Effective, Jan. 15, 2022, Blue Cross and Blue Shield of Oklahoma (BCBSOK) will cover the cost of FDA-authorized, over-the-counter (OTC) COVID-19 tests through BCBSOK/Prime Therapeutics pharmacy benefits. Member Reimbursement: If members purchased an OTC COVID-19 test on or after January 15, 2022, they can submit for a reimbursement of up to $12 per test. F2g5 :s+Jc -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 You must submit a separate claim form for each covered family member. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. How Are Private Insurers Covering At-Home Rapid COVID Tests? Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. This list is subject to change as additional home test kits become available. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form How to snag your free at-home COVID-19 test kit | wtsp.com 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. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. For members of BCBSRI Medicare Advantage and Plan 65 The CDC states that home test kits may be used in the following situations: On the CDC website, you can find additional information, including how to use home tests and what to do if your test is negative or positive. Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Pregnant members can use this form to request a blood pressure monitor at no cost. %PDF-1.7 % Thats a big step toward stopping the spread of the virus. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. Leading the way in health insurance since 1929. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. COVID-19 TESTING | Benefits Services Division - Arizona window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { Please check with your employer if you have questions. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. You can submit any number of receipts on a single claim form. The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. 2023 copyright Anthem Insurance Companies, Inc. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. All OTC at-home tests ordered by a healthcare provider are covered. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 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. Test kit cost $ 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. SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. If you go to another location and pay upfront for a home test kit, you cant submit for reimbursement unless you have a doctors note or prescription. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Reimbursement is not available through medical benefits with BlueCross BlueShield or Cigna. Also, note that all American households can order free COVID-19 tests from the federal government. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. But some are still hesitant to get the shot. PDF Who is eligible for COVID testing - BCBSM Submit one form per member. There is a limit of . PDF COVID-19 Frequently Asked Questions - Blue Cross Blue Shield of Telehealth. endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream Lets say you made a one-time purchase of up to 24 tests for three members. He has reported on health . Buying tests to store them for a potential need isn't good for the community or public health. Information Regarding Coronavirus (COVID-19) | Highmark BCBSWNY If you are asked to pay for the tests at the regular store checkout, you can let the pharmacy know your coverage is through Prime. At-home testing options and costs At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream Member Benefit & Covid-19 Updates | CareFirst BlueCross BlueShield For more information, view our privacy policy. W006259 COVID-19 Testing Member Reimbursement Form - Non-Medicare Advantage Please use this form to request reimbursement for COVID-19 tests you have paid for out of your own pocket. When filing claims online, you must use a separate claim form for each receipt and for each member. Purchase up to 8 tests per family member in a 30-day period. If a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. 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. What Impacts the Cost of Health Insurance? . 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. Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . Sources: If you have a BCBSRI Medicare Advantage plan that includes a quarterly OTC allowance ($25-$275, depending on your plan), you can also use it to buy COVID-19 home test kits. Ted S. Warren/AP. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. this.set=function(a,c){var b="",b=new Date;b.setTime(b.getTime()+6048E5);b="; expires="+b.toGMTString();document.cookie=a+"="+c+b+"; path=/; "}; 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. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. Medicare member reimbursement amount per test may vary by Medicare plan. Your member ID card is your key to using your medical plan benefits. Submit a claim only when you are billed for services from a provider that does not directly submit a claim to the local Blue Cross Blue Shield plan. 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. endstream endobj 460 0 obj <>/ProcSet[/PDF]>>>>stream Submit a separate form for each patient. The government is committed to ensuring access to OTC tests. Pickup cannot happen via drive-thru and tests will not be shipped. In this case, you should fill out three claim forms one for each member. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. O=>WNW% Important Please provide what is on your member card, failure to provide at least one of these fields can lead to failure in claim approval. For the Health of America. Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. COVID-19 Home Test Kits - For members | Blue Cross Blue Shield - BCBSRI The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. 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. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. 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. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Each person on your plan is covered for up to 8 individual home test kits every 30 days. The Blue Cross Blue Shield companies partner with state and federal agencies, as well as advocacy organizations, to report, investigate and reduce the incidence of healthcare fraud. Coronavirus (COVID-19) Updates | Blue Cross Blue Shield Receipt and UPC barcode from the kit package are required. Over-the-Counter COVID-19 Testing | Producer | Premera Blue Cross Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. To access your member services, please visit your BCBS company. However, even if a pharmacy is not participating in our network, you may be able to buy the test for $0. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. No, the home tests provided by the government do not count toward your $0 coverage. 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 Required documentation for this medical claim includes: The attestation included in our claims process ensures our members comply with the spirit of this policyto ensure tests are accessible and affordable for those who need them. c I had COVID-19 symptoms. Mail-in claim forms allow you to submit a claim for multiple members with one form. A nurse case manager with Blue Cross & Blue Shield of Rhode Island found that listening, without judgment, to one patients concerns made all the difference. For help with these documents, please call 1-800-975-6314. . Member Discounts Take advantage of member-only discounts on health-related products and services. Use this order form for specialty medications. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. A diagnostic test is used to determine if a person has COVID-19. Please note that this network may be different than your plans standard pharmacy network. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. News Release For Release December 8, 2021 Contact: Sara Teachout (802) 371-3254 teachouts@bcbsvt.com Blue Cross Blue Shield of Vermont to Cover Certain Take Home Antigen Tests Berlin, Vermont . Which COVID test should you take, and how do you get reimbursed? Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Member Benefit Updates. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. Here's how to get reimbursed: Submit a claim form Waiving all prior authorization requirements for COVID-19 testing and related covered services. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. Highest Member Satisfaction Two Years in a Row! This coverage applies to all BCBSRI health plans except Medicare. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . If you purchase at-home tests without an order from your healthcare provider, you can be reimbursed for up to eight individual tests per member, per month. You dont need to sign in to search for a pharmacy. That form will be replaced on Jan. 23 once the insurer develops a . Over-the-Counter Tests | CareFirst BlueCross BlueShield Once we process your claim, well mail the contract holder a reimbursement check. Health plans are offered by Blue Shield of California. To submit a claim online, log in to, or register forMy Account, click My Documents, then Forms and select Over-the-Counter COVID-19 Test Online Claim to get started. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). Serving residents and businesses in the 28 eastern and southeastern counties of New York State. A recent announcement from the federal government intends to increase access to COVID-19 testing. Provider Information on COVID-19 Coverage | Blue Cross and Blue Shield Your questions answered: the COVID-19 vaccine for pre-teens and teens, I listened: A nurse case manager on addressing vaccine hesitancy, Blue Cross and Blue Shield of Alabama COVID Vaccination Efforts, BCBSAL partners with state, community on COVID-19 relief, Blue Cross and Blue Shield of Alabama Prepared to Meet the Needs of Customers In the Event of Sustained Spread of COVID-19, Blue Cross and Blue Shield of Alabama: Coronavirus (COVID-19) Update Center, Blue Cross and Blue Shield of Alabama Expands Telehealth Coverage as Customers Health and Well-Being Remains Top Priority, Premera Blue Cross and Blue Shield of Alaska, Premera Blue Cross and Blue Shield of Alaska COVID Vaccination Efforts, Blue Cross Blue Shield of Arizona COVID Vaccination Efforts, Blue Cross Blue Shield of Arizona Employees Volunteer to Assist with Covid-19 Patient Treatment, Blue Cross Blue Shield of Arizona Expands Support For Coronavirus Services And Care, Waives Telehealth Cost Share For Members, Arkansas Blue Cross and Blue Shield COVID Vaccination Efforts, BCBS Arkansas tackles food security in wake of COVID-19, BCBS of Arkansas Information for Medicare Advantage Members, COVID-19 Update for Members covered by Arkansas Blue Cross/Health Advantage (Fully Insured), Arkansas Blue Cross providing online sales and service, temporarily closing retail stores, Anthem Blue Cross COVID Vaccination Efforts, Anthem Simplifies Care Provider Protocols to Help Deliver Safe, Effective and Timely COVID-19 Care, Anthems affiliated health plans waive member costs for COVID-19 testing, while supporting telehealth and 90-day maintenance medication supply, Anthem Issues Updates Regarding COVID-19 Testing and Care to Support Affiliated Health Plan Members, Blue Shield of California COVID Vaccination Efforts, Blue Shield of California expanding access to care during pandemic, Blue Shield of California Gives $100,000 to Nonprofit MedShare 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Coronavirus Pandemic, BCBS Florida partners with community organizations during pandemic, Coronavirus Update: Florida Blue Increasing Access to Health Care Services for Members to Aid in Treatment, Florida Blue Increasing Access to Health Care Services to Aid in Coronavirus Treatment, Free 24/7 Bilingual Helpline Open to Provide Emotional Support during COVID-19 Health Crisis, Blue Cross Blue Shield of Georgia COVID Vaccination Efforts, Blue Cross and Blue Shield of Hawaii COVID Vaccination Efforts, BCBS Hawaii and its foundation distribute aid in wake of COVID-19, HMSA announces steps to help members prepare for COVID-19, Wellmark Blue Cross and Blue Shield COVID Vaccination Efforts, Wellmark announces important health plan updates regarding coronavirus, Blue Cross of Idaho COVID Vaccination Efforts, BC Idaho and its foundation respond to community needs amidst COVID-19, More Steps from Blue Cross of Idaho to Support Members During the Coronavirus Pandemic, Blue Cross of Idaho 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Blue Cross and Blue Shield of Louisiana COVID Vaccination Efforts, Blue Cross and Blue Shield of Louisiana Statement on COVID-19, Blue Cross Platform Powers COVID-19 Louisiana Outbreak Tracker in Collaboration with State Health Department, Video: How big data in healthcare is predicting the future and improving lives, Blue Cross and Blue Shield of Massachusetts, Blue Cross and Blue Shield of Massachusetts COVID Vaccination Efforts, BCBS Massachusetts supports public health, nonprofits during COVID crisis, BCBS of Massachusetts Information for Members, BCBS of Massachusetts Statement on Testing and Care Related to COVID-19, Blue Cross Blue Shield of Massachusetts Expands Coverage and Access for Members During the Coronavirus Pandemic, CareFirst BlueCross BlueShield COVID Vaccination Efforts, CareFirst responds to COVID-19's dual public health and economic crisis, Anthem Blue Cross and Blue Shield Maine COVID Vaccination Efforts, Blue Cross Blue Shield of Michigan COVID Vaccination Efforts, BCBS Michigan investing in access to support communities during COVID-19, More Than 30 Blue Cross Blue Shield of Michigan Employees Volunteer for Front-Line Work to Assist in Treating Covid-19 Patients, Blue Cross Blue Shield of Michigan Will Waive Member Copays and Deductibles for COVID-19 Tests, Among Series of Proactive Steps on Coronavirus, Blue Cross Blue Shield of Michigan Information for Members, Blue Cross Blue Shield of Michigan Statement and Waiving of Copays/Deductibles, Blue Cross and Blue Shield of Minnesota COVID Vaccination Efforts, Blue Cross and Blue Shield of Minnesota fights food insecurity and protects healthcare workers, Blue Cross joins Allina to launch skilled volunteer effort to create masks for hospitals and clinics, Blue Cross and Blue Shield of Minnesota announces $750,000 commitment to Second Harvest Heartland, Blue Cross and Blue Shield of Minnesota Information for Members, Anthem Blue Cross and Blue Shield Missouri, Blue Cross and Blue Shield of Kansas City, Anthem Blue Cross and Blue Shield Missouri COVID Vaccination Efforts, Blue KC driving better health by investing in community engagement, Blue Cross and Blue Shield of Kansas City Announces It Will Cover COVID-19 Testing and 24/7 Access to Virtual Care, BCBS of Kansas City Information for Members, Blue Cross And Blue Shield Of Kansas City Announces It Will Cover COVID-19 Testing And 24/7 Access To Virtual Care, Blue Cross and Blue Shield of Mississippi, Blue Cross & Blue Shield of Mississippi COVID Vaccination Efforts, BCBS Mississippi alleviates food insecurity during COVID-19 crisis, BCBS of Mississippi Information for Members, Blue Cross and Blue Shield of Montana COVID Vaccination Efforts, COVID-19 Coverage for BCBS of Montana Members, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Carolina COVID Vaccination Efforts, BCBS North Carolina supporting community nonprofits during pandemic, Thrive NC Postponed until 2021; Blue Cross NC 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testing for members, Anthem Blue Cross and Blue Shield Virginia, Anthem Blue Cross and Blue Shield Virginia COVID Vaccination Efforts, Blue Cross and Blue Shield of Vermont COVID Vaccination Efforts, Premera Blue Cross COVID Vaccination Efforts, Regence BlueShield taking action to support members through coronavirus (COVID-19) outbreak, Anthem Blue Cross and Blue Shield Wisconsin, Anthem Blue Cross and Blue Shield Wisconsin COVID Vaccination Efforts, Highmark Blue Cross Blue Shield West Virginia, Highmark Blue Cross Blue Shield West Virginia COVID Vaccination Efforts, Blue Cross Blue Shield of Wyoming COVID Vaccination Efforts, Blue Cross Blue Shield of Wyoming to waive out-of-pocket costs for COVID-19 treatment, Blue Cross Blue Shield Of Wyoming Covers Corona Virus Testing Costs, BCBS of Wyoming COVID-19 Update for Providers.
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