COVID-19 testing and preparation

Home Bulletins Commissioner bulletins – 2020 B-0005-20 March 11, 2020 To:   Health insurers and health maintenance organizations in Texas Re:   COVID-19 testing and preparation UPDATED March 19, 2020 Governor Greg Abbott and the Texas Department of Insurance (TDI) are asking all health insurers and health maintenance organizations operating in Texas to take actions necessary to prevent, test, and treat coronavirus COVID-19 and report those actions to TDI. TDI strongly encourages insurers to waive consumer costs for testing. TDI specifically encourages insurers to consider the following actions related to prevention, testing, and treatment of COVID-19: Waive copayments, co-insurance, and deductibles for COVID-19 testing that is consistent with guidance issued by the Centers for Disease Control and Prevention (CDC).  This includes the cost of the visit to get the test and related testing services. Waive consumer cost-sharing and facilitate expanded use of telemedicine. Cover necessary medical equipment, supplies, and services. Waive penalties, restrictions, and claims denials for necessary out-of-network services. Waive requirements for preauthorization, referrals, notification of hospital admission, or medical necessity reviews for care consistent with CDC guidance. Allow extra time for health providers and facilities to file claims. Authorize payment to pharmacies for up to a 90-day supply of any prescription medication for individuals, regardless of when the prescription was filled. Report your actions TDI asks that insurers report their actions related to consumer cost-sharing and access to services to COVID19Response@tdi.texas.gov . Send updates as they become available. We will make this information available to health-care providers and consumers on the coronavirus resource page on the TDI website. For more information, contact: ChiefClerk@tdi.texas.gov Last updated: 4/11/2022