Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Leading the way in health insurance since 1929. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Everyone qualifies. 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. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/
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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Tests that can be purchased at a retail location or online but are then sent to a lab for processing are not covered unless accompanied by a doctor's order (except for individuals covered by plans based in the District of Columbia). Each person on your plan is covered for up to 8 individual home test kits every 30 days. %%EOF
These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. bxx,|
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. Reimbursement requests take up to 4-6 weeks to process Questions? You'll be reimbursed by check within 60 calendar days. To find an in-network pharmacy, click here or download the fepblue app. OTC COVID test kit claim. The $0 coverage only applies when you receive your home test kits at participating locations. 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. Overseas members will need to complete and file this claim form for any pharmacy services received. By continuing to use this website, you consent to these cookies. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity, or gender expression. However, even if a pharmacy is not participating in our network, you may be able to buy the test for $0. endstream
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To access your member services, please visit your BCBS company. Terreri grabs two at-home COVID-19 test kits to be handed out during a . Find answers on our member and employer pages, or contact us. Use this form to order a mail order prescription. // ]]>, //
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For more information, view our privacy policy. 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. Findings. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. f/4kg>/ProcSet[/PDF]>>>>stream
In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 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. and independent licensees of the Blue Cross and Blue Shield Association. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 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. Check out the changes and updates to our plan in 2023. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Will Blue Cross cover COVID-19 testing for non-medically necessary purposes (e.g., return- . Increasing access to prescription medications. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Mail-in claims Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. Please enter the NDC or UPC number from the cash register receipt or test package. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. reimbursement through FSA, HRA, or HSA accounts? See below.). 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. Reimbursement is not available through medical benefits with BlueCross BlueShield or Cigna. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form . Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. 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. This coverage cant be used for workplace screening or travel. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. |X9GZaX~
Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. He has reported on health . If any information is missing from the invoice, contact the provider. 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. A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. 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. Pregnant members can use this form to request a blood pressure monitor at no cost. cRequired for employment purposes. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. In response to the COVID-19 pandemic, Blue Cross is expanding reimbursement for all services delivered through telehealth that meet the coverage criteria in the policy. You dont need to sign in to search for a pharmacy. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. 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. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. For example, a physician, a nurse practitioner, or a physician assistant. Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. 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()};}; Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. UnitedHealthcare COVID At-Home Test Reimbursement Form. We use cookies on this website to give you the best experience and measure website usage. Test kit cost $ If you are a Medicare Advantage, Medigap, Medicaid or Dual Eligible Special Needs Plan member, please call the number on the back of your member ID card for benefit information. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. ro?gu?"t6Vr
K?K@n}r`TyEycB". With a BCBSIL health plan, you have access to care for COVID-19 related health issues. You can find a list of community-based testing sites here. See below.). below is required. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Leading the way in health insurance since 1929. 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. 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. 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. After completing the form, be sure to sign the COVID-19 home test kit claim section and attach your home test kit receipt. By continuing to use this website, you consent to these cookies. 3. Who can order a test? You do not need health insurance to receive your free tests. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. For members of all BCBSRI plans except Medicare At-home testing options and costs Youll be reimbursed up to $12 per individual test. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [&
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Forms for members enrolled in individual, family and employer plans with Florida Blue. Then, complete and submit the online form. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. See the list of participating pharmacies and healthcare providers. Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. We use cookies on this website to give you the best experience and measure website usage. Attach an original itemized bill from your provider (required information & example on the back) . All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. What you need to know about the disease and our coverage commitment. If you buy the tests online or at a retail store (including the regular store checkout at a pharmacy rather than the pharmacy counter), youll need to submit a form, along with your receipt, and will be reimbursed up to $12 per individual test. Important information about expanded coverage. H0148_22_003_C_020822. After choosing BCBS Rhode Island as your health plan, select the Rhode Island Pharmacy Network (which is a national network) and enter your ZIP code. Once we process your claim, the contract holder will receive a reimbursement check by mail. Testing and Treatment Coverage Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. Mail-in claim forms allow you to submit a claim for multiple members with one form. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Mail-in claim forms allow you to submit a claim for multiple members with one form. 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}; For the Health of America. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. // ]]>, // /ProcSet[/PDF]>>>>stream
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 . The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). c I had COVID-19 symptoms. Home test kits can be an important and convenient tool for diagnosing COVID-19, and BCBSRI members have $0 coverage for these home test kits without a prescription. Updated April 15, 2022. This currently does not apply to Medicare Advantage members. As of January 15, 2022, you can get reimbursed by your health plan for the costs of over-the-counter diagnostic COVID-19 tests until the end of the Coronavirus Public Health Emergency. . 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. O=>WNW%
They are typically easy to use and produce rapid results. Please note that taxes and other fees are not covered. This page may have documents that can't be read by screen reader software. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test See our FAQfor detailed instructions. With each claim form, you should include the same receipt. Prime has an established electronic connection with most pharmacies, even those not in their network, and the claim should process successfully. Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. Member Discounts Take advantage of member-only discounts on health-related products and services. Highest Member Satisfaction Two Years in a Row! // ]]>. How to get free at-home tests: Express Scripts Pharmacy Order up to 8 at-home COVID-19 tests every 30 days from Express Scripts Pharmacy. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. Once completed you can sign your fillable form or send for signing. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. qGm1UCk3Ht}uh>.ky!R'@ E Medicare member reimbursement amount per test may vary by Medicare plan. . 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. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); We've taken steps to lower costs and provide our members easier access to care related to COVID-19. The vaccines are free, safe and effective and widely available for anyone age 5 and up. // ]]>, // /Subtype/Form/Type/XObject>>stream
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. For more information about coverage of over-the-counter tests, view our frequently asked questions. Online claims endstream
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Commercial Health Plans, Northeast Region. Use the claims form for OTC at-home tests with a healthcare provider order. Please review the terms of use and privacy policies of the new site you will be visiting. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. *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. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. 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. endstream
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It must include the original receipt or a copy of the receipt for purchasing the tests. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. This policy will remain in effect for the duration of the Federal Public Health Emergency. 2023 Blue Cross Blue Shield Association. When filing claims online, you must use a separate claim form for each receipt and for each member. 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. 510 0 obj
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For J.D. 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. Health Insurance Providers Help Vaccinate More Than 2 Million Seniors Against COVID-19 in Underserved Communities, Blue Cross and Blue Shield Federal Employee Program (FEP) Joins White House Effort to Achieve National Vaccination Goal, Blue Cross Blue Shield Association Partners with Feeding America and its Network of 200 Food Banks to Drive Education of COVID-19 Vaccination, Blue Cross and Blue Shield Companies Join National Commitment to Protect Employees and Communities from COVID-19, Health Insurance Providers Commit to Help Millions of Seniors in Underserved Communities Receive COVID Vaccines, HPV vaccination rates low despite risks of related cancers, Infographic: COVID-19 patients with high-risk conditions 3x more likely to need the ICU, Why flu shots are so important during COVID-19 pandemic, Blue Cross Blue Shield Companies Invest in COVID-19 Relief, Frequently Asked Questions about COVID-19 Vaccination, Guidance for Communities, Workplaces and Schools. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . 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. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. Your member ID card is your key to using your medical plan benefits. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. Chico, CA 95927-2540. Making healthcare affordable. No, I am the authorized representative for a Medicare member. You can get these tests for $0 at pharmacies and healthcare providers that are participating with the federal government for this specific program. 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. 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. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California Once you receive a confirmation from CVS Pharmacy, your order will be waiting for you at the front store register. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. See the list. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 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. Select the list of exceptions for your plan. Use this order form for specialty medications. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. If you have a large employer, please call member services at the . Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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). 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){}})(); CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. If you have questions about reimbursement of at-home tests, contact Express Scripts at 855.612.3128. This program applies only to at-home tests purchased on or after Jan. 15, 2022, and covers eight free tests per covered individual per month. 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 submit any number of receipts on a single claim form. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Sign in or register at Caremark.com (You must be a CVS Caremark member) It should not be considered current, complete or exhaustive, nor should you rely on such information to recommend any tests, products, procedures, opinions, or a course of treatment for you or any other individual. 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. 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. To print and mail your claim, download theclaim form (PDF).
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