For Medicaid and CHIP Recipients:
The state’s Medicaid program, Medical Assistance (MA) and Children’s Health Insurance Program (CHIP) will cover COVID-19 testing and treatment. There are no MA or CHIP copayments for COVID-19 lab tests. For the services with copayments, MA providers may not deny services if the beneficiary is unable to pay the copayment. Prior authorization is not required for COVID-19 testing when a healthcare practitioner determines it is needed. MA and CHIP programs cover a broad range of services that will relieve the symptoms experienced, further noting that there is no antiviral treatment for COVID-19.
For further questions on the services offered, providers and patients can visit the Medicaid FAQ and CHIP FAQ.
If you are a UPMC Patient, click here to find a provider, and learn more about services through UPMC.
Health Insurance Options for affected employees during COVID-19
- Special Enrollment Periods (SEP) through the Affordable Care Act (ACA) are available to consumers and their families who experience various life changes, including the loss of employer-sponsored health care coverage. Anyone who has recently been laid off from work can continue their insurance they had with their employers or purchase new insurance through the Affordable Care Act. To connect with a navigator to learn more about the ACA, contact Family First Health’s, Patient Navigation & Enrollment Services Department at 717-845-8617, and select option 6.
- Consolidated Omnibus Budget Reconciliation Act (COBRA) allows affected employees to keep their health insurance coverage after being laid off, or loss of coverage as the dependent of a covered employee. If an individual elects COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage, they are required to pay 100 percent of the premiums, including the share the employer used to pay, plus a small administrative fee.
If anyone is currently uninsured, they can visit state.pa.us to see if they qualify for medical assistance.
As Governor Wolf says “No Pennsylvanian should forego testing for any reason, if deemed medically necessary, including fear of what it might cost.”