Use this order form for specialty medications. . 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. Example 3: %PDF-1.7 % (If you dont already have a CVS account, youll need to create one.). (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. 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. 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 Blue Shield sent a statement saying: We received updated guidance from the federal government regarding at-home COVID-19 testing coverage late Monday afternoon. Pregnant members can use this form to request a blood pressure monitor at no cost. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. All rights reserved. Your signature is also required in the COVID-19 home test kit claim section. Insurers must cover the cost of eight tests per insured individual. Each test within a package is counted individually. The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. Read our Nondiscrimination and Language Assistance notice. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. By continuing to use this website, you consent to these cookies. Mail-in claim forms allow you to submit a claim for multiple members with one form. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. All Rights Reserved. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. On July 31, one day remains to file the claim. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream For more information, view our privacy policy. 3. Who can order a test? California Physicians' Service DBA Blue Shield of California 1999-2023. All FDA-approved home test kits are covered without a prescription. endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. 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. 574 0 obj <>stream For help with these documents, please call 1-800-975-6314. . a|VOXHXT:B4 The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. Your member ID card is your key to using your medical plan benefits. Leading the way in health insurance since 1929. To get reimbursed, pleasedownloadthis formand mail it to the address listed,along with a receipt. H0148_22_003_C_020822. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Health plans are offered by Blue Shield of California. 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 . [CDATA[ 2023 Blue Cross Blue Shield Association. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. b&HXR "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Please enter the NDC or UPC number from the cash register receipt or test package. As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. With a BCBSIL health plan, you have access to care for COVID-19 related health issues. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. To print and mail your claim, download theclaim form (PDF). try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); 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()};}; Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. 8 At-Home Rapid tests per 30 days. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. Ted S. Warren/AP. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . 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). 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. Instead of showing your BCBSRI member ID card at the pharmacy counter, you provide that information online and then pick up the home test kits at a CVS Pharmacy location. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . ro?gu?"t6Vr K?K@n}r`TyEycB". To access your member services, please visit your BCBS company. 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.. 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}; Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. 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 . You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream Please note that taxes and other fees are not eligible for reimbursement. 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 requests take up to 4-6 weeks to process, Questions? Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. Your member ID card is your key to using your medical plan benefits. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. Making healthcare affordable. CHICAGO -- Blue Cross Blue Shield Association (BCBSA) announced today that its network of 36 independent and locally-operated Blue Cross and Blue Shield (BCBS) companies will waive prior authorizations and increase coverage for COVID-19 as described below. There are different ways to submit your reimbursement depending on your plan. Once we process your claim, well mail the contract holder a reimbursement check. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. 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. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. 0 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. You dont need to sign in to search for a pharmacy. If the pharmacy continues to direct you to pay at the regular store checkout, please consider paying for the test kit and submitting for reimbursement or trying to use a different pharmacy. Check out the changes and updates to our plan in 2023. 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. You can view a complete list of. Reimbursement requests take up to 4-6 weeks to process Questions? Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. Chico, CA 95927-2540. Get started with your reimbursement request. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. The protection of your privacy will be governed by the privacy policy of that site. You can find provider manuals, reimbursement documents and procedures. See our FAQfor detailed instructions. You must submit a separate claim form for each covered family member. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. You do not need health insurance to receive your free tests. Sign in or register at Caremark.com (You must be a CVS Caremark member) For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. 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. For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. 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. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. You will be reimbursed $12 per test. 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. All information . Dylan Scott covers health care for Vox. Blue Shield of California has neither reviewed nor endorsed this information. 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. 1095-B Tax Form Message. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. You can submit up to 8 tests per covered member per month Tests must be FDA-authorized Tests must be purchased on or after January 15, 2022 Your commercial plan will reimburse you up to $12 per test. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Test kit cost $ Please note that this network may be different than your plans standard pharmacy network. 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. 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. 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. A recent announcement from the federal government intends to increase access to COVID-19 testing. 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. | 8cqy .-mg7b 3. This policy will remain in effect for the duration of the Federal Public Health Emergency. 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 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. This coverage began on January 15, 2022. Provide your BCBSRI health plan information and follow the steps to order the tests. Your commercial plan will reimburse you up to $12 per test. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Even if you dont have symptoms and have not been exposed to someone with COVID-19, using a home test kit before gathering indoors with others can give you information about the risk of spreading the virus that causes COVID-19. CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. Heres everything you need to know about it. You can get these tests for $0 at pharmacies and healthcare providers that are participating with the federal government for this specific program. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). Leading the way in health insurance since 1929. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. bxx,| (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Read our Nondiscrimination and Language Assistance notice. By continuing to use this website, you consent to these cookies. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. Fill Online, Printable, Fillable, Blank COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage (Blue Cross Blue Shield of Michigan) Form Use Fill to complete blank online BLUE CROSS BLUE SHIELD OF MICHIGAN pdf forms for free. Submit a separate form for each patient. When filing claims online, you must use a separate claim form for each receipt and for each member. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request 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}; Once we process your claim, the contract holder will receive a reimbursement check by mail. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. 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. m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. 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 . This coverage applies to all BCBSRI health plans except Medicare. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Health plans are offered by Blue Shield of California. Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. But some are still hesitant to get the shot. A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. 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. 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. Power 2022 award information, visit jdpower.com/awards. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. [CDATA[ Call the number located on the back your member ID Card. O=>WNW% At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Mail-in claims Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Visit the Medi-Cal website for more details. The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. A diagnostic test is used to determine if a person has COVID-19. They are typically easy to use and produce rapid results. 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. See below.). For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. Also, note that all American households can order free COVID-19 tests from the federal government. 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. You can also include multiple receipts with one form. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco.
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