Commercial members

in California

Commercial members

in Oregon, Washington, Colorado, Georgia, Maryland Washington D.C., Virginia, Hawaii

In-network: COVID-19 vaccines continue to be covered under preventive benefits at applicable plan cost sharing, typically $0.

Out-of-network: COVID-19 vaccinations are no longer covered.

Medicare members

in all Kaiser Permanente markets

In-network: COVID-19 vaccines  continue to be covered by Medicare part B at no cost.

Out-of-network: COVID-19 vaccinations are no longer covered.

Medicaid members

in all Kaiser Permanente markets

Commercial members

in California

Commercial members

in Oregon, Washington, Colorado, Georgia, Maryland Washington D.C., Virginia, Hawaii

Medicare members

in all Kaiser Permanente markets

Medicaid members

in all Kaiser Permanente markets

COVID-19 home antigen tests  continue to be covered at no cost through September 2024. The number of covered tests varies based on state guidelines:

• California, Colorado, Georgia, Hawaii, and Oregon members can continue to get 8 home antigen tests per month.
  
  
• Washington members can continue to get 12 home antigen tests per month.
  
  
• Maryland members can continue to get 4 home antigen tests per 30 days.
  
  
• Virginia members can continue to get 8 home antigen tests per 30 days.

Commercial members

in California

Commercial members

in Oregon, Washington, Colorado, Georgia, Maryland Washington D.C., Virginia, Hawaii

In-network: COVID-19 diagnostic PCR testing is covered under the outpatient diagnostic lab benefit at applicable plan cost-sharing. Testing for other purposes, such as for work, school, or travel is not covered.

Out-of-network: COVID-19 PCR testing is only covered for urgent care and emergency services, when legally required, or when OON coverage is included in a Kaiser Permanente member’s plan.

Medicare members

in all Kaiser Permanente markets

In-network: COVID-19 diagnostic PCR testing is covered under the outpatient diagnostic lab benefit at applicable plan cost-sharing. Testing for other purposes, such as for work, school, or travel is not covered.

Out-of-network (OON): COVID-19 PCR testing is only covered for urgent care and emergency services when legally required or when OON coverage is included in a Kaiser Permanente member’s plan.

Medicaid members

in all Kaiser Permanente markets

Commercial members

in California

Commercial members

in Oregon, Washington, Colorado, Georgia, Maryland Washington D.C., Virginia, Hawaii

In-network: COVID-19 treatment is covered under the drug benefit with applicable plan cost-sharing.

Out-of-network: COVID-19 treatment is only covered for urgent care and emergency services, when legally required, or when OON coverage is included in a Kaiser Permanente member’s plan.

Medicare members

in all Kaiser Permanente markets

In-network: COVID-19 treatment is covered under the Medicare Part B drug benefit with applicable plan cost-sharing.

Out-of-network (OON): Coverage for COVID-19 treatment from an out-of-network provider is no longer covered, per federal guidance.

Medicaid members

in all Kaiser Permanente markets