You are here: American University Human Resources COVID-19 AU Medical Benefit Updates

COVID-19 Cost-Sharing Waivers to AU Medical Plan

If you are a participant in the AU medical plan, both CareFirst and Kaiser Permanente are offering waivers for expenses that are related to the diagnosis and treatment of COVID-19.

CareFirst

COVID-19 Cost Share Waiver Information for Participants

Effective Date
for duration of pandemic
Service Cost Share Waiver
must be related to COVID-19? 
In-Network Out-of-Network
2/4/2020 Diagnostic test for COVID-19 YES Member costs waived for deductibles, copays, and coinsurance CareFirst/AU pays 100% up to the allowed amount, but member can be balance billed
2/4/2020 Visits associated with diagnostic testing, regardless of setting YES Member costs waived for deductibles, copays, and coinsurance CareFirst/AU pays 100% up to the allowed amount, but member can be balance billed
2/4/2020 Treatment of COVID-19, regardless of setting YES Member costs waived for deductibles, copays, and coinsurance CareFirst/AU pays 100% up to the allowed amount, but member can be balance billed
3/16/2020 CareFirst Video Visits NO -
Applies to all services
Member costs waived for deductibles, copays, and coinsurance N/A - Care received through CareFirst Video Visit is considered in-network
3/16/2020 Telephone consultation with PCP, OB/GYN, family practice, pediatrics, nurse practitioner NO -
Applies to all services
Not subject to deductibles, copays, or coinsurance Not covered

Kaiser Permanente

Elimination of cost-sharing related to the Coronavirus

Effective March 19, 2020, Kaiser Permanente of the Mid-Atlantic States will waive cost sharing for testing, diagnosis, and treatment of COVID-19. That means that members will not be billed for copays, coinsurances, or deductibles for services to test, diagnose, and treat COVID-19.

Drive-up testing at 6 locations

Kaiser Permanente offers drive-up testing at six locations for members who have a doctor’s order for the tests, in accordance with the latest Centers for Disease Control and Prevention guidelines.

  • South Baltimore Medical Center, MD
  • Gaithersburg, MD
  • Largo, MD
  • Woodbridge, VA
  • Tyson’s Corner, VA
  • Capital Hill Medical Center, DC

Telehealth

Kaiser Permanente is offering even more video and phone visits to increase member access to care for both primary care and specialty care.

Postponement of elective surgeries and procedures

To ensure that they have capacity and equipment to care for the potential of more critically ill patients due to COVID-19, Kaiser Permanente will be postponing/rescheduling elective/non-urgent surgeries and procedures for the next few weeks.