An FDA-approved home test kit would be eligible for reimbursement if you had an order or prescription from a healthcare provider and if the test was medically necessary to diagnose COVID-19. b&HXR To access your member services, please visit your BCBS company. See the list. There are different ways to submit your reimbursement depending on your plan. Submit one form per member. For members of all BCBSRI plans except Medicare Important information about expanded coverage. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. *Thisprocess applies to members with individual, employer-sponsored or student health plan coverage, as well as Federal Employee Program (FEP) and Federal Employee Health Benefits Program (FEHBP) plan members. CHICAGO - Blue Cross and Blue Shield (BCBS) companies are working closely with state and local governments, as well as partners within the health care system, to address local needs from the COVID-19 outbreak. Please enter the NDC or UPC number from the cash register receipt or test package. The vaccines are free, safe and effective and widely available for anyone age 5 and up. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. bxx,| That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. As of April 4, 2022, members with BCBSRI Medicare Advantage and Plan 65 coverage can now receive COVID-19 home test kits at no cost under their Part B benefit. Starting January 15, 2022, you have $0 coverage for COVID-19 home test kits without a prescription, and each person on your plan is covered for up to 8 individual home test kits every 30 days. Complete this claim form for any pharmacy services received. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you purchased an OTC at-home test at the direction of your health care provider, please use this form: If you purchased an OTC at-home test for any other reason, please use this form: Send a copy of all your receipt(s) with the form. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Highmark will begin reimbursing its customers for at-home covid-19 tests this weekend and is looking to eliminate the need for customers to pay first, a vice president of the insurance company . 1Orders not picked up within 72 hours (about 3 days) will be cancelled. ro?gu?"t6Vr K?K@n}r`TyEycB". They are typically easy to use and produce rapid results. By continuing to use this website, you consent to these cookies. If you use a pharmacy in Prime's network, you should not have to submit a separate claim when you buy the tests at the pharmacy counter. If a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Read Full Story Communities The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Visit the CDC website for the most up-to-date testing guidance. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. COVID-19 | Blue Cross and Blue Shield of Illinois. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. below is required. As of Jan. 15, 2022, people with private health insurance can get reimbursed by their insurer for the cost of up to eight at-home COVID tests per month. Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream Your member ID card is your key to using your medical plan benefits. For more information, view our privacy policy. An attending health care provider may order a test. this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; Starting today, Blue Cross commercial members can walk into any of the 60,000 pharmacies in the national Express Scripts network and buy certain tests at the pharmacy counter for $0: Inteliswab Covid-19 Rapid Test Binaxnow Covid-19 Ag Self Test Quickvue At-Home Covid-19 Test Ellume Covid-19 Home Test endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Reimbursement requests take up to 4-6 weeks to process, Questions? Coverage varies by plan type. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while . Online claim example 2: If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. For more information about coverage of over-the-counter tests, view our frequently asked questions. For help with these documents, please call 1-800-975-6314. . From January 15, 2022 until the end of the Coronavirus Public Health Emergency, each individual on your plan can get up to eight over-the-counter tests each month. SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. Member Benefit Updates. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. The following claims process pertains to CareFirst commercial members* only. You can view a complete list of. Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. Leading through a public health crisis All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. You will be reimbursed via check, mailed to the address we have on file within 30 days of Blue Cross Blue Shield of Arizona (BCBSAZ) receiving your reimbursement information. [CDATA[ For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. Once you receive a confirmation from CVS Pharmacy, your order will be waiting for you at the front store register. Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. Thats a big step toward stopping the spread of the virus. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. The California Department of Health Care Service (DHCS) will reimburse the cost of your at-home tests purchased from March 11, 2021, to January 31, 2022. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. Read our Nondiscrimination and Language Assistance notice. Buying tests to store them for a potential need isn't good for the community or public health. Our Commitment to You What's Covered Coverage will vary based on your plan. A diagnostic test is used to determine if a person has COVID-19. Provide your BCBSRI health plan information and follow the steps to order the tests. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. Select the list of exceptions for your plan. Testing and Treatment Coverage In addition to your BCBSRI benefits, every home in the United States is eligible to orderfree COVID-19 home test kits through the federal government atcovidtests.gov. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Leading the way in health insurance since 1929. See the list. f/4kg>/ProcSet[/PDF]>>>>stream Purchase FDA-authorized OTC tests at a retail location and then submit a Health Benefits Claim Form, providing an itemized receipt that clearly shows that your purchase was for a COVID-19 OTC test to your local BCBS Plan. COVID-19 Coverage for Members Your health is always our priority. [CDATA[ You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Please note that this network may be different than your plans standard pharmacy network. Postal Service. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. If you bought or ordered an at-home COVID-19 test on or after January 15, 2022, you may be able to get reimbursed for the cost. Prime has an established electronic connection with most pharmacies, even those not in their network, and the claim should process successfully. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . If you have a large employer, please call member services at the . Terreri grabs two at-home COVID-19 test kits to be handed out during a . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. Heres everything you need to know about it. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. 510 0 obj <>/Encrypt 455 0 R/Filter/FlateDecode/ID[]/Index[454 121]/Info 453 0 R/Length 185/Prev 186847/Root 456 0 R/Size 575/Type/XRef/W[1 3 1]>>stream If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package toward the quantity limit. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. Please note that taxes and other fees are not covered. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. Blue Cross Blue Shield Association (BCBS, BCBSA) is a federation, or supraorganization, of, in 2022, 34 independent and locally operated BCBSA companies that provide health insurance in the United States to more than 115 million people. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Reimbursement requests take up to 4-6 weeks to process Questions? Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . You do not need health insurance to receive your free tests. Health plans are offered by Blue Shield of California. All forms are printable and downloadable. If any information is missing from the invoice, contact the provider. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. Medicare Advantage members: You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. See our FAQfor detailed instructions. For the Health of America. Some people may be eligible for a second booster, including: Adults ages 50 years and older. But I called @BCBSTX as a consumer, and asked . If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. But some are still hesitant to get the shot. You can also include multiple receipts with one form. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 See below.). You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. At-home COVID-19 testing As of Jan. 15, 2022, and through the end of the public health emergency, all individuals with pharmacy coverage through Blue Cross Blue Shield of Michigan and Blue Care Network have more ways to get at-home COVID-19 rapid diagnostic tests at no cost. All Rights Reserved. The health and well-being of our members is our top priority, and we remain committed to ensuring our members and customers have access to the care and information they need. Each person on your plan is covered for up to 8 individual home test kits every 30 days. Once we process your claim, well mail the contract holder a reimbursement check. Blue Cross recommends that members contact and work closely with their health care . Overseas members will need to complete and file this claim form for any pharmacy services received. Beginning January 15, 2022, and for the duration of the Federal Public Health Emergency, over-the-counter tests used for diagnostic purposes that are purchased online or at a store or pharmacy will also be covered. try{(new g(100,"r","QSI_S_ZN_eQKLROMaB9E1yfz","https://zneqklromab9e1yfz-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_eQKLROMaB9E1yfz&utm_source=Qualtrics")).start()}catch(i){}})(); For example, a physician, a nurse practitioner, or a physician assistant. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. All Rights Reserved. s&jPDed cRequired for employment purposes. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. If you have health coverage through a large employer, we recommend you contact your Benefits or HR Administrator to determine if your over-the-counter COVID-19 testing claim should be submitted to CareFirst as a medical claim or to your employers Pharmacy Benefit Manager as a pharmacy claim. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. There are 0 fields that need to be corrected. You dont need to sign in to search for a pharmacy. CHICAGO -- Blue Cross Blue Shield Association (BCBSA) announced today that its network of 36 independent and locally-operated Blue Cross and Blue Shield (BCBS) companies will waive prior authorizations and increase coverage for COVID-19 as described below. O=>WNW% Get reimbursed for your over-the-counter COVID-19 tests OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. If the pharmacy continues to direct you to pay at the regular store checkout, please consider paying for the test kit and submitting for reimbursement or trying to use a different pharmacy. To use your quarterly OTC benefit, you must buy the home test kits in store through the national retailers in your OTC network: Walmart, Dollar General, Family Dollar, Rite Aid, Walgreens, and CVS Pharmacy. Mail-in claim forms allow you to submit a claim for multiple members with one form. The government is committed to ensuring access to OTC tests. However, you must include all required information requested in the form. Please ask at the pharmacy counter. Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. Example 3: Blue Cross Blue Shield sent a statement saying: We received updated guidance from the federal government regarding at-home COVID-19 testing coverage late Monday afternoon. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. qO;,lH If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Member Discounts Take advantage of member-only discounts on health-related products and services. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. The Formulary Exception process allows members to apply for coverage of a non-covered drug if they have tried and failed the covered drug (s).
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