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Vaccination coverage requirements for group health plans

Here's a brief overview of compliance obligations affecting group health plans’ coverage of COVID-19 preventive services.

By Dennis Fiszer | February 10, 2021 at 10:05 AM
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COVID vaccine vialFor now, the federal government is picking up the cost of the vaccine itself; however, vaccination providers will be able to charge an “administration fee” for giving the shot to someone.

With COVID-19 vaccination access ramping up across the United States, group health plan sponsors should carefully consider the new coverage requirements mandated for these vaccines. Specifically, Congress directs group health plans to cover COVID-19 vaccines under the familiar framework of the Affordable Care Act’s (ACA) preventive services rule. This article offers a brief overview of compliance obligations affecting group health plans’ coverage of COVID-19 preventive services (specifically the vaccine) as well as other important employer concerns.

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