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CMS Says COVID-19 Vaccines Must Be Covered

CMS Says COVID-19 Vaccines Must Be Covered

1.5 minute read

The Centers for Medicare and Medicaid Services (CMS) recently updated their COVID-19 vaccine toolkit. It includes a list of COVID-19 vaccines and boosters that must be covered without cost sharing.

The toolkit also:

  • Provides a list of operational considerations and information on how issuers can communicate with providers and enrollees on vaccines and coverage;
  • Outlines recent legislative and regulatory provisions related to vaccine coverage and administration; and
  • Encourages issuers to implement streamlined processes to quickly administer vaccine coverage.

Non-grandfathered group health plans and insurance issuers must cover COVID-19 preventative services without cost sharing. Preventative care services should include recommended immunizations. And coverage must be provided for both in-network and out-of-network providers during the COVID-19 public health emergency.

Download the bulletin for more details.

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This blog is intended to be a compilation of information and resources pulled from federal, state, and local agencies. This is not intended to be legal advice. For up to the minute information and guidance on COVID-19, please follow the guidelines of the Centers for Disease Control and Prevention (CDC) and your local health organizations.

National Insurance Services is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Readers are advised to consult with their own attorney for a determination of their legal rights, responsibilities and liabilities, including the interpretation of any statute or regulation, or its application to the readers’ business activities.

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Steve Smith

Steve Smith

Steve Smith is a powerhouse of energy, living by the mantra "work hard, play hard." As an expert in uniting teams for a greater purpose, Steve's innovative and creative strategies in employee health and wellness are game-changers. With over 25 years of expertise in health insurance, covering compliance, cost mitigation, utilization, analytics, wellness plans, and strategic planning, Steve is the go-to expert for driving down utilization trends and fostering a culture of well-being. His clients trust him to deliver exceptional results, making him an invaluable asset in the industry. As an Employee Benefits Consultant, Steve specializes in health care consulting for Minnesota public sector organizations including fully insured, self-insured, and stop-loss plans. Steve is a licensed insurance agent and holds the designations for Managed Healthcare Professional (The Health Insurance Association of America), Certified Patient Protection and Affordable Care Act Professional (National Association of Health Underwriters), and Group Benefits Disability Specialist (Hartford School of Insurance).