In effort to expand testing capabilities, U.S.An order can often take place as part of being tested at a COVID-19 drive-through test site or purchasing a direct-to-consumer/home-based test. An order from an authorized health care professional is required for covered COVID-19 tests for Aetna Commercial and Medicare plans.The policy aligns with Families First legislation and regulations requiring all health plans to provide coverage of COVID-19 testing without cost share. Cost-sharing waiver applies to testing performed or ordered by in-network or out-of-network providers.This policy for diagnostic and antibody testing applies to Commercial, Medicare and Medicaid plans. Aetna’s health plans do not cover serological (antibody) tests that are for purposes of: return to work or school or for general health surveillance or self-surveillance or self-diagnosis, except as required by applicable law. Aetna will cover, without cost share, serological (antibody) tests that are ordered by a physician or authorized health care professional and are medically necessary. Aetna’s health plans generally do not cover tests performed at the direction of a member’s employer in order to obtain or maintain employment or to perform the member’s normal work functions or for return to school or recreational activities, except as required by applicable law. This applies to direct-to- consumer/home-based diagnostic or antigen tests.
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