BOSTON – Massachusetts Governor Charlie Baker issued an executive order today, April 9 that mandates that insurers must cover all medically required costs of COVID-19 treatment in out-of-network hospitals or other medical facilities with no charge to the patient, including co-pays, deductibles or co-insurance payments.
Health care providers and medical facility insurers must accept the following rates for out-of-plan treatment:
- If insurers have a contract with a provider or facility: contracted rate even if the patient is not in a network that covers the provider or facility
- If insurer has no contract with a provider or facility: 135 percent of the applicable Medicare rate
- Insurers may not balance bill, or charge, patients for amounts above the above specified payments.