COVID-19 information center (last updated: 5/31/2023)

COVID-19 coverage

MESSA has supported members throughout the pandemic by sharing timely and accurate information, and providing the state’s best benefits and personal service.

The federal government has said it will declare the end of the public health emergency related to the COVID-19 pandemic on May 11, 2023. This means changes to some of your plan’s coverage related to COVID-19 starting on May 12, 2023.

COVID-19 vaccine

Here’s where to go to make sure MESSA covers your COVID-19 vaccine:

  • Your in-network health care provider.
  • Select retail pharmacies: Most Michigan pharmacies will administer a COVID shot for free and bill MESSA without requiring payment. If a pharmacy asks you to pay up front, you should go to a different pharmacy or contact MESSA’s Member Service Center at 800-336-0013 so we can make sure you receive it at no charge.
  • Public health departments:  If you are unable to access an in-network provider or pharmacy, you may get an immunization from a public health department. If you are asked to pay for your vaccination from a public health department, complete a claims reimbursement form and send it to MESSA along with your receipt and any other relevant documentation. Find the reimbursement form at messa.org/forms under Member Claims.

Over-the-counter tests
Over-the-counter COVID-19 tests will no longer be covered. You will no longer be able to get free at-home tests including from select network pharmacies or through OptumRx, MESSA’s home delivery pharmacy. There will no longer be a link to the Optum store available through your MyMESSA account. You may use your Health Savings Accounts or Flexible Spending Accounts to pay for over-the-counter tests.

You may receive reimbursement from MESSA’s home delivery pharmacy Optum Rx for COVID-19 home tests purchased thru May 11, 2023. The form is available on the OptumRx portal under “Information Center,” then “Programs and Forms.” You can access your Optum Rx portal by logging into your MyMESSA member account and selecting “Rx home delivery.”

COVID-19 lab testing
COVID-19 diagnostic testing ordered by an in-network health care provider, lab or testing facility will be subject to your plan’s copays, coinsurance and deductibles.

COVID-19 treatments
MESSA will continue to cover medically necessary treatment for COVID-19 for members and covered dependents. Treatment is subject to your plan’s deductible, copayments and coinsurance. Treatment must be deemed medically necessary by a health care provider.