COVID-19: GPA Information - Apex Benefits

GPA

This information is subject to change and is being updated daily, as necessary. Please contact your Account Executive for more information.

GPA


Effective Date

COVID-19 Diagnostic Testing

Deductible, copayments and coinsurance are waived (including Qualified High Deductible Health Plans) Employers will automatically be opted into this benefits

COVID-19 Office Call / Urgent Care and ER Associated Charges when filed with Testing

Deductible, copayments and coinsurance are waived (including Qualified High Deductible Health Plans) Employers will automatically be opted into this benefits

Treatment

Paid according to plan benefits and employers’ wishes. Can pay same as any other illness or change the cost sharing

Telemedicine, Virtual Care

Temporarily amending plans to allow to pay for telemedicine visits other than telehealth vendors

Medication, Early Refills

PBMs have put this in place

Will Carrier provide Stop Loss coverage if a Special Enrollment Period is offered for 4/1 effective date?

n/a

Any limitations to off-cycle Benefit Changes to reduce cost?

Evaluated on a case by case basis

Helpful Information and Tools

GPA Providing amendments to Account Executives to cover the common changes

Special Consideration for customers forced to lay people off due to financial strain

Evaluated on a case by case basis

Grace Day Extension for Claims

Will work with customers on a case by case basis

Grace Day Extension for Premiums

Stop Loss Carrier Controls this

Required Notice for communicating plan changes

Would like as much as possible but no set time frame

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