Please note that these home test kits cant be used for workplace screening or travel. Mail-in claim forms allow you to submit a claim for multiple members with one form. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. But some are still hesitant to get the shot. [CDATA[ (To submit a single form for multiple members and/or receipts, use a mail-in form instead. The vaccines are free, safe and effective and widely available for anyone age 5 and up. This form is for members of non-Medicare plans. PO Box 272540 The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. ro?gu?"t6Vr K?K@n}r`TyEycB". Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. California Physicians' Service DBA Blue Shield of California 1999-2023. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. To access your member services, please visit your BCBS company. 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. Select the list of exceptions for your plan. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). 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. By continuing to use this website, you consent to these cookies. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). 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}; 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. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. See the list of participating pharmacies and healthcare providers. There is a limit of . Once completed you can sign your fillable form or send for signing. When filing claims online, you must use a separate claim form for each receipt and for each member. 2023 Blue Cross Blue Shield Association. 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. 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. The government is committed to ensuring access to OTC tests. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. You can submit any number of receipts on a single claim form. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. CHICAGO - Blue Cross and Blue Shield (BCBS) companies are working closely with state and local governments, as well as partners within the health care system, to address local needs from the COVID-19 outbreak. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Using facts from the CDC, we hope to answer your questions and arm you with the knowledge you and your children deserve so you can feel confident in your decision. A diagnostic test is used to determine if a person has COVID-19. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Read our Nondiscrimination and Language Assistance notice. We are committed to making sure members get the care they need when they need it. below is required. 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. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. 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. 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. 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. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. Please check with your employer if you have questions. and independent licensees of the Blue Cross and Blue Shield Association. 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. Please ask at the pharmacy counter. Please note that taxes and other fees are not covered. Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. 2. Medicare member reimbursement amount per test may vary by Medicare plan. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. 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. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. In this case, you should fill out three claim forms one for each member. 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. a|VOXHXT:B4 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. All Rights Reserved. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. 454 0 obj <> endobj Attach an original itemized bill from your provider (required information & example on the back) . To be eligible for reimbursement, you must submit: To print and mail your claim, download theclaim form (PDF). If a test reader is required, reimbursement is limited to $12. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. Reimbursement requests take up to 4-6 weeks to process Questions? Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. 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. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 0 California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. See the FAQ below for details.) 2023 Blue Cross Blue Shield Association. 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 a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. . Overseas members will need to complete and file this claim form for any pharmacy services received. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. Ted S. Warren/AP. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. Postal Service. Call the number located on the back your member ID Card. Pickup cannot happen via drive-thru and tests will not be shipped. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. If any information is missing from the invoice, contact the provider. You can also include multiple receipts with one form. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. That form will be replaced on Jan. 23 once the insurer develops a . For members of BCBSRI Medicare Advantage and Plan 65 Pregnant members can use this form to request a blood pressure monitor at no cost. Leading the way in health insurance since 1929. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. All rights reserved. California Physicians' Service DBA Blue Shield of California 1999-2023. 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. 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}; To be reimbursed for a COVID home test kit purchased at any pharmacy . IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 1095-B Tax Form Message. To find an in-network pharmacy, click here or download the fepblue app. This coverage began on January 15, 2022. The $0 coverage only applies when you receive your home test kits at participating locations. Updated April 15, 2022. %PDF-1.7 % 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. 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.
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