|
[For Self‑Funded Employers]
|
|
As the COVID‑19 pandemic evolves, Independence continues to work with local and national health officials to assess current conditions, health care for our members, and ways to help our clients and partners. We’d like to provide you with a few updates to previously communicated information.
|
Expanded prior authorization for all acute, inpatient admissions
|
|
We previously announced that we were waiving member cost share for all in‑network, inpatient acute care treatment for COVID‑19. To further support members in getting access to the care they need, we have expanded this change to waive all prior authorizations for acute, in‑network inpatient admissions for any diagnosis from the emergency room. This change and the previously announced prior authorization waivers are being extended through June 4, 2020, including:
|
- Transfers from acute, in‑network inpatient facilities to post‑acute, in‑network facilities, including long‑term acute care hospitals, inpatient rehabilitation, and skilled nursing facilities, for any diagnoses.
- Transportation between facilities.
|
Benefit change extended to June 4
|
|
We previously announced that we were waiving member cost share for in‑network, inpatient acute care treatment associated with COVID‑19 diagnoses. Given the current state of the COVID‑19 pandemic, this change is also being extended through June 4, 2020.
|
|
Additionally, we will continue to offer Telemedicine benefits for expanded services, including specialist visits until June 4, 2020. In the coming weeks, we will further evaluate this date as needed.
|
Overview of COVID‑19 benefit considerations for self‑funded clients
|
|
Earlier this month we sent you an overview of benefit considerations related to the COVID‑19 pandemic. Based on recent changes noted above, we have updated this chart for your reference. However, no action is required at this time.
|
Stop Loss coverage for benefit changes
|
|
For self‑funded clients that have Stop Loss coverage with Independence through HMIG, Independence will notify HMIG of COVID‑19 related benefit changes prior to or at the time a claim is filed. Please review the HMIG COVID‑19 FAQ document for additional information.
|
|
Group customers that do not have Stop Loss coverage through HMIG should consult with their Stop Loss carrier to determine if any documents are required for any benefit changes related to COVID‑19.
|
