The government is committed to ensuring access to OTC tests. 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. Please note that these home test kits cant be used for workplace screening or travel. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. For members of BCBSRI Medicare Advantage and Plan 65 Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Then, complete and submit the online form. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. This page may have documents that can't be read by screen reader software. Visit the CDC website for the most up-to-date testing guidance. 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. To access your member services, please visit your BCBS company. ro?gu?"t6Vr K?K@n}r`TyEycB". There is a limit of . reimbursement through FSA, HRA, or HSA accounts? 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}; People ages 12 years and older who are moderately or severely immunocompromised. "We have tests, treatments, and vaccines that can . 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. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. . [CDATA[ 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. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. For members of all BCBSRI plans except Medicare For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. 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. Reimbursement is capped at $12 per test (or the cost of the test, if less than $12). Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. Centers for Disease Control and Prevention (CDC), Coronavirus, World Health Organization (WHO), Coronavirus, Keep Your Children 5 and Older Safe With a COVID-19 Vaccine, How to Manage Back-to-the-Workplace Anxiety, Anthem has a limited number of at-home diagnostic test kits available for certain members to order online. Everyone qualifies. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . If any information is missing from the invoice, contact the provider. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Fillable COVID-19 Testing Member Reimbursement Form Non-Medicare (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. But some are still hesitant to get the shot. Pregnant members can use this form to request a blood pressure monitor at no cost. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream 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. Each person on your plan is covered for up to 8 individual home test kits every 30 days. 2023 Blue Cross Blue Shield Association. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Receipt required. This coverage began on January 15, 2022. 2023 Blue Cross Blue Shield Association. bxx,| As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. 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. Over-the-Counter COVID-19 Testing | Producer | Premera Blue Cross Home test kits can be an important and convenient tool for diagnosing COVID-19, and BCBSRI members have $0 coverage for these home test kits without a prescription. (function(){var g=function(e,h,f,g){ 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. If you have questions about reimbursement of at-home tests, contact Express Scripts at 855.612.3128. 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. 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 . No, the home tests provided by the government do not count toward your $0 coverage. 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){}})(); PDF COVID-19 Frequently Asked Questions - Blue Cross Blue Shield of You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. With a BCBSIL health plan, you have access to care for COVID-19 related health issues. For example, a physician, a nurse practitioner, or a physician assistant. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Buying tests to store them for a potential need isn't good for the community or public health. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama %PDF-1.7 % FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. For the Health of America. 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. The protection of your privacy will be governed by the privacy policy of that site. Everyone qualifies. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. 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. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. For members of BCBSRI Medicare Advantage and Plan 65 Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. You'll be reimbursed by check within 60 calendar days. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. There are different ways to submit your reimbursement depending on your plan. Please note that taxes and other fees are not covered. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. See the list. However, even if a pharmacy is not participating in our network, you may be able to buy the test for $0. Please note that this network may be different than your plans standard pharmacy network. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. However, you must include all required information requested in the form. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Read our Nondiscrimination and Language Assistance notice. F2g5 :s+Jc m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Each test within a package is counted individually. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. Member Forms. They are typically easy to use and produce rapid results. Select the list of exceptions for your plan. All FDA-approved home test kits are covered without a prescription. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream In the face of COVID-19, every question, answer and vaccination is important. Leading the way in health insurance since 1929. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . In this case, you should fill out three claim forms one for each member. For J.D. COVID-19 Home Test Kits - For members | Blue Cross Blue Shield - BCBSRI Health plans are offered by Blue Shield of California. You will be reimbursed $12 per test. 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. 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. endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream How Are Private Insurers Covering At-Home Rapid COVID Tests? Reimbursement requests take up to 4-6 weeks to process Questions? You can also include multiple receipts with one form. Your commercial plan will reimburse you up to $12 per test. No, I am the authorized representative for a Medicare member. COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem Receipt and UPC barcode from the kit package are required. A nurse case manager with Blue Cross & Blue Shield of Rhode Island found that listening, without judgment, to one patients concerns made all the difference. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. You can find a list of community-based testing sites here. Medicare member reimbursement amount per test may vary by Medicare plan. Blue Cross Blue Shield Association - Wikipedia 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. Complete the Member Request Form for ACA Bowel Prep Prevention Coverage. 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. 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. // ]]>. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Forms for members enrolled in individual, family and employer plans with Florida Blue. Here's how to get reimbursed: Submit a claim form All rights reserved. Heres everything you need to know about it. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: COVID-19 screenings or evaluations done: Virtually using telehealth, In a doctor's office, At an urgent care center, or In a hospital (including emergency room). Your frequently asked questions about COVID19 - IBX Newsroom You can submit any number of receipts on a single claim form. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. If you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. For members of all other BCBSRI heath plans To be eligible for reimbursement, your test must be . 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. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. At-Home COVID Tests | Department of Financial Regulation - Vermont Mail-in claim forms allow you to submit a claim for multiple members with one form. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Member Benefit Updates. Complete this claim form for any pharmacy services received. See the list. 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.. Prime has an established electronic connection with most pharmacies, even those not in their network, and the claim should process successfully. 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. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Leading the way in health insurance since 1929. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. Coronavirus (COVID-19) Resource Center - Empire Blue To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: Members must complete a claim form to be reimbursed for over-the-counter COVID-19 testing. Member Benefit & Covid-19 Updates | CareFirst BlueCross BlueShield UnitedHealthcare COVID At-Home Test Reimbursement Form. %%EOF Insurers must cover the cost of eight tests per insured individual. Member Benefit Updates | CareFirst BlueCross BlueShield Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. This network may be different than your plans standard pharmacy network. It must include the original receipt or a copy of the receipt for purchasing the tests. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine.
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