Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California |X9GZaX~ What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. What to know about COVID tests | Coverage - Blue Cross Blue Shield of Coronavirus Update Center - bcbsal.org COVID-19 OTC | CVS Caremark Looking for COVID-19 coverage and benefit information? The Blue Cross Blue Shield companies partner with state and federal agencies, as well as advocacy organizations, to report, investigate and reduce the incidence of healthcare fraud. 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}; 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . This policy will remain in effect for the duration of the Federal Public Health Emergency. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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. Coverage for COVID-19 testing | Blue Shield of CA Then, complete and submit the online form. COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. If they have, you are eligible to order 8 tests every 30 days for each person on your plan. Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Blue Shield of California PO Box 272540 Chico, CA 95927-2540 COVID-19 laboratory tests (PCR tests) If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. You can find a list of community-based testing sites here. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Leading the way in health insurance since 1929. [CDATA[ 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). You must submit a separate claim form for each covered family member. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. People ages 12 years and older who are moderately or severely immunocompromised. // ]]>, // COVID-19 Resources and Vaccine Coverage | Express Scripts 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. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. %PDF-1.7 % b&HXR However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. // ]]>, // 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. If the test is less than $12, reimbursement will be the cost of the test. 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. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b 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 these tests for $0 at pharmacies and healthcare providers that are participating with the federal government for this specific program. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. In this case, you should fill out three claim forms one for each member. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. Over-the-Counter Tests | CareFirst BlueCross BlueShield 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. 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. COVID-19 | Blue Cross and Blue Shield of Illinois. Purchase FDA-authorized OTC tests at a retail location and then submit a Health Benefits Claim Form, providing an itemized receipt that clearly shows that your purchase was for a COVID-19 OTC test to your local BCBS Plan. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. All Rights Reserved. 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. 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). Prime has an established electronic connection with most pharmacies, even those not in their network, and the claim should process successfully. 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.). 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. 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. H0148_22_003_C_020822. Your coverage for COVID-19 | Blue Shield of CA What's Covered - COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL Please note that taxes and other fees are not eligible for reimbursement. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). PDF COVID-19 AT-HOME TEST REIMBURSEMENT FORM - Arizona this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; Once you receive a confirmation from CVS Pharmacy, your order will be waiting for you at the front store register. Health plans are offered by Blue Shield of California. This page may have documents that can't be read by screen reader software. That form will be replaced on Jan. 23 once the insurer develops a . Dylan Scott covers health care for Vox. This currently does not apply to Medicare Advantage members. Highmark will begin reimbursing its customers for at-home covid-19 tests this weekend and is looking to eliminate the need for customers to pay first, a vice president of the insurance company . Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. To use your quarterly OTC benefit, you must buy the home test kits in store through the national retailers in your OTC network: Walmart, Dollar General, Family Dollar, Rite Aid, Walgreens, and CVS Pharmacy. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Forms for members enrolled in individual, family and employer plans with Florida Blue. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q Your member ID card is your key to using your medical plan benefits. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Visit the Medi-Cal website for more details. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. . General Information Anesthesia Payment and Billing Update Participating Provider Fee Schedule Requests: Professional Providers 2023 Blue Cross Blue Shield Association. PDF Florida Blue Prescription Drug Claim Form The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Please check with your employer if you have questions. We generally process claims within 30 days from receiving your completed claim form and receipts. 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. Find and download forms often used by our members. COVID-19 updates | S.C. PEBA - South Carolina BCBS COVID-19 Info - Benefits, Testing, and More - FEP Blue Your member ID card is your key to using your medical plan benefits. | 8cqy .-mg7b Test kit cost $ We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. 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. 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. Select the list of exceptions for your plan. How Highmark and other insurers will cover at-home covid tests below is required. Buying tests to store them for a potential need isn't good for the community or public health. If a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. 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. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. You do not need health insurance to receive your free tests. The IRS no longer requires us to automatically mail Form 1095-B to members. Submit a separate form for each patient. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. 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 This network may be different than your plans standard pharmacy network. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 454 0 obj <> endobj All Rights Reserved. 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). We also provide language assistance. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. COVID-19 TESTING | Benefits Services Division - Arizona But some are still hesitant to get the shot. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. You can find provider manuals, reimbursement documents and procedures. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. COVID-19 | Blue Cross and Blue Shield of Illinois - BCBSIL What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream A diagnostic test is used to determine if a person has COVID-19. The government is committed to ensuring access to OTC tests. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). 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. The frustrating Covid-19 test reimbursement process is a - Vox 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 With each claim form, you should include the same receipt. 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()};};