Coverage will be provided for up to 8 tests per month per member.
Coverage of Covid-19 testing is not a guarantee of test availability. By submitting a reimbursement claim form, you acknowledge the COVID-19 test is for diagnosis or treatment purposes only and is not being used for other purposes including work requirements or travel requirements. Proof of delivery of online purchases is required for reimbursement. Mountain Health CO-OP will not reimburse postage costs for online purchases.
Our standard benefit plan design has resumed effectiveness as of May 11, 2023 with the ending of the Public Health Emergency. Mountain Health Co-Op will continue covering COVID testing, vaccines, boosters and expanded Telehealth.
Who can get vaccinated?
- Everyone 6 months of age and older is now eligible. For children 5 and under, check eligibility with vaccination location beforehand.
- COVID-19 booster shots Everyone ages 5 and older is eligible for an updated bivalent booster.
Where do I get vaccinated?
Visit your primary care physician about the covid vaccine and which one is right for you. Need help finding a primary care physician? Click here.
Looking for a qualified vaccine center? Click here.
The following is a list of benefits that have temporarily been updated in order to support our members.
If you have any questions about these updated benefits, please call the customer service phone number listed on your health insurance ID card.
The following list of benefits have been updated in response to COVID-19 and will be extended through December 31, 2023 and applies to CO-OP members with individual or group policies.
Tools and Resources
| Vaccination | Covered 100% under preventive benefit |
| Booster (when available) | Covered 100% under preventive benefit |
| Testing ordered by a participating physician | Covered 100% |
| Serology (Antibody) testing ordered by a participating physician | Covered 100% |
| Expanded telehealth coverage | See your plan documents |
Important Info for Providers
COVID-19 Vaccines Payment Policy
Mountain Health CO-OP payment policy for the administration of the COVID-19 Vaccines will follow CMS recommendations to reimburse these services at the reasonable rate which CMS considers equivalent to Medicare.
Fraud Alert
The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes related to the COVID-19, commonly referred to as coronavirus.
Fraudsters are offering COVID-19 tests in exchange for personal details, and are targeting members in a number of ways, including telemarketing calls, social media platforms, and door-to-door visits. The personal information the fraudsters collect may be used to fraudulently bill health plans or commit medical identity theft. The following ways have been recommended for members to protect themselves from fraud:
- Beneficiaries should be cautious of unsolicited requests for their Medicare, Medicaid, or insurance numbers.
- Be suspicious of any unexpected calls or visitors offering COVID-19 tests or supplies. If your personal information is compromised, it may be used in other fraud schemes.
- Ignore offers or advertisements for COVID-19 testing or treatments on social media sites.
- A physician or other trusted healthcare provider should assess your condition and approve any requests for COVID-19 testing.
If you think you are a victim of a scam or attempted fraud involving COVID-19, you can report it by calling a Mountain Health Coop Customer Service Advocate at the number on your health insurance card.