UPDATE – Johnson & Johnson COVID-19 vaccine news
As of April 13, 2021, the FDA and CDC are recommending a pause in the use of the Johnson & Johnson (Janssen) COVID-19 vaccine due to a very rare and severe blood clot in some individuals who received it. Safety is a top priority for the CDC, and the use of this vaccine is on hold until these cases and analysis can be further reviewed and assessed later this week. Review this update for more information and how claims will be handled during this time.
COVID-19 billing and temporary provision updates
Last update: February 10, 2021, 5:00 p.m. CT
Patients look to you to help them make the most informed health care decisions. We know patients are asking you about COVID-19 vaccines: how to get vaccinated, should they get vaccinated, why they need to wear masks and more.
We’ve pulled together COVID-19 vaccine information and resources to help you:
We’re working with the American Medical Association (AMA) to help promote their Mask Up campaign and reinforce the importance of wearing masks.
There are flyers you can use around your office and social medica content you can post to help stop the spread of COVID-19. These communication resources may be particularly helpful for health care professionals located in states without mask mandates.
The UnitedHealthcare Vaccine Resource Locator provides information on vaccine rollout plans and locations. This ZIP code-based tool provides digital vaccine resources available through state health departments and retail pharmacies near you. We are updating the locator daily based on the latest available information.
Your role is vital. We’re here to help you answer patient questions about the COVID-19 vaccines. Here are some resources from the American Medical Association (AMA), the Centers for Disease Control & Prevention (CDC) and UnitedHealthcare to get you started:
These resources may be helpful as you manage the claim submission and reimbursement process for COVID-19 vaccine administration:
Reminder: You should not bill UnitedHealthcare members at the time of service for any costs associated with the COVID-19 vaccine. Claims for vaccine administration should be submitted as outlined, based on the member’s benefit plan. There is no cost to the member for the COVID-19 vaccine, and most plans are covering the administration of the COVID-19 vaccine at no cost share for the member.
We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.
We’ll be making daily updates to this site. Be sure to check back often for the latest information.
The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency. Additional benefits or limitations may apply in some states and under some plans during this time.
We will adjudicate benefits in accordance with the member’s health plan.
Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.