COVID-19: What you need to know in Texas

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Members with individual and family or employer group pharmacy coverage*

The COVID-19 National Emergency and Public Health Emergency declarations ended on May 11, 2023. As a result, coverage of COVID-19-related services has changed, effective for dates of service on or after May 12, 2023. See below for details:

COVID-19 vaccines

• In network: Moda Health will continue to cover COVID-19 vaccines at no cost-sharing.
• Out of network: Moda Health will continue to cover COVID-19 vaccines at no cost-sharing.

COVID-19 tests

• Over-the-counter tests: Moda Health will no longer cover COVID-19 at-home tests.
• Lab tests: COVID-19 lab tests will have the same coverage and cost-sharing as standard lab tests. See your Member Handbook or visit your Member Dashboard for details.

*Please note these changes broadly apply to most fully- insured plans. Self-funded plans may or may not offer this same coverage. To find out if you are enrolled in a self-funded plan, refer to the bottom of your ID card for "third-party administrator" language. If you are enrolled in a self-funded plan, contact customer service to learn about COVID-19 coverage available to you.

Additional resources

It is important to continue to obtain information, data and updates from credible health care sources on the front lines of studying the virus, such as the CDC.