*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. In Virginia, CareFirst BlueCross BlueShield, CareFirst MedPlus, and CareFirst Diversified Benefits are the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). (If you dont already have a CVS account, youll need to create one.). If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. (function(){var g=function(e,h,f,g){ What to know about COVID tests | Coverage - Blue Cross Blue Shield of The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). Use this order form for specialty medications. Blue Shield and Blue Shield Promise cover these types of tests: 1Tests ordered by a healthcare provider means that a licensed and authorized healthcare provider has requested that you obtain a test for COVID-19. Also, note that all American households can order free COVID-19 tests from the federal government. Findings. Everyone qualifies. PDF NATIONAL PUBLIC HEALTH EMERGENCY EXTENDED TO OCT. 13, 2022 - Tennessee Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . To be eligible for reimbursement, your test must be . below is required. Member Discounts Take advantage of member-only discounts on health-related products and services. |X9GZaX~ if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } [CDATA[ At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. All information . . For members of all BCBSRI plans except Medicare You dont need to sign in to search for a pharmacy. 574 0 obj <>stream Please enter the NDC or UPC number from the cash register receipt or test package. 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}; If this happens, you can pay for the test and then submit a claim for reimbursement. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. bxx,| 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 Member Discounts Take advantage of member-only discounts on health-related products and services. This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. // ]]>, // BCBS COVID-19 Info - Benefits, Testing, and More - FEP Blue Example 3: 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}; Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Check out the changes and updates to our plan in 2023. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 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. Complete the Member Request Form for ACA HIV Prevention Coverage. Claim Forms - Blue Cross and Blue Shield's Federal Employee Program 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. However, you must include all required information requested in the form. 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. 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. Read Full Story Communities 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. Reimbursement is capped at $12 per test (or the cost of the test, if less than $12). Commercial members may receive reimbursement for up to eight over-the-counter COVID-19 at-home tests per covered individual in the household per 30-days without a healthcare provider order or clinical assessment. 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. Commercial Health Plans, Northeast Region. COVID-19 TESTING | Benefits Services Division - Arizona Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. [CDATA[ 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. According to the Centers for Disease Control (CDC) recommendations, if your over-the-counter test has a positive result, you should follow the latest CDC guidance for isolation, wear a well-fitted mask if you have contact with others and call your healthcare provider. You do not need health insurance to receive your free tests. 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. Coronavirus (COVID-19) Updates | bcbsm.com This page may have documents that can't be read by screen reader software. This is all part of our overall strategy to ramp-up access to easy-to-use, at-home tests at no cost," said U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra, in a . Pickup cannot happen via drive-thru and tests will not be shipped. Use this form to request reimbursement for Medicare Part B premium expenses. On July 31, one day remains to file the claim. 1095-B Tax Form Message. Centers for Disease Control and Prevention (CDC), Coronavirus, World Health Organization (WHO), Coronavirus, Keep Your Children 5 and Older Safe With a COVID-19 Vaccine, How to Manage Back-to-the-Workplace Anxiety, Anthem has a limited number of at-home diagnostic test kits available for certain members to order online. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. If you have employer coverage, or an individual or family plan, you can get FDA-authorized, over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. PDF Who is eligible for COVID testing - BCBSM O=>WNW% . If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. and independent licensees of the Blue Cross and Blue Shield Association. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. 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. qGm1UCk3Ht}uh>.ky!R'@ E Coverage for COVID-19 testing | Blue Shield of CA By continuing to use this website, you consent to these cookies. To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: Members must complete a claim form to be reimbursed for over-the-counter COVID-19 testing. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . Learn More. m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ You can find a list of community-based testing sites here. 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. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. 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If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. COVID-19 updates | S.C. PEBA - South Carolina (To submit a single form for multiple members and/or receipts, use a mail-in form instead. At-home testing options and costs window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { Increasing access to prescription medications. We also provide language assistance. Please enter the NDC or UPC number from the cash register receipt. // ]]>, // PDF COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage - BCBSM If you have an Anthem Medicaid or Medicare plan, you will need to visit your member website for information on how your health plan covers COVID-19 testing. See below.). Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. D@3[0V The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. This network may be different than your plans standard pharmacy network. Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream All Rights Reserved. 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 California Physicians' Service DBA Blue Shield of California 1999-2023. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID With a BCBSTX health plan, you have access to care for COVID-19 related health issues. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream 2023 Blue Cross Blue Shield Association. COVID-19 | Blue Cross and Blue Shield of Illinois. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Select the list of exceptions for your plan. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Please review the terms of use and privacy policies of the new site you will be visiting. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. s&jPDed We are committed to making sure members get the care they need when they need it. This coverage began on January 15, 2022. or retailer (e.g. 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. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. If you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. In this case, you should fill out three claim forms one for each member. independent licensees of the Blue Cross and Blue Shield Association. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Also, note that all American households can order free COVID-19 tests from the federal government. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. General Reimbursement Information | Blue Cross and Blue Shield of Texas See the list. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. For more information, view our privacy policy. Y0118_22_062A_C 02082022 F2g5 :s+Jc If a test is sold in a package of two, that is considered two tests and you will be reimbursed $24. Member Forms. a|VOXHXT:B4 To access your member services, please visit your BCBS company. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. Complete the Member Request Form for ACA Bowel Prep Prevention Coverage. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. Sources: By continuing to use this website, you consent to these cookies. He has reported on health . No, you dont need an order or prescription unless you are buying more test kits than allowed under your $0 coverage or at a location that is not participating with your Medicare Part B benefit. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. NDC or UPC number Date purchased / / Quantity of tests. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment please complete and file this form. COVID-19 At Home Testing | Oklahoma Insurance Department 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. How Are Private Insurers Covering At-Home Rapid COVID Tests? 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 . You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. PDF Florida Blue Prescription Drug Claim Form -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. How to get reimbursed for COVID-19 tests | Blue Shield of CA try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Submit a separate form for each patient. Leading the way in health insurance since 1929. Health plans are offered by Blue Shield of California. Use our. 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