The federal government ended the COVID-19 public health emergency on May 11

May. 18, 2023

As of May 12, COVID-19 vaccines, testing, and treatment are now covered like any other condition (unless otherwise required by state or local mandates):

  • COVID-19 vaccines are covered under preventive benefits at applicable plan cost shares, typically $0. 
  • COVID-19 PCR tests are covered under the outpatient diagnostic lab benefit at applicable plan cost shares. 
  • COVID-19 home antigen tests aren’t covered, which is consistent with current plan coverage that does not cover over-the-counter tests. 
  • COVID-19 treatment is covered under the drug benefit with applicable plan cost shares. 
  • Out-of-network services for COVID-19 — such as home antigen tests, treatment, and vaccines — only are covered for urgent care and emergency services on HMO and EPO plans, when legally required, or when out-of-network coverage is included in a Kaiser Permanente member’s plan.

If you’re a self-funded plan sponsor, then you’ll need to follow all the changes outlined above unless you request different coverage for COVID-19-related services.

For more details about the end of the federal COVID-19 public health emergency and how it may affect your employees and coverage, visit

All carrier plans offered and underwritten by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc. Self-funded health benefits are insured by an employer, union, or Plan sponsor. Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington, Inc., provide certain administrative services for the self-funded Plan and are not an insurer of the Plan or financially liable for health care benefits under the Plan.

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