Aetna will waive the cost of COVID-19 testing, if CDC guidelines for testing are met

477

Aetna, the health insurance company for most GovGuam employees, will cover the cost of COVID-19 testing if the guidelines for testing set by the Centers for Disease Control and Prevention have been met.

In an email to Speaker Tina Muna Barnes from Aetna’s Senior Client Service Manager Frank Arriola states – “If care is obtained at an authorized facility as deemed by the Department of Health to treat COVID positive patients, treatment will be covered based on members plan benefits. ”

Aetna member health benefits are not affected by the COVID-19 outbreak.

In addition Arriola writes:

*For the next 90 days, Aetna will offer zero co-pay telemedicine visits for any reason. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. We are communicating this benefit to the Guam Provider Community

*Aetna is waiving early refill limits on 30-day prescription maintenance medications. CVS/Caremark has already sent appropriate communication directly to contracted pharmacies regarding proper submission for these requests.

In his email to the Speaker, Arriola also attached an email from Aetna International Account Director Hassen Khraibani affirmed Arriola’s statements adding – “We will continue to keep Government of Guam updated as more information becomes available.”

READ the email from Aetna’s Frank Arriola to the Speaker in FULL below:

Madame Speaker,

Attached is an email message from Hassen Khraibani to Director Edward M. Birn titled “Aetna coverage regarding COVID-19” which provides clarification on COVID-19 coverage for all AETNA members, including GovGuam members. Below is a snapshot of the email message;

If you meet the Centers for Disease Control and Prevention (CDC) guidelines for testing, and it’s requested by your doctor, we’ll waive the cost for testing. There may be a cost associated with your doctor visit.

If care is obtained at an authorized facility as deemed by the Department of Health to treat COVID positive patients, treatment will be covered based on members plan benefits.

For members located outside of the U.S, anyone who undergoes testing for COVID-19, as referred by a medical physician in an approved medical facility, will be reimbursed in full for the cost of the test and consultation. Any members accessing this testing and looking for reimbursement should follow the standard claims filing process.

For the next 90 days, Aetna will offer zero co-pay telemedicine visits for any reason. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. We are communicating this benefit to the Guam Provider Community

We’re waiving early refill limits on 30-day prescription maintenance medications. CVS/Caremark has already sent appropriate communication directly to contracted pharmacies regarding proper submission for these requests.

To confirm, members’ health benefits are not affected by the COVID-19 outbreak. Any medical advice and subsequent treatment will be covered by Aetna International, as it would any other eligible medical condition, in accordance with a member’s plan. Containing the spread of this epidemic is a top priority that we all share. We have taken this action in support of this objective, and it is important to us that we provide solutions to help keep our members protected.

We will keep you posted on updated releases from our office.

Regards,
Frank P. Arriola
Senior Client Service Manager
Aetna International

READ the email from Aetna’s Hassen Khraibani in FULL below:

Hi Director,

Please know CVS Health and Aetna stand ready to support the Government of Guam as best we can during these difficult times. Below are some facts about how we have adjusted our plans to support all Aetna Members, including Government of Guam.

If you meet the Centers for Disease Control and Prevention (CDC) guidelines for testing, and it’s requested by your doctor, we’ll waive the cost for testing. There may be a cost associated with your doctor visit.

If care is obtained at an authorized facility as deemed by the Department of Health to treat COVID positive patients, treatment will be covered based on members plan benefits.
For members located outside of the U.S, anyone who undergoes testing for COVID-19, as referred by a medical physician in an approved medical facility, will be reimbursed in full for the cost of the test and consultation. Any members accessing this testing and looking for reimbursement should follow the standard claims filing process.

For the next 90 days, Aetna will offer zero co-pay telemedicine visits for any reason. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. We are communicating this benefit to the Guam Provider Community

We’re waiving early refill limits on 30-day prescription maintenance medications. CVS/Caremark has already sent appropriate communication directly to contracted pharmacies regarding proper submission for these requests.

To confirm, members’ health benefits are not affected by the COVID-19 outbreak. Any medical advice and subsequent treatment will be covered by Aetna International, as it would any other eligible medical condition, in accordance with a member’s plan. Containing the spread of this epidemic is a top priority that we all share. We have taken this action in support of this objective, and it is important to us that we provide solutions to help keep our members protected.

We will continue to keep Government of Guam updated as more information becomes available.

To find the latest updates on COVID-19, we encourage you to refer to the following websites:

CVS/Aetna Resources
https://www.aetnainternational.com/en/about-us/explore/health-care/prevent-manage-conditions/frequently-asked-questions-covid-19.html
https://cvshealth.com/newsroom/press-releases/cvs-health-announces-covid-19-resources-aetna-members
https://www.aetna.com/individuals-families/member-rights-resources/covid19.html

CDC Resources:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html
https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

Hassen Khraibani | International Account Director
Aetna