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Morning Briefing

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Thursday, Aug 19 2021

Full Issue

Expect To Pay More For Covid Treatments As Of October, Insurers Say

"No fee" programs for covid patients are expected to end for some insurers starting Oct. 1. Meanwhile, the American Medical Association notes financial health systems are set up and ready for the upcoming booster program. Reports say some people are wrongly billed for covid shots already.

With the current COVID-19 surge not expected to peak until mid-October, treatments for the deadly virus are set to cost much more for those infected. Michigan's large health insurers鈥攊ncluding Blue Cross Blue Shield of Michigan and Priority Health鈥攁re sunsetting their programs that waived all costs to patients treated for COVID-19. The waiving of cost-sharing for patients expires on Sept. 30 for the two insurers. More than 2 million Americans have checked into hospitals to get treated for severe cases of COVID-19 and many, thanks to insurers and government programs, have received no bills in the mail. (8/18)

The American Medical Association has created new billing codes so insurance programs can pay doctors, hospitals and others to administer a third dose of the Pfizer and Moderna COVID-19 vaccines. America's medical billing systems are ready to go even though the federal policy on widespread booster doses still requires a thumbs-up from the FDA and the CDC's expert vaccine panel. (Herman, 8/19)

On unexpected covid vaccine bills 鈥

Martin Gola knew the COVID-19 vaccine was supposed to be free. So he was surprised when, in July, he received a $32 bill from Nazareth Hospital in Northeast Philadelphia, where he鈥檇 gotten the two-dose Moderna vaccine. A few days later came another bill, this one for $79. The 59-year-old Philadelphia resident ignored the bills, but he got worried when weeks later Trinity Health, which owns Nazareth, called to collect on his overdue account. 鈥淚 said: 鈥業t鈥檚 for COVID, it鈥檚 a free shot. I鈥檓 not paying that bill.鈥 They didn鈥檛 say anything and we hung up,鈥 Gola recalled. (Gantz, 8/18)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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