Updates on Medicare and COVID-19 Coverage

As your advisors in Medicare, we keep you informed on updates regarding the COVID-19 pandemic as it relates to you and your Medicare plan. We’ve collected important information for you to know now that states have started distributing the COVID-19 vaccine.

Three FDA Approved COVID-19 Vaccines

Recently, Johnson & Johnson announced that its single-dose COVID-19 vaccine has been issued as Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA). This vaccine is proven to be 85 percent effective at preventing severe diseases and 100 percent effective at protecting against COVID-19 related hospitalizations and deaths.

To date, there are now three FDA approved vaccines: Pfizer, Moderna, and Johnson & Johnson.

According to the FDA, the Johnson & Johnson vaccine only requires one dose, while the Moderna and Pfizer vaccines require two doses of the same vaccine to build immunity to the coronavirus.

Updated COVID-19 Guidelines

The latest COVID-19 guidelines released by The Centers for Disease Control and Prevention (CDC) allows fully vaccinated individuals to:

  • Meet with other fully vaccinated people without physical distancing or wearing masks
  • Visit low risk, unvaccinated individuals from a single household indoors without physical distancing or wearing masks
  • Not have to quarantine or get tested for COVID-19 after being exposed without symptoms

The CDC still warns fully-vaccinated individuals to continue taking precautions, such as:

  • Wearing a mask in public
  • Physically distancing in public or when visiting multiple households
  • Getting tested for COVID-19 if experiencing symptoms
  • Refraining from gathering in medium- and large-sized groups

Vaccination Rollout

Each state is rolling out the COVID-19 vaccines differently. We highly recommend that you visit your state’s website for more information:

Ohio has introduced a tool called “Vaccine Management Solution (VMS)” that helps you determine if you’re eligible to receive the vaccine. With this tool, you can also find providers and opt-in to receive updates when eligibility expands. To find out if you’re eligible to receive the vaccine, visit this website! You can also contact your provider for your next steps.

Which COVID-19-Related Services Does Medicare Cover?

As the Centers for Medicare and Medicaid Services (CMS) previously announced, the COVID-19 vaccines are fully covered for Medicare beneficiaries both in- and out-of-network. This is because they are considered preventive.

Additionally, Medicare covers the cost of getting a COVID-19 test for individuals who may carry the virus. Medicare beneficiaries won’t be charged the Part B deductible or coinsurance for the test. However, you must order your test through a doctor. Medicare won’t cover a test if you order it directly.

You also won’t be charged for COVID-19-related services such as:

If you’re on a Medicare Advantage plan, you may have access to additional benefits.

COVID-19 and Medicare Fraud

It’s important to be on the lookout for Medicare fraud related to the coronavirus. Some examples of fraudulent activity to be cautious of include:

  • Someone offering to put your name on a list to receive the vaccine, but only if you pay a fee
  • A company promising you a reward or benefit at a price
  • Receiving a call or visit from someone offering COVID-19-related products, services, or supplies
  • Being asked for your Medicare Number or Social Security Number
  • Anyone who visits your home claiming to be a Medicare official

Please contact us if you suspected you’re being scammed.

If you have any further questions about your plan’s COVID-19 coverage, please reach out to our client advisors! Call us at 1-877-222-1942 or email client@retiremediq.com.

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