Book of Business
Commission levels, contact information, summary of benefits, etc

Small Group Quoting
Request quotes, view and edit quotes, purchase plans

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

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 doesn’t 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.

Your self-funded clients will need to follow all the changes outlined above unless the plan’s sponsor requests 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 clients, visit

All plans offered and underwritten by Kaiser Foundation Health Plan of Washington

© 2023 Kaiser Foundation Health Plan of Washington