D@3[0V You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Use this form to order a mail order prescription. 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. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. Use this order form for specialty medications. b&HXR For example, a physician, a nurse practitioner, or a physician assistant. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. 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. Reimbursement requests take up to 4-6 weeks to process, Questions? 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.. Thats a big step toward stopping the spread of the virus. All OTC at-home tests ordered by a healthcare provider are covered. Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bCoverage for COVID-19 testing | Blue Shield of CA 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.set=function(a,c){var b="",b=new Date;b.setTime(b.getTime()+6048E5);b="; expires="+b.toGMTString();document.cookie=a+"="+c+b+"; path=/; "}; OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Testing and Treatment Coverage Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. Some people may be eligible for a second booster, including: Adults ages 50 years and older. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). If you are asked to pay for the tests at the regular store checkout, you can let the pharmacy know your coverage is through Prime. Please enter the NDC or UPC number from the cash register receipt or test package. Pregnant members can use this form to request a blood pressure monitor at no cost. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { 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 . These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test This form is for members of non-Medicare plans. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. 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. If you have a large employer, please call member services at the . Commercial members may receive reimbursement for up to eight over-the-counter COVID-19 at-home tests per covered individual in the household per 30-days without a healthcare provider order or clinical assessment. Sources: What to know about COVID tests | Coverage - Blue Cross Blue Shield of COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL 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). Your signature is also required in the COVID-19 home test kit claim section. 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. COVID-19 Coverage for Members Your health is always our priority. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. You can get these tests for $0 at pharmacies and healthcare providers that are participating with the federal government for this specific program. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Power 2022 award information, visit jdpower.com/awards. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID 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. The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. This coverage cant be used for workplace screening or travel. If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. 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. Please note that this network may be different than your plans standard pharmacy network. By continuing to use this website, you consent to these cookies. 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. For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. See below.). IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. UPDATE: COVID-19 over the counter testing reimbursement - IBX Newsroom You can find provider manuals, reimbursement documents and procedures. Ted S. Warren/AP. For all formulary tier exceptions you will need to complete and file a request form. 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=/; "}; If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. c I had COVID-19 symptoms. 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 We use cookies on this website to give you the best experience and measure website usage. Heres everything you need to know about it. Use our. 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. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX We're here to help you stay informed about COVID-19 and to access the care and coverage you need. Pumj(jlG_E>;j+/ endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream Postal Service. As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). 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. More than 140 million Americans have received a dose of the COVID-19 vaccine. Insurers must cover the cost of eight tests per insured individual. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. In this case, you should fill out three claim forms one for each member. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. You can submit any number of receipts on a single claim form. For members of all BCBSRI plans except Medicare With each claim form, you should include the same receipt. Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. Highest Member Satisfaction Two Years in a Row! Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Please note that taxes and other fees are not covered. Use the claims form for OTC at-home tests with a healthcare provider order. [CDATA[ Then, complete and submit the online form. Coronavirus Update Center - bcbsal.org Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. 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. News Release For Release December 8, 2021 Contact: Sara Teachout (802) 371-3254 teachouts@bcbsvt.com Blue Cross Blue Shield of Vermont to Cover Certain Take Home Antigen Tests Berlin, Vermont . (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. . 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. f/4kg>/ProcSet[/PDF]>>>>stream The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). You dont need to sign in to search for a pharmacy. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. What you need to know about the disease and our coverage commitment. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. Each test within a package is counted individually. We recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. 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