What is my payment responsibility for COVID-19 testing?

Insured Patients

Your insurance plan ultimately determines whether you are responsible for any portion of the cost of your test and/or the related office visit.

The Federal Coronavirus Aid, Relief, and Economic Security (CARES) Act, as amended by the Families First Coronavirus Response Act (FFCRA), limits patient responsibility for co-payments, deductibles or other cost-sharing amounts for COVID-19 viral testing and related services.  However, your insurer is responsible for determining whether you are responsible for these costs.  

If your insurance plan determines that you are responsible for any portion of the charges related to COVID-19 viral testing or related services, you will receive a statement from Patient First.  Patient First is required to follow the insurance plan’s determination of your responsibility, and we are not permitted to waive these amounts. 

What has Patient First done to address this issue?

  • Patient First has followed the insurance plans' instructions about how to file claims for COVID-19 virus testing and related services, if such instructions were provided.
  • Patient First asked insurance plans that are insisting on patient payment responsibilities to reconsider their positions.
  • Patient First postponed mailing bills to patients for these services, so that we could address the matter with the insurance plans.

What should you do if you receive a bill from Patient First for COVID-19 virus testing and/or related services? 

1. Please pay it. If your insurance plan fixes this issue, we will refund you any amounts paid by your plan.

2. If you have questions about your payment responsibility, please contact your insurance company at the member phone number on your card.

Uninsured Patients

If you are uninsured, Patient First will submit claims for COVID-19 testing and the related office visit to the Federal Health Resources and Services Administration (HRSA). If HRSA covers your visit and test, we will accept reimbursement from HRSA as payment in full. If HRSA determines that you are not eligible for coverage, the charges are your responsibility and you will receive a statement from Patient First.