• Home
  • Important Information About Coronavirus-Related Benefits

Important Information About Coronavirus-Related Benefits

Below is information about and links to important information about your benefits coverage related to the coronavirus.

Health

COVID-19 Vaccination Coverage

While the federal government currently pays the ingredient cost of the COVID-19 vaccines, there are administrative costs associated with the vaccine that are charged by providers and facilities. As explained below, the Plan will cover these administrative costs regardless of whether you obtain a COVID-19 vaccine at a pharmacy, doctor’s office, medical facility, or clinic.

Coverage at a Pharmacy

Once COVID-19 vaccines are available from local retail pharmacies, the Plan will cover the vaccine under its Prescription Drug benefit. The Plan will cover 100% of the administrative costs for all COVID-19 vaccines administered at local retail pharmacies.

Coverage at a Doctor’s Office, Medical Facility, or Clinic

The Plan covers vaccines administered at a doctor’s office, medical facility, or clinic at 100% of administrative costs when received from in-network providers and 100% of reasonable administrative costs when received from out-of-network providers. The Plan’s payment of these administrative costs is covered under the Plan’s Wellness Benefit and is not subject to the Plan’s annual deductible.

COVID-19 Vaccines: Fast Facts

  • As of the date of the 12/2020 Summary of Material Modifications, the U.S. Food and Drug Administration has issued emergency use authorization for the Pfizer-BioNTech COVID-19 Vaccine and the Moderna COVID-19 Vaccine.
  • Initially, the federal government will pay the ingredient cost of COVID-19 vaccines and will allocate the initial supply of these vaccines to the states for distribution.
  • The states will prioritize distribution to health care workers, frontline workers and other high-risk populations.

COVID-19-Related SMMs and Forms

3/2020 Summary of Material Modifications: Diagnostic COVID 19 Testing/Telehealth Benefits
5/2020 Summary of Material Modifications: Special 14 Day Weekly Income Benefit COVID 19 Quarantine/Update on Diagnostic COVID 19
12/2020 Summary of Material Modifications: Special 14 Day Weekly Income Benefit COVID 19 Quarantine Extended through 5/2021
Special 14 Day Weekly Income Benefit COVID-19 Quarantine Application Form

This website provides an overview of benefits for eligible members of National Elevator Industry Benefit Plans. Refer to the Summary Plan Description (SPD) or plan contract/certificate and plan amendments for a full description of benefits. If there is a discrepancy between the information provided on this website and the official plan documents, the information provided in the official plan documents will govern.