This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q . That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. 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. You can submit any number of receipts on a single claim form. Over-the-Counter COVID-19 Testing | Producer | Premera Blue Cross If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. 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. Visit the CDC website for the most up-to-date testing guidance. (function(){var g=function(e,h,f,g){ Overseas members will need to complete and file this claim form for any pharmacy services received. Today, the Blue Cross Blue Shield Association (BCBSA) announced that independent and locally-operated BCBS companies across the country and the BCBS Federal Employee Program (FEP . Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. If a test is sold in a package of two, that is considered two tests and you will be reimbursed $24. Each test within a package is counted individually. Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services, must be purchased on or after January 15, 2022, used to identify the potential COVID-19 infection, will be self-administered with results that can be self-read, will not be resold, given or supplied to persons other than family members covered under the same policy, The purchase receipt documenting the date of purchase and price, UPC** cut-out from the over-the-counter COVID-19 test packaging, Signed, completed attestation confirming and acknowledging that the purchased over-the-counter at-home COVID-19 test meets eligibility guidelines. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Over-the-Counter Tests | CareFirst BlueCross BlueShield Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. 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. 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. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Also, note that all American households can order free COVID-19 tests from the federal government. Example 3: 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. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. COVID-19 At Home Testing | Oklahoma Insurance Department We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. qGm1UCk3Ht}uh>.ky!R'@ E UPDATE: COVID-19 over the counter testing reimbursement - IBX Newsroom Your member ID card is your key to using your medical plan benefits. PDF Rhode Island Prescription Drug Claim Form - BCBSRI COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). PDF NATIONAL PUBLIC HEALTH EMERGENCY EXTENDED TO OCT. 13, 2022 - Tennessee NDC or UPC number Date purchased / / Quantity of tests. 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. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. OTC COVID test kit claim. Read our Nondiscrimination and Language Assistance notice. COVID-19 Resources and Vaccine Coverage | Express Scripts Once we process your claim, well mail the contract holder a reimbursement check. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. Heres everything you need to know about it. 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. Mail-in claims Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. California Physicians Service DBA Blue Shield of California is an independent member of the 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. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID Read Full Story Communities 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. COVID-19 Coverage for Members Your health is always our priority. COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. People may also access free or affordably priced testing in the community. When filing claims online, you must use a separate claim form for each receipt and for each member. On July 31, one day remains to file the claim. 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. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. 3. For members of all other BCBSRI heath plans What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. There are 0 fields that need to be corrected. Member Discounts Take advantage of member-only discounts on health-related products and services. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. Telehealth. Once we process your claim, the contract holder will receive a reimbursement check by mail. 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. We recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). Which COVID test should you take, and how do you get reimbursed? 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. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Member Benefit & Covid-19 Updates | CareFirst BlueCross BlueShield 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. 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. Sources: You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. All information below is required. 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.). Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. 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. Get started with your reimbursement request. Sign in or register at Caremark.com (You must be a CVS Caremark member) You have been exposed or potentially exposed to an individual with COVID-19 (even if you dont have symptoms). 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. If any information is missing from the invoice, contact the provider. // ]]>, // /ProcSet[/PDF]>>>>stream Heres everything you need to know about it. Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. All forms are printable and downloadable. 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. For members of all BCBSRI plans except Medicare To find an in-network pharmacy, click here or download the fepblue app. Then, complete and submit the online form. %%EOF 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. How to get your at-home Covid test kits reimbursed - CNBC Fillable COVID-19 Testing Member Reimbursement Form Non-Medicare 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){}})(); (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. Provider Information on COVID-19 Coverage | Blue Cross and Blue Shield 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've taken steps to lower costs and provide our members easier access to care related to COVID-19. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. 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 COVID At-Home Test Reimbursement Form. All of the content provided on this website or on the linked websites is for informational purposes only and is not intended to serve as medical, legal or tax advice. For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. COVID-19 TESTING | Benefits Services Division - Arizona Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. Youll be reimbursed up to $12 per individual test. California Physicians' Service DBA Blue Shield of California 1999-2023. Your frequently asked questions about COVID19 - IBX Newsroom When filing claims online, you must use a separate claim form for each receipt and for each member. You'll be reimbursed by check within 60 calendar days. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); In response to the COVID-19 pandemic, Blue Cross is expanding reimbursement for all services delivered through telehealth that meet the coverage criteria in the policy. The health and well-being of our members is our top priority, and we remain committed to ensuring our members and customers have access to the care and information they need. If you have health coverage through a large employer, we recommend you contact your Benefits or HR Administrator to determine if your over-the-counter COVID-19 testing claim should be submitted to CareFirst as a medical claim or to your employers Pharmacy Benefit Manager as a pharmacy claim. Each person on your plan is covered for up to 8 individual home test kits every 30 days. 8 At-Home Rapid tests per 30 days. The Formulary Exception process allows members to apply for coverage of a non-covered drug if they have tried and failed the covered drug (s). Coronavirus (COVID-19) Updates | Blue Cross Blue Shield hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& No, the home tests provided by the government do not count toward your $0 coverage. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. (function(){var g=function(e,h,f,g){ Health Insurance Alabama | Blue Cross and Blue Shield of Alabama Find your BCBS company. Blue Cross Blue Shield of Massachusetts Announces New Resources for At For more information, view our privacy policy. Home COVID tests to be covered by insurers starting Saturday As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. H0148_22_003_C_020822. Find answers on our member and employer pages, or contact us. General Information Anesthesia Payment and Billing Update Participating Provider Fee Schedule Requests: Professional Providers 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. This coverage cant be used for workplace screening or travel. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. 2. Coverage varies by plan type. Blue Cross Blue Shield of Vermont to cover certain take home - VTDigger Important information about expanded coverage. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. D@3[0V To be eligible for reimbursement, you must submit: // ]]>, // How to snag your free at-home COVID-19 test kit | wtsp.com Chico, CA 95927-2540. PDF Subscriber Claim Form - Blue Cross Blue Shield of Massachusetts Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). If they have, you are eligible to order 8 tests every 30 days for each person on your plan. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . Testing and Treatment Coverage COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL The tests listed below are available for $0 at the pharmacy counter. endstream endobj startxref 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.