Fidelis Care covers treatment services related to COVID-19, including inpatient hospital treatment, and will be waiving all cost sharing for COVID-19 treatment effective retroactively to February 4th, 2020. To ensure that cost-sharing is not a barrier to testing or treatment, Fidelis Care will cover services including testing and treatment for COVID-19 and for physician, clinic, urgent care, inpatient admissions, and emergency visits without copays, deductibles, or coinsurances for members across all plans.
Effective February 4, 2020, providers are responsible to ensure any copays, coinsurance, or deductible charges are waived for Fidelis Care members at the time of an office visit, urgent care visit, clinic, inpatient admission, or emergency room visit when the purpose of that visit is testing or treatment for COVID-19. If you provided treatment to a member during this time and collected any copays, deductible or coinsurance, Fidelis Care expects you to refund the money collected to the member.
Effective for dates of service on & after June 1, 2021 Fidelis Care plans to reinstate contractual member cost share responsibility for our Medicare Lines of Business on any/all services for COVID treatment, telehealth services, & behavioral health services.
Effective for dates of service on & after June 15, 2021 Fidelis Care has reinstated contractual member cost share responsibility for our Health Exchange & Essential Plan Lines of Business on behavioral health services. For Behavioral Health services rendered via telehealth, the telehealth cost share waiver should remain applicable until June 28th, 2021.
Effective for dates of service on & after June 28th, 2021, Fidelis Care plans to reinstate contractual member cost share responsibility for Telehealth services on the Health Exchange Lines of Business.