Frequently Asked Questions

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COVID-19 Testing: Members

Q1. What if I have been in close contact with a COVID-19 infected person?

If you have been in close contact with someone with suspected or confirmed COVID-19, whether you are fully vaccinated or not, you should first be evaluated by your healthcare provider and be tested for COVID-19 if indicated to do so.

Q2. Will UHA cover COVID-19 testing if I currently show no COVID-19 symptoms (am asymptomatic)?

UHA will cover COVID-19 diagnostic testing when the test is, at the time of service, in accordance with updated CDC guidelines. Coverage is subject to change contingent upon evolving CDC guidelines. UHA will not cover non-diagnostic testing.

Q3. Under what circumstances should I obtain a COVID-19 test?

The CDC recommends the following individuals should obtain COVID-19 diagnostic testing:

  1. People who have symptoms of COVID-19 who are fully vaccinated with the COVID-19 vaccine should first be evaluated by their healthcare provider and be tested for COVID-19 if indicated to do so.
  2. People without symptoms of COVID-19 who are not fully vaccinated with the COVID-19 vaccine: 
    • who have been in close contact with someone with suspected or confirmed COVID-19, should first be evaluated by their healthcare provider and be tested for COVID-19 if indicated to do so.
    • who have taken part in activities that put them at higher risk for COVID-19, such as travel, attending large social or mass gatherings, or being in crowded indoor settings.
    • who have been asked or referred to get tested by their school, workplace, healthcare provider, state, tribal, local, or territorial health department.

Please review the remaining questions and answers as to whether UHA will provide coverage for a COVID-19 test in specific situations.

Q4. Does UHA cover employer requested or required COVID-19 “screening?”

No. A screening test for COVID-19 is not covered by your UHA plan. A “screening test” for COVID-19 is a test administered to someone with no symptoms. The HDOH and CDC do not currently recommend testing for people who do not have symptoms.

Q5. How do I get COVID-19 testing?

Start with a call to your doctor. If you’re sick and experiencing flu-like symptoms, such as cough or difficulty breathing, and think you have been exposed to COVID-19, call your doctor (primary care physician / PCP) for medical advice. If you’re able, monitor and report your temperature. Your doctor will determine whether you should be tested and can best instruct you on next best steps, including the most appropriate care location to visit and testing protocols.

Q6. Is COVID-19 testing covered by UHA?

Yes, UHA covers 100% for appropriate, medically necessary testing for COVID-19. The guidelines for testing are provided by the CDC and HDOH. Current CDC guidelines can be found here.

For more information on the at-home COVID-19 tests view this Important Notice.

Q7. Does UHA cover COVID-19 antibody testing now that it’s available?

UHA covers antibody tests (serology) when medically necessary and only if one of these CDC guideline criteria are met under the guidance of a provider:

  1. You have been ill for 9 to 14 days and CDC guidelines call for an antibody (blood) test plus the standard COVID-19 (nose swab) test for a more conclusive diagnosis.
  2. Your child has complications that his or her physician determines is related to COVID-19, such as an inflammatory syndrome in children (e.g., as Kawasaki disease or an illness similar to toxic shock).

The test is not currently designed to test individuals wanting to know if they have been previously infected with COVID-19.

Furthermore, the American Medical Association has taken a position on not using serology testing for the sole determination of immunity to COVID-19 secondary to testing limitations along with potential false positive and/or negative results. Read their guidance here.

Therefore, UHA will not pay for antibody tests if the test is solely to show immunity to COVID- 19.

Q8. Does UHA cover COVID-19 testing for travel purposes?

No. UHA does not cover COVID-19 testing for travel purposes.

Q9. When does UHA cover at-home COVID-19 tests?

For more information on the at-home COVID-19 tests view this Important Notice.

Q10. Will UHA reimburse me for the cost of an at-home COVID-19 test?

For more information on the at-home COVID-19 tests view this Important Notice.