The Biden administration wants to require private health insurers to reimburse customers who buy rapid Covid tests, but it’s unclear what payment claims will be accepted
Covid-19 tests for all. The reality may be far different, adding hurdles
It's unclear how consumers with private insurance will get reimbursed for tests, how long they'll have to wait — and how often payment claims will be denied. And those who are uninsured or who have Medicare or Medicaid won’t be able to access the new insurance reimbursement program, though administration officials say they'll have free access through local health care clinics.
Michael Bagel, director of public policy at the Alliance of Community Health Plans, told POLITICO that insurance companies support increasing access to medically necessary Covid-19 testing, but warned setting up a system for consumers to get reimbursed for at-home tests they buy will be operationally challenging for many payers.
“We know that health insurance in our normal health care system makes pricing just kind of exceptional, it enables prices to just be out of control,” Mina said. “This runs the risk of preventing the pressure for economic competition among the companies.” “We're at a precarious point. We need manufacturers to make good on the supply expectations, which means manufacturing the tests, kitting them and getting them ready for distribution,” Aspinall said. “I think that if there are hiccups, we have disruption.”
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