COVID-19 (Coronavirus): Member coverage for treatment

March 31, 2021

This article was revised on March 31, 2021, to update the coverage effective dates and move the testing information to a separate article. To learn about billing and coding for COVID-19 testing, please read this article.

Member  coverage for COVID-19 treatment

Effective March 30, 2020, through June 30, 2021, AmeriHealth will cover the treatment of COVID-19 as follows:

  • AmeriHealth will waive cost-sharing for in-network, inpatient, acute care treatment of members diagnosed with COVID-19, whether for medical or behavioral health.

  • AmeriHealth will waive cost-sharing for emergency department visits associated with admissions for in-network, in-patient, acute care treatment of COVID-19 whether for medical or behavioral health.

For services not related to COVID-19, we will continue to apply the appropriate member cost-sharing.

This includes members enrolled in our fully insured commercial plans and the individual and family plans available through the Affordable Care Act.

Note: AmeriHealth Pennsylvania self-funded customers can opt out of waiving cost-sharing for the treatment of COVID-19.

AmeriHealth will reimburse health care providers for the treatment of COVID-19 as outlined above at their contracted rates including the member cost-share amount.

AmeriHealth is committed to providing our members with access to the care they need during the COVID-19 pandemic. We encourage all AmeriHealth members and providers to visit our dedicated COVID-19 AmeriHealth New Jersey or AmeriHealth Pennsylvania webpage regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.

Approved drugs to treat patients

AmeriHealth will cover the use of approved drugs for the treatment of patients who have been diagnosed with COVID-19. Read the full article to learn more.

Learn more

Read more about coverage of services related to COVID-19 in the News Articles posted on our Medical and Claim Payment Policy Portal.