On Medicare? What You’ll Pay for Now That the PHE Has Ended
The Biden administration officially ended the COVID-19 Public Health Emergency on May 11, 2023. Certain policies that were implemented in early 2020 during the public health emergency will now expire. As a result, seniors are among those who may see some of the health care costs related to COVID-19 change. Other health care services may or may not be affected, depending on what type of coverage you have.
Posted on May 22, 2023
Here are some of the highlights:
If You Are Enrolled in Original Medicare
With the end of the COVID-19 public health emergency, you will likely have to pay for:
At-home and over-the-counter COVID tests
Care in a skilled nursing facility if you have not first spent at least three days in a row admitted to a hospital (Note that being “under observation” at a hospital is not the same as being “admitted.”)
You generally willnot have to pay for:
Laboratory COVID tests ordered by a health care provider, if you have Medicare Part B (Note that you may have to pay for part of the cost for your visit to the health care provider’s office)
COVID vaccines and boosters from a health care provider who takes Medicare
COVID oral antiviral treatments such as Paxlovid
In most cases, you will continue to have access to telehealth services from home through the end of 2024
With the end of the public health emergency, Medicare beneficiaries with Part D coverage may no longer receive three-month supplies of prescription medications
5 Things to Know About
When You Turn Sixty-Five
If You Are a Medicare Advantage Member
Now that the public health emergency has ended, you may have to pay at least part of the cost for:
At-home and over-the-counter COVID tests
Laboratory COVID tests ordered by a health care provider, including part of the cost of your visit to the health care provider’s office
Visits to out-of-network physicians
You willnot have to pay for:
COVID vaccines provided by an in-network physician
Check with your individual plan regarding telehealth service access
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