MedicaidCoverageMedium impact
Some COVID-19-related benefits will be extended through Dec. 31 with $0 cost share for UPMC <em>for You</em> members
UPMC Health Plan·Reimbursement
Effective date
Sep 30, 2024
We identified it
Jun 20, 2026
Summary
UPMC Health Plan is extending $0 cost sharing for specific COVID-19 services through December 31, 2024, for UPMC for You members only, even though the general COVID-19 policy expires September 30, 2024. This covers COVID-19 diagnostic testing, OTC tests, evaluation, treatment, and vaccines when clinically indicated.
Action Required
By December 31, 2024: Billing team must ensure $0 cost sharing is applied for UPMC for You members for COVID-19 diagnostic lab testing, OTC testing, evaluation visits, treatment, and vaccine administration. Update billing system to recognize this extended benefit period. Verify clinical indication documentation is present for all COVID-19 related services. Contact UPMC Provider Services at 1-866-918-595 with questions.