The Public Health Emergency (PHE) in response to COVID-19 will end on May 11, 2023. The PHE included mandates for full coverage of products and services related to COVID-19 in health care plans. The end of the PHE means that coverage for certain COVID-19 related services will change.

What does this mean for participants in a Princeton Medical Plan?

Effective June 1, 2023, the following changes will apply to Princeton’s health care plans:

• COVID-19 lab testing and related services will be subject to the same regular cost-share under your medical plan that apply to other lab tests and office visits. COVID-19 will be treated like any other illness or condition.
• COVID-19 vaccines (including boosters) will continue to be covered at 100% in-network under the Consumer Directed Health Plan (CDHP), Princeton Health Plan (PHP), and the HMO plan; out-of-network vaccines will be covered at the same cost share as all other vaccines. For the J-1 Visa plan, the vaccine will be covered at 20% after the deductible is met both in-network and out-of-network.
• Over-the-Counter (OTC) at-home diagnostic COVID-19 tests will be covered at a copay of $5 per test if purchased through OptumRx or an in-network pharmacy. Up to four tests per member, per month will be covered. For example, if you purchase a kit with two tests, the copay will be $10. If an OTC at-home COVID-19 test is purchased out-of-network, OptumRx will provide a reimbursement of up to $5 per test, up to four tests per member, per month.

If you have any questions or need assistance, reach out to the Benefits Team at (609) 258-3302 or [email protected].