Federal and state officials have few options to force insurers to cover the coronavirus for free. Columnist hiltzikm explains:
By limiting sick leave and free healthcare, the U.S. system will promote the spread of coronavirus.
As of now, Bagley writes, “the federal government simply does not have the legal power to require employers to cover coronavirus testing without cost-sharing.” If you needed one more data point about the drawbacks of America’s fragmented and dysfunctional healthcare delivery structure, here it is. That’s not all. The commitments made by the states, the federal government and insurers have been carefully worded to apply only to coronavirus testing. For the most part, they’re silent on what happens to a patient if a test comes up positive. None has made a commitment to coverThat could discourage people from even asking for a test — individuals whose tests reveal an infection might realize that they’re facing a potentially costly stay in a hospital and might choose not to know.
Placing coronavirus tests on the list means that their costs will be covered for Medicaid patients. But it doesn’t mandate a waiver of cost-sharing for Medicare, private or ACA plans. “Insurers can impose cost-sharing for EHBs, and could do so for a COVID-19 test,” Bagley observed, calling Pence’s designation of the test as an EHB “a completely meaningless statement.”
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