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COVID-19 TESTING | Benefits Services Division - Arizona You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. NDC or UPC number Date purchased / / Quantity of tests. 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. OTC COVID test kit claim. All rights reserved. Use this form to select an individual or entity to act on your behalf during the disputed claims process. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Please review the terms of use and privacy policies of the new site you will be visiting. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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()};}; To access your member services, please visit your BCBS company. . 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. Select the list of exceptions for your plan. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. We recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. Forms for members enrolled in individual, family and employer plans with Florida Blue. 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. 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. 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. [CDATA[ OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . Further questions Updated April 15, 2022. 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. UPDATE: COVID-19 over the counter testing reimbursement - IBX Newsroom In this case, you should fill out three claim forms one for each member. No, the home tests provided by the government do not count toward your $0 coverage. Purchase up to 8 tests per family member in a 30-day period. 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. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama endstream endobj startxref Want to get your at-home COVID test reimbursed? | wltx.com %PDF-1.7 % All information below is required. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Reimbursement is capped at $12 per test (or the cost of the test, if less than $12). As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. 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. All Rights Reserved. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Power 2022 award information, visit jdpower.com/awards. You can also include multiple receipts with one form. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. 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. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. COVID-19 Home Test Kits - For members | Blue Cross Blue Shield - BCBSRI See the FAQ below for details.) For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. 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. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. Reimbursement requests take up to 4-6 weeks to process, Questions? %%EOF The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. 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 Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. endstream endobj 455 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(a;uY[7y\\ Y)/P -1036/R 4/StmF/StdCF/StrF/StdCF/U(6Tn= )/V 4>> endobj 456 0 obj <>>> endobj 457 0 obj <> endobj 458 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 10/Tabs/W/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 459 0 obj <>/ProcSet[/PDF]>>>>stream 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. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. PDF COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage - BCBSM Please enter the NDC or UPC number from the cash register receipt. Sources: 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. 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. Everyone qualifies. 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. An FDA-approved home test kit would be eligible for reimbursement if you had an order or prescription from a healthcare provider and if the test was medically necessary to diagnose COVID-19. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. We also provide language assistance. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. 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.. 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. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b/ProcSet[/PDF]>>>>stream 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. 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=/; "}; COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL Blue Cross Blue Shield of Vermont to cover certain take home - VTDigger Provider Information on COVID-19 Coverage | Blue Cross and Blue Shield What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX Leading the way in health insurance since 1929. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. Health plans are offered by Blue Shield of California. Information Regarding Coronavirus (COVID-19) | Highmark BCBSWNY 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. or retailer (e.g. Submit one form per member. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. Your member ID card is your key to using your medical plan benefits. At-Home COVID Test Reimbursement: From Blue Shield to Kaiser, How to If the test is less than $12, reimbursement will be the cost of the test. 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. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream Thats a big step toward stopping the spread of the virus. Waiving cost-sharing for COVID-19 testing and treatment. How Are Private Insurers Covering At-Home Rapid COVID Tests? How to get reimbursed for COVID-19 tests | Blue Shield of CA In this case, you should fill out three claim forms one for each member. Once completed you can sign your fillable form or send for signing. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). Dylan Scott covers health care for Vox. Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Our Commitment to You What's Covered Coverage will vary based on your plan. *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. More than 140 million Americans have received a dose of the COVID-19 vaccine. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. The tests listed below are available for $0 at the pharmacy counter. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. 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. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); If a test is sold in a package of two, that is considered two tests and you will be reimbursed $24. How to get your at-home Covid test kits reimbursed - CNBC (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. On July 31, one day remains to file the claim. To be reimbursed for a COVID home test kit purchased at any pharmacy . You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. 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. See below.). b&HXR Important information about expanded coverage. Please note that taxes and other fees are not covered. For members of BCBSRI Medicare Advantage and Plan 65 PDF Florida Blue Prescription Drug Claim Form Overseas members will need to complete and file this claim form for any medical services received. 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. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream 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. PDF NATIONAL PUBLIC HEALTH EMERGENCY EXTENDED TO OCT. 13, 2022 - Tennessee With each claim form, you should include the same receipt. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. 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. Claim Forms - Blue Cross and Blue Shield's Federal Employee Program Serving residents and businesses in the 28 eastern and southeastern counties of New York State. If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. 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. 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. H0148_22_003_C_020822. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 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}; PDF COVID-19 Frequently Asked Questions - Blue Cross Blue Shield of You can view a complete list of. . Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. People ages 12 years and older who are moderately or severely immunocompromised. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) 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. For all formulary tier exceptions you will need to complete and file a request form. PDF COVID-19 AT-HOME TEST REIMBURSEMENT FORM - Arizona reimbursement through FSA, HRA, or HSA accounts? 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 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. PDF COVID-19 At-Home Test Member Reimbursement Form - Furman University COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. There are different ways to submit your reimbursement depending on your plan. Heres everything you need to know about it. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. PDF Who is eligible for COVID testing - BCBSM . Coverage varies by plan type. Youll be reimbursed up to $12 per individual test. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test To be eligible for reimbursement, your test must be . Fillable COVID-19 Testing Member Reimbursement Form Non-Medicare Coronavirus (COVID-19) Updates | bcbsm.com Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. With a BCBSIL health plan, you have access to care for COVID-19 related health issues. Receipt and UPC barcode from the kit package are required. 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. Health plans are offered by Blue Shield of California. s&jPDed Mail-in claims 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. But I called @BCBSTX as a consumer, and asked . All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. O=>WNW% Blue Shield of California has neither reviewed nor endorsed this information. 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Member Benefit Updates | CareFirst BlueCross BlueShield If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Read our Nondiscrimination and Language Assistance notice. 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. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem 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. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. UnitedHealthcare COVID At-Home Test Reimbursement Form. To find an in-network pharmacy, click here or download the fepblue app. Please note that these home test kits cant be used for workplace screening or travel. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream Then, complete and submit the online form. Use this order form for specialty medications. Waiving all prior authorization requirements for COVID-19 testing and related covered services. 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.