Medical Provider Newsletter - December 2020

COVID testing for EMI Health members

As COVID-19 infection rates continue to escalate, so do questions about testing. EMI Health supports its members and healthcare providers in their efforts to ensure cost-effective, medically-appropriate testing. Here are some things to keep in mind when ordering COVID testing for EMI health members:

  1. EMI Health encourages Utah members to take advantage of the free testing offered through testutah.com. There will be no charge to the patient or the patient's plan.
  2. Otherwise, EMI Health members should be referred to participating laboratories, such as LabCorp, Quest Diagnostics, or Intermountain Healthcare, for testing.
  3. EMI Health plans will cover medically-necessary testing ordered by a physician and received from an accredited laboratory at 100 percent up to the plan's maximum allowable charges, in accordance with federal guidelines. It is possible a nonparticipating lab could balance bill the member for amounts exceeding the maximum allowable charge.
  4. EMI Health plans do not cover testing required for travel or as part of a person's employment or schooling when the member has not had symptoms or close contact with someone who has tested positive.

EMI Health's members will receive maximum benefits when they are referred to participating providers; and as a participating provider, you agree to refer EMI Health's members to other participating providers and facilities. This includes outpatient surgical centers, radiology, and laboratories. You may access the most up-to-date provider listing on our website at https://emihealth.com or using the EMI Health mobile app.