Coronavirus (COVID-19) Information for Providers

For general information on Coronavirus/COVID-19, click here.

UHA is committed to the health, well-being and safety of our members, employers and associates, and is working to ensure our members have information and access to the care that they need.

To ensure that we can be here for you, we’ve been actively working with UHA’s own associates to safeguard their health. To the extent possible, our associates are telecommuting and practicing several other social distancing measures so we can continue to serve our members, employers and providers.

Payment policies for medical services related to COVID-19

Telehealth Services Payment Policy

View the full details of our expanded telehealth services in support of CDC guidelines and federal mandates effective March 01, 2020.

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Telehealth Services Payment Policy

View the full details of our expanded telehealth services in support of CDC guidelines and federal mandates effective March 01, 2020.

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COVID-19 Diagnostic Testing Payment Policy

UHA will cover COVID-19 Diagnostic Testing when the test is, at the time of service, congruent with updated CDC guidelines. Coverage is subject to change contingent upon evolving CDC guidelines. UHA will not cover non-diagnostic testing. UHA follows both federal and state guidelines and mandates.

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COVID-19 Diagnostic Testing Payment Policy

UHA will cover COVID-19 Diagnostic Testing when the test is, at the time of service, congruent with updated CDC guidelines. Coverage is subject to change contingent upon evolving CDC guidelines. UHA will not cover non-diagnostic testing. UHA follows both federal and state guidelines and mandates.

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COVID-19 Serology (IgG or IgM) Testing Payment Policy

COVID-19 Serology (IgG or IgM) testing is a covered benefit under the federal COVID-19 state of emergency and when the test meets the state statutory definition of “medical necessity.” UHA must follow both federal and state guidelines and mandates.

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COVID-19 Serology (IgG or IgM) Testing Payment Policy

COVID-19 Serology (IgG or IgM) testing is a covered benefit under the federal COVID-19 state of emergency and when the test meets the state statutory definition of “medical necessity.” UHA must follow both federal and state guidelines and mandates.

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COVID-19 testing and diagnosis codes

UHA Health Insurance is covering 100% of the cost for all* services related to the diagnosis of COVID-19. For inpatient hospitalizations, UHA is paying 100% of the UHA eligible charge. Member co-pays, coinsurance and deductibles will be waived during the federal COVID-19 state of emergency. Claims submitted with the following ICD-10 diagnosis codes defined by the Center for Disease Control (CDC) will be identified as the diagnosis or treatment of COVID-19.

  • U07.1 
  • Z03.818
  • Z20.828
  • Z11.59

Reference: CDC Coding Guidelines

Claims without the CDC identified COVID-19 related diagnosis codes will be processed to include co-pays, coinsurance and deductibles defined in the member’s plan medical benefits guide. We appreciate you working with us to ensure those individuals and families affected by COVID-19 are not negatively financially impacted.

*COVID-19 tests must be ordered by an attending healthcare provider who has determined that the test is medically appropriate for the individual based on current accepted standards of medical practice and the test otherwise meets federal statutory criteria.

Telehealth coverage during the federal COVID-19 state of emergency

To allow Providers to better serve our members as changes quickly occur during the federal COVID-19 state of emergency:

  • All copays, coinsurance and deductibles are waived for all telemedicine encounters with a UHA participating provider* for the duration of the federal COVID-19 state of emergency regardless of the primary purpose of the visit.
  • UHA Health Insurance is covering standard telephone calls when pertinent and sufficient information to support medically necessary decision making is exchanged.
  • Providers are no longer limited to web-based, video conferencing or asynchronous information exchange tools.

* Telehealth visits with a non-participating provider are also covered at 100% when COVID-19 related. Otherwise, standard benefits will apply when telehealth service is rendered by a non-participating provider.

These changes in policy mirrors industry standards set by Medicare, America’s Health Insurance Plans recommendations and other national carriers.

We believe this will allow you to continue to provide care to your patients without requiring face-to-face visits for patients who are experiencing COVID-19 related symptoms or who are in need of medical advice but unable to seek face to face care because of the COVID-19 crisis.

If you have any questions, please call our Health Care Services Specialists at 808.532.4006 or toll free 800.458.4600, ext. 300.

COVID-19 FAQs for Providers