As the government races to push out relief for Americans, and businesses, the newest stimulus package, may include a ban on surprise billing for those affected with COVID-19. For providers and hospitals who receive assistance from the government, lawmakers are considering a ban on billing patients for any part of COVID-19 treatment that is denied by insurance. Read more about surprise billing for coronavirus.
The company ehealth conducted a study and invited the leading insurance companies they have a relationship with to respond. In a surprising turn, 83 percent of insurance companies surveyed said they do not anticipate the coronavirus outbreak to cause an increase in premiums in 2021. In fact, 97 percent said they are waiving the cost of testing for coronavirus and 60% are allowing their members affected by COVID-19 to defer premiums. For more statistics about this survey read here.
The American Dental Association (ADA) has written a letter to third-party payers asking for third-party administrators of dental plans to consider changes in coding and billing due to COVID-19. The ADA highlighted several areas they would like administrators to consider. These include:
Read more about the ADA’s requests here.
Source: American Dental Association
Despite the fact the United States is in lockdown for social distancing, ERISA (Employee Retirement Income Security Act) lawsuits are still continuing to move forward. According to PlanSponsor.com, it’s important for plan sponsors to pay attention to what is continuing to happen, as judges are still ruling on motions and conducting business through ECF—an electronic filing system. It’s unclear yet if a plan fiduciary could be accused of failing in its ERISA duties during the pandemic. However, these kinds of lawsuits should be considered when managing a retirement plan. Overall, it’s important to remember to monitor ERISA cases to avoid surprises after the COVID-19 crises is past us. Read more about ERISA planning here.