet by following the link to the home page of each medical plan, or by visiting
<a href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/covid-vaccine-coverage.html#ucbg">
COVID-19 tests updates</a>. Any updates to this document will also be posted to UCnet.
<o:p></o:p></span></p>
<p class="MsoNormal"><u><span style="font-family:"Arial",sans-serif">At-home OTC antigen tests<o:p></o:p></span></u></p>
<p><span style="font-family:"Arial",sans-serif">Non-Medicare plans will continue to cover up to 8 at-home over-the-counter (OTC) antigen tests per covered member monthly.
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.0in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">CORE, UC Care, and UC Health Savings Plan participants need to (a) pay out-of-pocket for the test, (b) request reimbursement by completing Section 1 and Section 2 of the
<a href="https://www.anthem.com/docs/inline/24066CAMENABC-public.pdf"><span style="color:windowtext">member claim form</span></a> along with their signature. The Anthem Claims address is PO Box 60007, Los Angeles, CA 90060-0007. Do not submit claims for OTC
COVID-19 test through the member portal or the Sydney mobile app as claims will not be processed correctly.
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.0in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Kaiser Permanente HMO plan members may obtain the tests through Kaiser pharmacies.
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.0in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">UC Blue and Gold HMO plan members may obtain the tests from a Health Net in-network retail pharmacy at the pharmacy counters.
<o:p></o:p></span></p>
<p class="MsoNormal"><u><span style="font-family:"Arial",sans-serif">PCR tests (Polymerase chain reaction)<o:p></o:p></span></u></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">When ordered by physicians, all plans will cover these tests at the applicable plan benefit.<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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