Other place of service not identified above. These codes should be used on professional claims to specify the entity where service(s) were rendered. Primary care physician referrals for specialist office visits were temporarily waived for Individual & Family Plans (IFP) in Illinois and for all SureFit plans through May 31, 2021. If a provider administers a quick uniform screening (questionnaire) that does not result in a full evaluation and management service of any level, and then performs a COVID-19 test OR a collection service, they should bill only the laboratory code OR collection code. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services. Cigna will reimburse Remdesivir for COVID-19 treatment when administered in inpatient or outpatient settings at the national CMS reimbursement rate (or average wholesale pricing [AWP] if a CMS rate is not available) when the drug costs are not included in case rates or per diems to ensure timely, consistent, and reasonable reimbursement. website belongs to an official government organization in the United States. Yes. Cigna allowed providers to bill a standard face-to-face visit for all virtual care services, including those not related to COVID-19, through December 31, 2020 dates of service. At a minimum, we will always follow Centers for Medicare & Medicaid Services (CMS) telehealth or state-specific requirements that apply to telehealth coverage for our insurance products. Certain home health services can be provided virtually using synchronous communication as part of our R31 Virtual Care Reimbursement Policy. Thanks for your help! Cigna does not generally cover tests for asymptomatic individuals when the tests are performed for general public health surveillance, for employment purposes, or for other purposes not primarily intended for individualized diagnosis or treatment of COVID-19. A facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities. Billing the appropriate administration code will ensure that cost-share is waived. Cigna will cover the administration of the COVID-19 vaccine with no customer cost-share even when administered by a non-participating provider following the guidance above. (Receive an extra 25% off with payment made by Mastercard.) ICD-10 diagnosis codes that generally reflect non-covered services are as follows. A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided. We did not make any requirements regarding the type of technology used. Please note that state and federal mandates, as well as customer benefit plan design, may supersede this guidance. We are awaiting further billing instructions for providers, as applicable, from CMS. New/Modifications to the Place of Service (POS) Codes for Telehealth. However, we believe that FDA and EUA-approved vaccines are safe and effective, and encourage our customers to get vaccinated. Get non-narcotic prescriptions sent directly to your local pharmacy, if appropriate. Telehealth can provide many benefits for your practice and your patients, including increased One of our key goals is to help customers connect to affordable, predictable, and convenient care anytime, anywhere. Cigna will generally not cover molecular, antigen, or antibody tests for asymptomatic individuals when the tests are performed for general population or public health surveillance, for employment purposes, or for other purposes not primarily intended for individualized diagnosis or treatment of COVID-19. Because we believe virtual care has the potential to help you attract and retain patients, reduce access barriers, and contribute to your ability to provide the right care at the right time, we implemented a Virtual Care Reimbursement Policy for commercial medical services, effective January 1, 2021.1 This policy ensures you can continue to receive ongoing reimbursement for virtual care provided to your patients with Cigna commercial medical coverage.2. Claims for services that require precertification, but for which precertification was not received, will be denied administratively for FTSA. Cigna covers the administration of the COVID-19 vaccine with no customer cost-share (i.e., no deductible or co-pay) when delivered by any provider or pharmacy. When specific contracted rates are in place for COVID-19 specimen collection, Cigna will reimburse covered services at those contracted rates. Heres how you know. For the immediate future, we will continue to reimburse virtual care services consistent with face-to-face rates. For example, if a dietician or occupational therapist would typically see a patient in an outpatient setting, but that service is now provided virtually, that dietician or occupational therapist would bill the same way they do for that face-to-face visit using the existing codes on their fee schedule and existing claim form they typically bill with (e.g., CMS 1500 or UB-04) and append the GQ, GT, or 95 modifier. over a 7-day period. Share sensitive information only on official, secure websites. Cigna will allow direct emergent or urgent transfers from an acute inpatient facility to a second acute inpatient facility, skilled nursing facility (SNF), acute rehabilitation facility (AR), or long-term acute care hospital (LTACH). A facility or distinct part of a facility for psychiatric care which provides a total 24-hour therapeutically planned and professionally staffed group living and learning environment. Please review the Virtual care services frequently asked questions section on this page for more information. Cigna Telehealth Place of Service Code: 02 Cigna Telehealth CPT Code Modifier: 95 We charge a percentage of the allowed amount per paid claim (only paid claims) No per claim submission fee No annual or monthly subscription fee For dates of service April 1 - June 30, 2022, Cigna will apply a 1% payment adjustment. 3 Biometric screening experience may vary by lab. All synchronous technology used must be secure and meet or exceed federal and state privacy requirements. Billing an evaluation and management (E/M) code when that level of service is not provided is fraudulent billing and is expressly prohibited. When no specific contracted rates are in place, Cigna will reimburse covered services at the established national CMS rates to ensure timely, consistent, and reasonable reimbursement. Telehealth CPT codes 99441 (5-10 minutes), 99442 (11-20 minutes), and 99443 (20-30 minutes) Reimbursements match similar in-person services, increasing from about $14-$41 to about $60-$137, retroactive to March 1, 2020 When providers purchase the drug itself from the manufacturer (e.g., bebtelovimab billed with Q0222), Cigna will reimburse the cost of the drug when covered. Sign up to get the latest information about your choice of CMS topics. Cigna does require prior authorization for fixed wing air ambulance transport. As our virtual care strategy evolves in the future, we are committed to remaining transparent with you about any potential changes to reimbursement. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. When specific contracted rates are in place for COVID-19 specimen collection, Cigna will reimburse covered services at those contracted rates. To receive payment equivalent to a normal face-to-face visit you will not bill POS 2 and instead will follow Medicare guidance to bill POS 11 as if care was delivered in the office during COVID-19. Before sharing sensitive information, make sure youre on a federal government site. No. Medicare telehealth services practitioners use "02" if the telehealth service is delivered anywhere except for the patient's home. Yes. As of January 1, 2021, we implemented a new Virtual Care Reimbursement Policy to ensure permanent coverage of virtual care services. In certain cases, yes. Yes. Inpatient COVID-19 care that began on or before February 15, 2021, and continued on or after February 16, 2021 at the same facility, will have cost-share waived for the entire course of the facility stay. In all cases, reimbursement will only be provided for hospital outpatient services performed in a clinic setting (including drive-thru testing sites) when billed on a UB-04 claim form with an appropriate revenue code. Cigna will allow reimbursement for these codes by any provider or facility only when billed without any other codes (except where the contract allows it). Yes. Yes. Yes. The Department may not cite, use, or rely on any guidance that is not posted These codes should be used on professional claims to specify the entity where service (s) were rendered. Prior authorization is not required for COVID-19 testing. And as customers seek more convenient and safe care options, we continue to see growing interest in virtual care (i.e., telehealth) especially from consumers and their providers who want to ensure they have greater access and connection to each other. Cigna will not make any limitation as to the place of service where an eConsult can be used. No. that insure or administer group HMO, dental HMO, and other products or services in your state). MVP will email or fax updates to providers and will update this page accordingly. Please review these changes by going to the Provider FastFax page and selecting fax number 30. Please review the Virtual Care Reimbursement Policy for additional details on the added codes. Modifier 95, indicating that you provided the service via telehealth. 4 Due to state laws governing teledentistry, this service is not available to residents of Texas. List the address of the physician for the telehealth visit on the CMS1500 claim. Home Visit Codes New Patient: 99343 Established Patient: 99349 Place of Service (POS): 12 - Home Office Visit Codes New Patient: 99203 Established Patient: 99213 Place of Service (POS): 11 - Office Telephone Call Codes Established Patient: 99442 Place of Service (POS): 11 - Office Modifiers GQ - Store-and-forward (asynchronous) When billing for the service, indicate the place of service as where the visit would have occurred if in person. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. No. Urgent care centers will not be reimbursed separately when they bill for multiple services. For more information, including details on how you can get reimbursed for these tests from original Medicare when you directly supply them to your patients with Part B or Medicare Advantage plans, please, U0003: $75 per test (high-throughput PCR-based coronavirus test)*, U0004: $75 per test (any technique with high-throughput technology)*, U0005: $25 (when test results are returned within two days)*, Routine and/or executive physicals (Z02.89). The facility that the patient is being transferred to (e.g., SNF, AR, or LTACH) is responsible for notifying Cigna of admissions the next business day. ** The Benefits of Virtual Care No waiting rooms. Are reasonable to be provided in a virtual setting; and, Are reimbursable per a providers contract; and, Use synchronous technology (i.e., audio and video) except 99441 - 99443, which are audio-only services, Most synchronous technology to be used (e.g., FaceTime, Skype, Zoom, etc. The ICD-10 codes for the reason of the encounter should be billed in the primary position. No. Yes. Otherwise, urgent care centers will be reimbursed only their global fee when vaccine administration and a significant and separately identifiable service is performed. In these cases, providers should bill their regular face-to-face codes that are on their fee schedule, and add the GQ, GT, or 95 modifier to indicate the services were performed virtually. (Effective January 1, 2020). We request that providers do not bill any other virtual modifier, including 93 or FQ, until further notice. The U.S. Food and Drug Administration (FDA) recently approved for emergency use two prescription medications for the treatment of COVID-19: PaxlovidTM (from Pfizer) and molnupiravir (from Merck). Generally, only well-equipped commercial laboratories and hospital-based laboratories will have the necessary equipment to offer these tests. We continue to make several other accommodations related to virtual care until further notice. means youve safely connected to the .gov website. What place of service code should be used for telemedicine services? When no specific contracted rates are in place, Cigna will reimburse covered services consistent with the CMS reimbursement rates noted below to ensure timely, consistent and reasonable reimbursement. Check with individual payers (e.g., Medicare, Medicaid, other private insurance) for reimbursement policies regarding these codes. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Telehealth Provided Other than in Patients Home, Process for Requesting New Codes or Modification of Existing Codes, Place of Service Codes for Professional Claims (PDF), A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. POS 10 Telehealth provided in a patient's home was created for services provided remotely to a patient in their private residence. We are actively reviewing all COVID-19 state mandates and will continue to share any changes and more details around coverage, reimbursement, and cost-share as applicable. A facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Providers should bill this code for dates of service on or after December 23, 2021. (Effective January 1, 2003). Per usual policy, Cigna does not require three days of inpatient care prior to transfer to a SNF. PCR and antigen tests: U0001, U0002, U0003, U0004, U0005, 87426, 87428, 87635, 87636, 87637, and 87811. We covered codes 99441-99443 as part of these interim COVID-19 guidelines, and continue to cover them as part of the R31 Virtual Care Reimbursement Policy. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically **, Watch this short video to learn more about virtual care with MDLivefor Cigna.(Length: 00:01:33). . Yes. Reimbursement for codes that are typically billed include: Yes. No virtual care modifier is needed given that the code defines the service as an eConsult. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! The codes should not be billed if the sole purpose of the consultation is to arrange a transfer of care or a face-to-face visit. Cigna Telehealth Service is a one-stop mobile app for having virtual consultation with doctors in Hong Kong as well as getting Covid-19 self-test kit & medication delivered to your doorstep. PT/OT/ST providers could deliver virtual care for any service that was on their fee schedule for dates of service through December 31, 2020. Billing Guidelines: Optum will reimburse telehealth services which use standard CPT codes for outpatient treatment and a GT, GQ or 95 modifier for either a video-enabled virtual visit or a telephonic session, to indicate the visit was conducted remotely. Cigna will not reimburse providers for the cost of the vaccine itself. Washington, D.C. 20201 Treatment is supportive only and focused on symptom relief. Because we believe virtual care has the potential to help you attract and retain patients, reduce access barriers, and contribute to your ability to provide the right care at the right time, we wanted to implement a policy that ensures you can continue to receive ongoing reimbursement for virtual care that you deliver to your patients with Cigna commercial medical coverage. Through this feedback and research, we developed a list of covered services that we believe are most appropriate to be offered virtually across multiple specialties. Yes. Denny and his team are responsive, incredibly easy to work with, and know their stuff. Free Account Setup - we input your data at signup. This is true for Medicare or other insurance carriers. Services may be rendered via telemedicine when the service is: A covered Health First Colorado benefit, Within the scope and training of an enrolled provider's license, and; Appropriate to be rendered via telemedicine. While the R31 Virtual Care Reimbursement Policy that went into effect on January 1, 2021 only applies to claims submitted on a CMS-1500 claim form, we will continue to reimburse virtual care services billed on a UB-04 claim form until further notice when the services: Please note that existing reimbursement policies will apply and may affect claims payment (e.g., R30 E&M Services). We also referenced the current list of covered virtual care codes by the CMS to help inform our coverage strategy. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? Toll Free Call Center: 1-877-696-6775. Cigna allows modifiers GQ, GT, or 95 to indicate virtual care for all services. However, Cigna will still consider requestes for accelerated credentialing on a case-by-case basis. For example, if a patient presents at an emergency room with a suspected broken ankle after a fall and is also tested for COVID-19 during the visit, Cigna would cover services related to treating the ankle at standard customer cost-share, while the COVID-19 laboratory test would be covered at no customer cost-share. Please note that some opt-outs for self-funded benefit plans may have applied. The Outbreak Period is a period distinct from the COVID-19 public health emergency (PHE), which applies to other COVID-related relief measures, such as no-cost share coverage of COVID-19 testing. As always, we remain committed to providing further updates as soon as they become available. As of January 1, 2022, a new POS code has been approved to report more specifically where services were provided. Hospitals are still required to make their best efforts to notify Cigna of hospital admissions in part to assist with discharge planning. We are committed to helping providers deliver care how, when, and where it best meets the needs of their patients. Please note that while virtual care services billed on a UB-04 claim will not typically be reimbursed under this policy, we continue to reimburse virtual care services billed on a UB-04 claim form until further notice as a COVID-19 accommodation when the services: Please note that existing reimbursement policies will apply and may affect claims payment (e.g., R30 E&M Services). Please visit. Cigna will determine coverage for each test based on the specific code(s) the provider bills. All Cigna Customers will pay $0 ingredient cost while funded by government, while Cigna commercial customers will pay up to a $6 dispensing fee when obtained at a pharmacy where the medications are available. Inpatient virtual E&M visits, where the provider virtually connects with the patient, were reimbursable through December 31, 2020 dates of service. Details, Watch this short video to learn more about virtual care with MDLive. Issued by: Centers for Medicare & Medicaid Services (CMS). 4. If a health care provider does purchase the drug, they must submit the claim for the drug with a copy of the invoice. ICD-10 code U07.1, J12.82, M35.81, or M35.89. Yes. . CMS now defines these two telemedicine place of service (POS) codes: POS 02: Telehealth Provided Other than in Patient's Home Descriptor: The location where health services and health related services are provided or received, through telecommunication technology. That is why in 2015, CMS began reimbursing providers for a program called non-complex Chronic Care Management (CCM), billed as the new code CPT 99490. For COVID-19 related screening (i.e., quick phone or video consult): No cost-share for customers through at least, For non-COVID-19 related services (e.g., oncology visit, routine follow-up care): Standard customer cost-share. However, providers are required to attest that their designated specialty meets the requirements of Cigna. An official website of the United States government Modifier CR or condition code DR can also be billed instead of CS. This Change Request implements a new POS code (10) for Telehealth, as well as modifies the description for the existing POS code (02) for Telehealth. When the tests are performed for general population or public health surveillance, for employment purposes, or for other purposes not primarily intended for individualized diagnosis or treatment of COVID-19, Cigna will generally not cover in-vitro molecular, antigen, or antibody tests for asymptomatic individuals. Approximately 98% of reviews are completed within two business days of submission. Specimen collection is not generally paid in addition to other services on the same date of service for the same patient whether billed on the same or different claims by the same provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other . Providers could deliver any face-to-face service on their fee schedule virtually, including those not related to COVID-19, for dates of service through December 31, 2020. A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component. All covered virtual care services will continue to be reimbursed at 100% of face-to-face rates, even when billed with POS 02. This includes: Please refer to the interim COVID-19 virtual care guidelines for a complete outline of our interim COVID-19 virtual care coverage. In addition to the in-office care that you deliver today, we encourage you to consider offering virtual care to your patients with Cigna coverage as well and ensure theyre aware that you can continue to offer ongoing covered virtual care as they need it and as its medically appropriate. Must be performed by a licensed provider. M0222 (administration in facility setting): $350.50, M0223 (administration in home setting): $550.50. For details, see the CMS document titled Place of Service Codes for Professional Claims Database (updated September 2021). For telephone services only, codes are time based. No additional modifiers are necessary. Below is a definition of POS 02 and POS 10 for CMS-1500 forms, alongside a list of major insurance brands and their changes. Claims were not denied due to lack of referrals for these services during that time. When specimen collection is done in addition to other services on the same date of service for the same patient, reimbursement will not be made separately for the specimen collection (when billed on the same or different claims). When all requirements are met, covered services are currently reimbursed at 100% of face-to-face rates (i.e., parity). Cigna will accept roster billing from providers who are already mass immunizers and bill Cigna today in this way for other vaccines (e.g., seasonal flu vaccine), as well as from providers and state agencies that are offering mass vaccinations for their local communities, provided the claim roster includes sufficient information to identify the Cigna customer. The change in the telehealth policy will take effect on January 1, 2022, and be implemented on April 4, 2022. Providers can call Cigna customer service at 1.800.88Cigna (882.4462) to check a patients eligibility information, including if their plan offers coverage for these purposes. If the patient is in their home, use "10". No. Consistent with federal guidelines for private insurers, Cigna commercial will cover up to eight over-the-counter (OTC) diagnostic COVID-19 tests per month (per enrolled individual) with no out-of-pocket costs for claims submitted by a customer under their medical benefit. Effective with January 1, 2021 dates of service, we implemented a new Virtual Care Reimbursement Policy. No. HIPAA requirements apply to video telehealth sessions so please refer to our guide on HIPAA compliant video technology for telehealth to ensure youre meeting the requirements. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Prior authorization (i.e., precertification) is not required for evaluation, testing, or treatment for services related to COVID-19. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Every provider we work with is assigned an admin as a point of contact. A medical facility operated by one or more of the Uniformed Services. (As of 10/14/2020) Where can providers access the telemedicine policy and related codes? In all cases, providers should bill the COVID-19 test with the diagnosis code that is appropriate for the reason for the test. Services not related to COVID-19 will have standard customer cost-share. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). For providers whose contracts utilize a different reimbursement This means that providers could perform services for commercial Cigna medical customers in a virtual setting and bill as though the services were performed face-to-face. R33 COVID-19 Interim Billing Guidelines policy, COVID-19: In Vitro Diagnostic Testing coverage policy, COVID-19 In Vitro Diagnostic Testing coverage policy, Express Scripts discount prescription program, Centers for Medicare & Medicaid Services (CMS) COVID-19 vaccine resources, Cigna Coronavirus (COVID-19) Resource Center, 0001A, 0002A, 0003A, 0004A, 0011A, 0012A, 0013A, 0031A, 0034A, 0041A, 0042A, 0044A, 0051A, 0052A, 0053A, 0054A, 0064A, 0071A, 0072A, 0073A, 0074A, 0081A, 0082A, 0083A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A, 0124A, 0134A, 0144A, 0154A, 0164A, 0173A, and M0201, Virtual screening telephone consult (5-10 minutes), Virtual or face-to-face visit for treatment of a, Drug and administration of infusion treatments for a confirmed COVID-19 case, M0220, M0221, M0222, M0223, M0240, M0241, M0243, M0244, M0245, M0246, M0247, M0248, M0249, Q0222, and M0250, COVID-19 laboratory testing (including PCR, antigen, and serology [i.e., antibody] tests), COVID-19 related diagnostic tests (other than COVID-19 test), Non COVID-19 virtual visit (i.e., telehealth), In-office or facility visit not related to COVID-19, Pfizer-BioNTech COVID-19 Vaccine Administration First Dose, Pfizer-BioNTech COVID-19 Vaccine Administration Second Dose, Pfizer-BioNTech COVID-19 Vaccine Administration Third Dose, Pfizer-BioNTech COVID-19 Vaccine Administration Booster, Moderna COVID-19 Vaccine Administration First Dose, Moderna COVID-19 Vaccine Administration Second Dose, Moderna COVID-19 Vaccine Administration Third Dose, Janssen COVID-19 Vaccine Administration Booster, Novavax COVID-19 Vaccine, Adjuvanted Administration First Dose, Novavax COVID-19 Vaccine, Adjuvanted Administration Second Dose, Novavax COVID-19 Vaccine, Adjuvanted Administration Booster, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - First dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Second dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Third dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Booster, Moderna COVID-19 Vaccine (Low Dose) Administration Booster, Pfizer-BioNTech COVID-19 Pediatric Vaccine Administration First dose, Pfizer-BioNTech COVID-19 Pediatric Vaccine Administration Second dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) Administration Third dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) Administration Booster, Pfizer-BioNTech COVID-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration First dose, Pfizer-BioNTech COVID-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration Second dose, Pfizer-BioNTech COVID-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration Third dose, Moderna COVID-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration First dose, Moderna COVID-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration Second dose, Moderna COVID-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration Third dose, Moderna COVID-19 Vaccine (Blue Cap) 50MCG/0.5ML Administration Booster, Moderna COVID-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration First dose, Moderna COVID-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration Second dose, Moderna COVID-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration Third dose, Pfizer-BioNTech COVID-19 Vaccine, Bivalent (Gray Cap) Administration Booster Dose, Moderna COVID-19 Vaccine, Bivalent (Aged 18 years and older) (Dark Blue Cap with gray border) Administration Booster Dose, Moderna COVID-19 Vaccine, Bivalent (Aged 6 years through 11 years) (Dark Blue Cap with gray border) Administration Booster Dose, Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 5 years through 11 years) (Orange Cap) Administration Booster Dose, Moderna COVID-19 Vaccine, Bivalent (Aged 6 months through 5 years) (Dark Pink Cap and label with a yellow box) Administration Booster Dose, Pfizer-BioNTech COVID-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration Third dose, The initial COVID-19 diagnostic service (virtually, in an office, or at an emergency room, urgent care center, drive thru specimen collection center, or other facility), Specimen collection by a health care provider, Laboratory test (performed by state, hospital, or commercial laboratory; or other provider), Treatment (treatments that Cigna will cover for COVID-19 are those covered under Medicare or other applicable state regulations).
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