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New coverage provisions for WPS Health Insurance and Arise Health Plan

MADISON, Wis.—July 28, 2020—WPS Health Insurance and Arise Health Plan are adding new coverage provisions for customers in selected health plans, including some related to COVID-19.

“We realize that the COVID-19 pandemic continues to present significant challenges for health care consumers. The new coverage provisions we are announcing today are intended to provide some financial relief for our customers. We want to assist our customers in achieving good health outcomes by making it easier for them to receive the care they need,” says Jim Baird, Executive Vice President of WPS Health Insurance.

Here is a summary of the new coverage:

  • Selective serotonin reuptake inhibitors (SSRIs): Generic drugs used to treat depression are added to the $0 preventive drug list effective July 1, 2020.
  • HIV PrEP: Specific HIV preventive drugs, such as Truvada, are added to the $0 preventive drug list effective July 1, 2020.
  • Insulin $25 cap: Starting at your renewal date on or after Oct. 1, 2020, the maximum you will pay for insulin is $25. The insulin program is not part of the insurance policy and is offered at no additional charge. Enrollment in this program is subject to contract renewal
  • Telehealth related to COVID-19 testing: Services have 0% cost sharing through March 13, 2021.
  • COVID-19 antibody testing: Physician-ordered in vitro diagnostic testing for COVID-19, including antibody testing, is now covered with 0% cost sharing through March 13, 2021.
  • Coverage for furloughed employees: The work exception for group health plans is extended to Aug. 31, 2020.
  • Prior authorization: Requirements are waived for COVID-19 laboratory tests and treatment through Dec. 31, 2020.

Note: Self-funded group health plans have the option to select these benefits except for HIV PrEP, which is a mandated benefit. Those enrolled under a self-funded employer plan should check with their group leader to see if these benefits are covered. Group leaders with questions may contact their WPS Health Insurance or Arise Health Plan account manager.

For more information about COVID-19, including answers to frequently asked questions, visit these pages for WPS Health Insurance and Arise Health Plan.




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