The government ended the COVID-19 Public Health Emergency (PHE) on May 11, 2023. As a result, some District healthcare benefits for COVID-related expenses have changed.
Effective immediately, the copays and deductibles previously in place before the pandemic have been reinstated for COVID-19-related medical visits and prescriptions across all District offered health plans. Other benefit changes include:
Costs covered at the member’s regular benefit level:
- COVID-19 Diagnostic tests
- COVID-19 Testing-related visits
Costs NO LONGER covered through medical or pharmacy benefits:
Over-the-counter COVID-19 diagnostic tests (home tests)
Costs covered at the preventive benefit level at an in-network provider office or in-network pharmacy:
FDA-authorized COVID-19 vaccines