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Mayor Orders Payers to Cover More COVID-19 Testing

Aug 25, 2020, 13:24 PM by MSDC Staff
Mayor Bowser expands the categories of people who are eligible for covered COVID-19 testing.

Recognizing the importance of robust testing, today Mayor Muriel Bowser and the Department of Insurance, Securities, and Banking (DISB) issued an order requiring health insurers to cover the cost of COVID-19 testing for more categories of at-risk individuals.

The measure, seen here, requires all carriers offering health plans in the District to "cover testing to diagnose COVID-19 for individuals who meet the standards" defined by DC Health. People seeking tests will not require prior authorization or a referral from a physician to receive a test and have it covered by their insurance. However, the mandate does not extend to covering a test to an employee returning to the office after telework, though it does encourage such coverage. 

Prior to today, DISB had required payers to cover tests that fell under CDC guidance for testing. Now, insurers must cover one COVID-19 test per week for some asymptomatic people in high-risk settings, are at-risk for complications, or have been exposed to a recently diagnosed person. 

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Public Health News

 

Mayor Orders Payers to Cover More COVID-19 Testing

Aug 25, 2020, 13:24 PM by MSDC Staff
Mayor Bowser expands the categories of people who are eligible for covered COVID-19 testing.

Recognizing the importance of robust testing, today Mayor Muriel Bowser and the Department of Insurance, Securities, and Banking (DISB) issued an order requiring health insurers to cover the cost of COVID-19 testing for more categories of at-risk individuals.

The measure, seen here, requires all carriers offering health plans in the District to "cover testing to diagnose COVID-19 for individuals who meet the standards" defined by DC Health. People seeking tests will not require prior authorization or a referral from a physician to receive a test and have it covered by their insurance. However, the mandate does not extend to covering a test to an employee returning to the office after telework, though it does encourage such coverage. 

Prior to today, DISB had required payers to cover tests that fell under CDC guidance for testing. Now, insurers must cover one COVID-19 test per week for some asymptomatic people in high-risk settings, are at-risk for complications, or have been exposed to a recently diagnosed person. 

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