COVID-19 Vaccine Information
Below is a summary of the COVID-19 coverage available to all Wellfleet fully insured plan sponsors.
In addition to the above, Wellfleet will follow all federal and state mandates, as required.
| COVID-19 vaccines, including boosters & administration | Covered under the Preventive Services benefit; members pay $0 for the vaccine at in-network locations. Out of Network subject to cost share as defined in the schedule of benefits |
| COVID-19 at-home test kits, also known as over the counter, or OTC test kits | Members will pay the retail cost of OTC test kits. |
| COVID-19 lab tests due to symptoms or exposure | Covered under the Diagnostic Laboratory, Testing and Imaging Services benefit, members will pay their copay, coinsurance or deductible based on the schedule of benefits for In or Out of Network benefits of the plan. |
| COVID-19 treatment including Evaluation & Management Visit (E&M) – Telemedicine, Urgent Care, ER and Office Visits Associated with COVID-19 | Benefits for COVID-19 treatment including associated COVID-19 diagnosis’s will be paid according to the schedule of benefits. Members will pay their copay, coinsurance or deductible based on the In or Out of Network benefits of the plan. |
| COVID-19 anti-viral medications or treatments, like Paxlovid | Benefits will be paid according to the schedule of benefits of the policy. |
Do you have additional questions?
Whether you’re a current Wellfleet Student member, administrator, or partner, contact us with any questions you have. We’ll look forward to hearing from you.
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Wellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company, Wellfleet New York Insurance Company, and Wellfleet Group, LLC. All insurance products are administered or managed by Wellfleet Group, LLC. Product availability is based upon business and/or regulatory approval and may differ among companies.