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At-home testing options and costs 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. // ]]>, // ;j+/ If a test reader is required, reimbursement is limited to $12. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. This policy will remain in effect for the duration of the Federal Public Health Emergency. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. 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. 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. 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. With each claim form, you should include the same receipt. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. 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. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); 2023 Blue Cross Blue Shield Association. People ages 12 years and older who are moderately or severely immunocompromised. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. // ]]>. For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. 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. Sign in or register at Caremark.com (You must be a CVS Caremark member) endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream Read our Nondiscrimination and Language Assistance notice. Example 3: By continuing to use this website, you consent to these cookies. 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. Blue Cross recommends that members contact and work closely with their health care . 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). Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. 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. Youll be reimbursed up to $12 per individual test. endstream endobj 460 0 obj <>/ProcSet[/PDF]>>>>stream If you have a BCBSRI Medicare Advantage plan that includes a quarterly OTC allowance ($25-$275, depending on your plan), you can also use it to buy COVID-19 home test kits. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& You can also include multiple receipts with one form. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. 574 0 obj <>stream The tests listed below are available for $0 at the pharmacy counter. Select the list of exceptions for your plan. See below.). Reimbursement requests take up to 4-6 weeks to process Questions? Overseas members will need to complete and file this claim form for any medical services received. 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. 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. If you have a large employer, please call member services at the . Your member ID card is your key to using your medical plan benefits. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. Find your BCBS company. Select the list of exceptions for your plan. Here's how to get reimbursed: Submit a claim form However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Ted S. Warren/AP. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. COVID-19 | Blue Cross and Blue Shield of Illinois. qO;,lH Use the claims form for OTC at-home tests with a healthcare provider order. Mail claim form and all attachments to BCBSMA, P . We are committed to making sure members get the care they need when they need it. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. Heres everything you need to know about it. [CDATA[ Pregnant members can use this form to request a blood pressure monitor at no cost. The protection of your privacy will be governed by the privacy policy of that site. Find and download forms often used by our members. 8 At-Home Rapid tests per 30 days. See below.). [CDATA[ Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. Coverage varies by plan type. Dylan Scott covers health care for Vox. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. It must include the original receipt or a copy of the receipt for purchasing the tests. For members of all other BCBSRI heath plans 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 D@3[0V | 8cqy .-mg7b If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. and independent licensees of the Blue Cross and Blue Shield Association. You can also submit reimbursement for home test kits. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. O=>WNW% Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. To be eligible for reimbursement, your test must be . Visit the Medi-Cal website for more details. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. Mail-in claim forms allow you to submit a claim for multiple members with one form. To access your member services, please visit your BCBS company. 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. See the list of participating pharmacies and healthcare providers. 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. The government is committed to ensuring access to OTC tests. Reimbursement requests take up to 4-6 weeks to process, Questions? qGm1UCk3Ht}uh>.ky!R'@ E 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. Heres everything you need to know about it. Member Benefit Updates. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Please check with your employer if you have questions. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. Reimbursement is not available through medical benefits with BlueCross BlueShield or Cigna. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. 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. You can find provider manuals, reimbursement documents and procedures. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. // ]]>, // /Subtype/Form/Type/XObject>>stream Complete the Member Request Form for Primary Breast Cancer Prevention Coverage. Submit one form per member. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Your commercial plan will reimburse you up to $12 per test. 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. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. For example, one box containing two tests counts as two tests. Beginning January 15, 2022, and for the duration of the Federal Public Health Emergency, over-the-counter tests used for diagnostic purposes that are purchased online or at a store or pharmacy will also be covered. The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. 454 0 obj <> endobj BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. Today, the Blue Cross Blue Shield Association (BCBSA) announced that independent and locally-operated BCBS companies across the country and the BCBS Federal Employee Program (FEP . Lets say you made a one-time purchase of up to 24 tests for three members. f/4kg>/ProcSet[/PDF]>>>>stream An attending health care provider may order a test. For members of BCBSRI Medicare Advantage and Plan 65 Findings. There are different ways to submit your reimbursement depending on your plan. 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.). Waiving all prior authorization requirements for COVID-19 testing and related covered services. 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}; You can submit any number of receipts on a single claim form. For members of BCBSRI Medicare Advantage and Plan 65 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Your signature is also required in the COVID-19 home test kit claim section. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. Y0118_22_062A_C 02082022 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. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. To access your member services, please visit your BCBS company. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. 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=/; "}; When filing claims online, you must use a separate claim form for each receipt and for each member. 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. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). 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. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. In the face of COVID-19, every question, answer and vaccination is important. 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. All rights reserved. Updated April 15, 2022. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. below is required. 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.
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