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​Who pays for COVID-19 diagnostic testing/treatment if needed? 

Community Health Choices (CHC)

Lab Tests: If you have a Community Health Choices plan, all lab tests, including tests for COVID-19, are covered without copayments or prior authorization

Treatment coverage includes:

  • X-rays and diagnostic testing (no prior authorization required)
  • Hospital care (inpatient and outpatient)
  • Emergency Ambulance Transportation
  • Non-emergency transportation to MA covered appointments
  • Home health services
  • Nursing facility care
  • Prescription drugs (early refills and extended supplies now available)
  • Any medically necessary service for people under the age of 21

*note most CHC enrollees are dually eligible, so Medicare is the primary payer.  Only people over the age of 21 are enrolled in CHC.

Telemedicine Coverage: CHCs follow the Medicare telehealth policy

Types of Virtual Services:

There are three main types of virtual services physicians and other professionals can provide to Medicare beneficiaries:  Medicare telehealth visits, virtual check-ins and e-visits.

Currently, Medicare patients may use telecommunication technology for office, hospital visits and other services that generally occur in-person. For additional information view the Medicare Telemedicine Health Care Provider Fact Sheet.

Services paid the same as if they were rendered face-to-face for both behavioral and physical health