Notification of Material Modifications to Your Plan (COVID-19 Response)

Please note: This email applies only to fully-insured group plans in Illinois and Iowa. It does not apply to self-funded group plans or individuals on Medicare.

As our communities continue to deal with the impact of COVID-19, the illness caused by the novel coronavirus, we want to inform you of the efforts Health Alliance has taken to ensure that you and your employees have access to the care and support you need during this public health emergency.

To make care more accessible, we have made multiple material modifications to your benefits and coverage. Many of these changes are temporary and will last through the duration of the public health emergency or Stay at Home Orders mandated by state and/or federal directives. For your health plan, modifications include:

• Health Alliance will cover, with no member cost share, appropriate medically necessary diagnostic laboratory testing for COVID-19. This includes serological (antibody) tests for COVID-19, and also tests for other causes of respiratory illness when an individual’s attending provider determines that these tests can help diagnose COVID-19.
• Health Alliance will cover, with no member cost share, COVID-19 testing related visits, whether they occur in a healthcare provider’s office, an urgent care center, an emergency department or via telehealth.
• Health Alliance has temporarily expanded the number and types of telehealth we’ll cover under your plan. These expanded services will be covered in network at no member cost share. We’re covering additional services, including behavioral therapy, during the public health emergency. As always, please remind your employees that they should continue to visit a hospital emergency department for all serious conditions and to call 911 for all emergencies.

These are only a few of the modifications we’ve made to make care more accessible for your employees. Please visit HealthAlliance.org/Coronavirus for the most up-to-date, in-depth description of the modifications we’ve made and the actions we’ve taken.

We’re here for your employees’ well-being. As always, if you have any questions for us, please call Client Support at (217) 902-8151 or email ClientSupport@healthalliance.org.

Sincerely,

Health Alliance