COVID Test Kit Reimbursement
In addition to the four COVID testing kits per household available from the federal government at: www.covidtests.gov, beginning Saturday, January 15, 2022, the PWGA Health Plan will cover the cost of up to eight FDA-approved COVID home-tests a month per covered family member without a health care provider's order. You can submit your receipt to the Health Plan for reimbursement. Please note that the reimbursement rules and guidelines for home-tests may change in the future. If that happens, you will receive an additional notification explaining the changes.
To learn more about COVID testing, click HERE.
URGENT MESSAGE: NEW GOVERNMENT-PAID COVID DRUG TREATMENTS NOW AVAILABLE AT NO COST TO PARTICIPANTS
New COVID drug treatments have been approved and are now available at no co-pay for Health Fund Participants. Due to the government’s Emergency Use Authorization (EUA) program, Pfizer’s pill, Paxlovid, and Merck’s Molnupiravir will have no co-pay for as long as the program is in effect. When and if the EUA program expires, normal co-pays will apply. When taken soon after presentation of COVID-19 symptoms and a positive COVID-19 test, these medications can help reduce the severity of the virus, potentially reducing hospitalizations and deaths.
As of January 1, 2022, the Health Fund will cover fertility treatment through an exclusive provider, Carrot, a dedicated infertility benefit administrator and network of infertility treatment providers.
To learn more about this benefit, you can read the Summary of Material Modifications (SMM) which details how the program works by clicking HERE.
If you have any questions or want more details, we have prepared an FAQ which answers many of the commonly asked questions about this benefit. The infertility benefit FAQ can be accessed by clicking HERE.
Never Miss a Dependent Premium Again – New and Improved
Whether you’re using our new app or logging in to the redesigned website, you can now make sure you never forget to pay your dependent premium. AutoPay for Pay Premium is here, and newly improved. It now takes all major credit cards, including American Express. If you’re working or living abroad, we can also accept credit cards from foreign banks. Even if this quarter’s payment has been made, you can still sign up now, and all future dependent premiums will be automatically deducted from your credit card. We’re working hard to make this the best experience possible, so if you have the time, please take the website or mobile app survey and let us know what we’re doing right and what we could do better.
The PWGA App is Now Available!
Also, Big Changes to MyPlans on the PWGA Website!
For the very first time, you can access Health and Pension Plan information through an app on your favorite mobile device whether it be your phone or tablet. We have updated the website and made MyPlans significantly more capable and secure as well. One registration, two great ways to see your information.
REGISTRATION RENEWAL REQUIRED
We have made improvements to the design, performance and security of the PWGA website. We are also announcing our newly released PWGA Mobile Application. These changes will require all users to re-register on or after April 29, 2021. It is a one-time only thing, and then you are good to go. We apologize for the inconvenience, but we think you will find that the increased capabilities and security are well worth it! Simply click the REGISTER button here to get started.
January 18, 2022
Beginning Saturday, January 15, 2022, to comply with a new Federal requirement, the PWGA Health Plan will cover the cost of up to eight FDA-approved COVID home-tests a month per covered family member without a health care provider’s order. You can submit your receipt to the Health Plan for reimbursement. Please note that the reimbursement rules and guidelines for home-tests may change in the future. If that happens, you will receive an additional notification explaining the changes.
did you know
April 01, 2021
The PWGA Health Plan spends almost 50% of its resources on approximately 25 specialty drugs. One of these drugs costs $45,000 per dose. Fortunately, we have found a way to lower our costs, and if you use one of these covered specialty drugs, we have lowered your cost, too – down to $0.