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About COVID-19 Costs

When the public health emergency ended on May 11, 2023, some COVID-19 coverage changed.

  • COVID-19 vaccines are covered at your preventive benefit level (at an in-network provider’s office or in-network pharmacy).
  • Lab tests to diagnose COVID-19 are covered at your regular benefit level.
  • Over-the-counter COVID-19 diagnostic tests are not covered through your medical or pharmacy benefits.
  • Testing-related visits are covered at your regular benefit level.
  • The FDA-authorized oral anti-viral prescription medicines to treat mild to moderate COVID-19 may be covered under your pharmacy benefit. These medicines are Paxlovid and Lagevrio (molnupiravir). There is a limit of one course of treatment every 90 days per person. You will pay your member cost share, based on your benefit plan.

Benefits for members of self-funded plans may vary. If you are unsure what your plan covers, contact your benefits administrator or call BCBSTX Customer Service at the number listed on your member ID card.

Remember to use your BCBSTX member ID card for your doctor’s visit and testing to help with the reimbursement process.

*Grandfathered plans may not cover the cost of vaccines, including the COVID-19 vaccine.
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