We're here to help you stay informed about COVID-19 and to access the care and coverage you need. 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. No, the home tests provided by the government do not count toward your $0 coverage. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Further questions Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . The tests listed below are available for $0 at the pharmacy counter. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Throughout the pandemic, CareFirst has enhanced our benefits to ensure members can get the care they need. 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. If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. 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. See below.). Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b.ky!R'@ E 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. Medicare member reimbursement amount per test may vary by Medicare plan. For members of BCBSRI Medicare Advantage and Plan 65 Everyone qualifies. Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. Overseas members will need to complete and file this claim form for any medical services received. 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. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. All of the content provided on this website or on the linked websites is for informational purposes only and is not intended to serve as medical, legal or tax advice. Use this form to order a mail order prescription. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. Receipt required. For members of BCBSRI Medicare Advantage and Plan 65 Mail-in claim forms allow you to submit a claim for multiple members with one form. Blue Cross recommends that members contact and work closely with their health care . Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. Wu3B=
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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. b&HXR Mail-in claims This list is subject to change as additional home test kits become available. endstream
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Please review the terms of use and privacy policies of the new site you will be visiting. If this happens, you can pay for the test and then submit a claim for reimbursement. Health Insurance Providers Help Vaccinate More Than 2 Million Seniors Against COVID-19 in Underserved Communities, Blue Cross and Blue Shield Federal Employee Program (FEP) Joins White House Effort to Achieve National Vaccination Goal, Blue Cross Blue Shield Association Partners with Feeding America and its Network of 200 Food Banks to Drive Education of COVID-19 Vaccination, Blue Cross and Blue Shield Companies Join National Commitment to Protect Employees and Communities from COVID-19, Health Insurance Providers Commit to Help Millions of Seniors in Underserved Communities Receive COVID Vaccines, HPV vaccination rates low despite risks of related cancers, Infographic: COVID-19 patients with high-risk conditions 3x more likely to need the ICU, Why flu shots are so important during COVID-19 pandemic, Blue Cross Blue Shield Companies Invest in COVID-19 Relief, Frequently Asked Questions about COVID-19 Vaccination, Guidance for Communities, Workplaces and Schools. f/4kg>/ProcSet[/PDF]>>>>stream
We use cookies on this website to give you the best experience and measure website usage. 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. c I had COVID-19 symptoms. 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. "We have tests, treatments, and vaccines that can . |X9GZaX~
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Your member ID card is your key to using your medical plan benefits. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. reimbursement through FSA, HRA, or HSA accounts? There are 0 fields that need to be corrected. 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. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form With each claim form, you should include the same receipt. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. 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. s&jPDed
Member Discounts Take advantage of member-only discounts on health-related products and services. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. Findings. All information below is required. 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. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. endstream
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But I called @BCBSTX as a consumer, and asked . You can find a list of community-based testing sites here. See below.). 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 . All rights reserved. California Physicians' Service DBA Blue Shield of California 1999-2023. 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 . The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. 454 0 obj
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Health plans are offered by Blue Shield of California. Important information about expanded coverage. You can also include multiple receipts with one form. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. Insurers must cover the cost of eight tests per insured individual. Required documentation for this medical claim includes: The attestation included in our claims process ensures our members comply with the spirit of this policyto ensure tests are accessible and affordable for those who need them. You do not need health insurance to receive your free tests. All Rights Reserved. For all formulary tier exceptions you will need to complete and file a request form. In this case, you should fill out three claim forms one for each member. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { if (evt.target.id=== 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. Please ask at the pharmacy counter. You'll be reimbursed by check within 60 calendar days. How to get free at-home tests: Express Scripts Pharmacy Order up to 8 at-home COVID-19 tests every 30 days from Express Scripts Pharmacy. Testing and Treatment Coverage That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. All information . To find an in-network pharmacy, click here or download the fepblue app. However, you must include all required information requested in the form. endstream
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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. Your commercial plan will reimburse you up to $12 per test. 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. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. For members of all BCBSRI plans except Medicare Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. 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. 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. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms.
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