You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. 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. Please check with your employer if you have questions. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Everyone qualifies. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. This coverage began on January 15, 2022. That form will be replaced on Jan. 23 once the insurer develops a . 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. // ]]>, // Coronavirus Update Center - bcbsal.org 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. *If your pharmacy coverage is not through BCBSRI, your employer may have chosen to offer the home test kit benefit through your pharmacy coverage instead of your BCBSRI health plan. Looking for COVID-19 coverage and benefit information? For members of all other BCBSRI heath plans These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. For help with these documents, please call 1-800-975-6314. . This list is subject to change as additional home test kits become available. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. 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. 2. Learn More. A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. Submit one form per member. 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. reimbursement through FSA, HRA, or HSA accounts? Contact your local health department to learn about free COVID-19 testing locations or pickup sites. 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=/; "}; endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream As part of our mission to improve and protect the healthcare system, particularly under the threat of the Coronavirus/COVID-19, the Blue Cross Blue Shield Association is focused on protecting members from fraudsters who seek to take advantage of the fear and confusion many feel surrounding the coronavirus/COVID-19 during these uncertain times. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q If this happens, you can pay for the test and then submit a claim for reimbursement. This form is for members of non-Medicare plans. You do not need health insurance to receive your free tests. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. c I had COVID-19 symptoms. Leading the way in health insurance since 1929. California Physicians' Service DBA Blue Shield of California 1999-2023. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. We also provide language assistance. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. 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}; Fillable COVID-19 Testing Member Reimbursement Form Non-Medicare Lets say you made a one-time purchase of up to 24 tests for three members. Your signature is also required in the COVID-19 home test kit claim section. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 454 0 obj <> endobj Leading the way in health insurance since 1929. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. Use this form to request reimbursement for Medicare Part B premium expenses. 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. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . Member Forms | Florida Blue An attending health care provider may order a test. PDF Who is eligible for COVID testing - BCBSM Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. It must include the original receipt or a copy of the receipt for purchasing the tests. Your commercial plan will reimburse you up to $12 per test. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX Youll be reimbursed up to $12 per individual test. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. s&jPDed If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). PDF Florida Blue Prescription Drug Claim Form The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. While all FDA-authorized COVID-19 rapid tests are covered, and will be reimbursed under the Emergency Rule, only certain tests are likely to process correctly through pharmacy claims systems at the moment. All information . The number one priority for Blue Cross Blue Shield (BCBS) companiesespecially as the nation faces this unprecedented health crisisis getting their members across the country the care they need. Example 3: 0 Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Each person on your plan is covered for up to 8 individual home test kits every 30 days. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. If youre visiting the governments home test kit site without using the link above, please make sure you are on the correct page by looking for the U.S. flag in the top left corner and text that states An official website of the United States government.. For example, one box containing two tests counts as two tests. endstream endobj startxref 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 See below.). 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. Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. (function(){var g=function(e,h,f,g){ 574 0 obj <>stream Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. COVID-19 OTC | CVS Caremark Please enter the NDC or UPC number from the cash register receipt or test package. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. Please enter the NDC or UPC number from the cash register receipt. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream See the list. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. [CDATA[ This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. Please note that taxes and other fees are not covered. This coverage applies to all BCBSRI health plans except Medicare. Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. 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. For example, a physician, a nurse practitioner, or a physician assistant. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Ted S. Warren/AP. To access your member services, please visit your BCBS company. At-Home COVID Tests | Department of Financial Regulation - Vermont For members of BCBSRI Medicare Advantage and Plan 65 COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. 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. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. He has reported on health . 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. Blue Cross and Blue Shield of Alabama covers, with no member cost share, testing that is ordered by your provider to help diagnose or treat you for COVID-19 COVID-19 Vaccination Information COVID-19 Vaccine Booster Shots The CDC recommends the COVID-19 vaccine booster to eligible individuals. Online claims Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. %PDF-1.7 % For the Health of America. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. . Information Regarding Coronavirus (COVID-19) | Highmark BCBSWNY and independent licensees of the Blue Cross and Blue Shield Association. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Further questions 2023 Blue Cross Blue Shield Association. 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. Member Benefit Updates. Thats a big step toward stopping the spread of the virus. Blue Cross recommends that members contact and work closely with their health care . By continuing to use this website, you consent to these cookies. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: COVID-19 screenings or evaluations done: Virtually using telehealth, In a doctor's office, At an urgent care center, or In a hospital (including emergency room). How Highmark and other insurers will cover at-home covid tests You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. 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. In this case, you should fill out three claim forms one for each member. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. // ]]>, // COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL Here is the process: If you prefer to have your home test kits shipped to your house, you can pay out-of-pocket and submit for reimbursement using this form. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem H0148_22_003_C_020822. // Coronavirus (COVID-19) Updates | Blue Cross Blue Shield Blue Cross and Blue Shield Companies Announce Coverage of Coronavirus How some health insurers are reimbursing the cost of at-home COVID Reimbursement requests take up to 4-6 weeks to process Questions? Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. 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. 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. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. The process we've put in place empowers our members to buy and submit claims for tests purchased through online vendors and retail locations of their choosing. 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. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Waiving cost-sharing for COVID-19 testing and treatment. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. 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. Here are four ways you can get tests for you and your family: Visit covidtests.gov to get free tests delivered to your home by the U.S. 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. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. Please note that you cant submit for reimbursement for a home test kit unless you have a doctors note or prescription. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. D@3[0V Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. 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. For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. Pickup cannot happen via drive-thru and tests will not be shipped. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. They are typically easy to use and produce rapid results. COVID-19 Home Test Kits - For members | Blue Cross Blue Shield - BCBSRI You can also include multiple receipts with one form. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. follow the latest CDC guidance for isolation. You dont need to sign in to search for a pharmacy. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you.
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