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

PEBTF (Pennsylvania Employees Benefit Trust Fund)

Lab testing: If you have a PEBTF plan, the COVID -19 diagnostic test is covered without copays and deductibles.  The policy will cover the test kit for members who meet CDC guidelines for testing in any approved laboratory location. 

Treatment coverage includes: As a comprehensive health insurance plans, PEBTF provides health coverage for medically necessary treatment.  Be sure to check with your insurance company to understand how your coverage and cost sharing will apply.  Also check your health insurance company's network list of providers and hospitals, if possible. Try to go to a hospital that is considered in-network by your health insurance plan. Some health plans do not provide coverage for out-of-network care, although exceptions can be made in unique circumstances including emergencies.

If you are admitted into a hospital for monitoring and observation your co-payments, co-insurance, and deductiblesmay apply.

Telehealth Coverage: PEBTF covers telehealth visits and is currently waiving the associated cost-sharing

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