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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.

ISK Case Study

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, Employee Benefits Consultant for National Insurance Services, has his energy level permanently set at “high.” His maxim is “work hard, play hard.” Steve’s an expert in getting groups of people working together for a higher cause. Minnesota schools, cities, and counties rely on Steve’s unique and creative ideas of engaging employees in their own health and wellness to lower utilization trends. He has 20+ years in the health insurance field doing compliance, cost mitigation, utilization, analytics, wellness plans, and strategic planning. 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). He specializes in Employee Benefits Consulting for Minnesota schools, cities, and counties including fully insured, self-insured, and stop-loss plans.