For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Pregnant members can use this form to request a blood pressure monitor at no cost. What Impacts the Cost of Health Insurance? After choosing BCBS Rhode Island as your health plan, select the Rhode Island Pharmacy Network (which is a national network) and enter your ZIP code. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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()};}; We're here to help you stay informed about COVID-19 and to access the care and coverage you need. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Your coverage for COVID-19 | Blue Shield of CA 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 COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. See the list. At-home testing options and costs Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. 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 . Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. . PDF Subscriber Claim Form - Blue Cross Blue Shield of Massachusetts You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. (If you dont already have a CVS account, youll need to create one.). Heres everything you need to know about it. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . 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 buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. This policy will remain in effect for the duration of the Federal Public Health Emergency. Select the list of exceptions for your plan. To print and mail your claim, download theclaim form (PDF). Mail-in claim forms allow you to submit a claim for multiple members with one form. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. General Reimbursement Information | Blue Cross and Blue Shield of Texas Blue Shield and Blue Shield Promise cover these types of tests: 1Tests ordered by a healthcare provider means that a licensed and authorized healthcare provider has requested that you obtain a test for COVID-19. Each test within a package is counted individually. Find answers on our member and employer pages, or contact us. Example 3: The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. Looking for COVID-19 coverage and benefit information? 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 How Are Private Insurers Covering At-Home Rapid COVID Tests? The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; // ]]>. You can submit up to 8 tests per covered member per month Tests must be FDA-authorized Tests must be purchased on or after January 15, 2022 Your commercial plan will reimburse you up to $12 per test. Overseas members will need to complete and file this claim form for any medical services received. The protection of your privacy will be governed by the privacy policy of that site. COVID-19 OTC | CVS Caremark Highest Member Satisfaction Two Years in a Row! 2023 Blue Cross Blue Shield Association. Insurers must cover the cost of eight tests per insured individual. 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. 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. With each claim form, you should include the same receipt. Provider Information on COVID-19 Coverage | Blue Cross and Blue Shield You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. Pickup cannot happen via drive-thru and tests will not be shipped. There is a limit of . Call the number located on the back your member ID Card. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. All FDA-approved home test kits are covered without a prescription. 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. 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. Please review the terms of use and privacy policies of the new site you will be visiting. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). 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. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test Once we process your claim, well mail the contract holder a reimbursement check. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. We provide information as it becomes available here and on our News and Updates page. For members of BCBSRI Medicare Advantage and Plan 65 (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. f/4kg>/ProcSet[/PDF]>>>>stream Your commercial plan will reimburse you up to $12 per test. For all formulary tier exceptions you will need to complete and file a request form. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. When filing claims online, you must use a separate claim form for each receipt and for each member. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Mail-in claim forms allow you to submit a claim for multiple members with one form. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Medicare Advantage members: You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. This form is for members of non-Medicare plans. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Please note that this network may be different than your plans standard pharmacy network. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. Health plans are offered by Blue Shield of California. . Here are four ways you can get tests for you and your family: Visit covidtests.gov to get free tests delivered to your home by the U.S. Dylan Scott covers health care for Vox. The tests listed below are available for $0 at the pharmacy counter. 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. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). An attending health care provider may order a test. For members of BCBSRI Medicare Advantage and Plan 65 The following claims process pertains to CareFirst commercial members* only. See the list. SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. All Rights Reserved. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Blue Cross Blue Shield of Vermont to cover certain take home - VTDigger For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. Test kit cost $ 3. 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. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. See the list of participating pharmacies and healthcare providers. Member Benefit Updates | CareFirst BlueCross BlueShield Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 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. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. PDF COVID-19 Frequently Asked Questions - Blue Cross Blue Shield of All Rights Reserved. endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package toward the quantity limit. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. | 8cqy .-mg7b (function(){var g=function(e,h,f,g){ All rights reserved. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. What to know about COVID tests | Coverage - Blue Cross Blue Shield of PDF Rhode Island Prescription Drug Claim Form - BCBSRI CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. 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. If this happens, you can pay for the test and then submit a claim for reimbursement. b&HXR You can also include multiple receipts with one form. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. 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. California Physicians' Service DBA Blue Shield of California 1999-2023. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. 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 buy the tests online or at a retail store (including the regular store checkout at a pharmacy rather than the pharmacy counter), youll need to submit a form, along with your receipt, and will be reimbursed up to $12 per individual test. Use this form to select an individual or entity to act on your behalf during the disputed claims process. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Coverage varies by plan type. If you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. People ages 12 years and older who are moderately or severely immunocompromised. 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. All information below is required. Find and download forms often used by our members. This coverage cant be used for workplace screening or travel. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama Provide your BCBSRI health plan information and follow the steps to order the tests. COVID-19 Resources and Vaccine Coverage | Express Scripts Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. // How to snag your free at-home COVID-19 test kit | wtsp.com Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. COVID-19 | Blue Cross and Blue Shield of Illinois. A diagnostic test is used to determine if a person has COVID-19. 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. People may also access free or affordably priced testing in the community. We use cookies on this website to give you the best experience and measure website usage. Please note that these home test kits cant be used for workplace screening or travel. 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. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Your frequently asked questions about COVID19 - IBX Newsroom Lets say you made a one-time purchase of up to 24 tests for three members. See below.). 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. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. qGm1UCk3Ht}uh>.ky!R'@ E Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. A recent announcement from the federal government intends to increase access to COVID-19 testing. The New to Market FDA-Approved Medication Review Exception Process allows a member to apply for coverage of an excluded drug at a tier 3 cost share if the member has met the requirements outlined. Buying tests to store them for a potential need isn't good for the community or public health. endstream endobj 468 0 obj <>/ProcSet[/PDF]>>>>stream With each claim form, you should include the same receipt. We've taken steps to lower costs and provide our members easier access to care related to COVID-19. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity, or gender expression. Which COVID test should you take, and how do you get reimbursed? No, I am the authorized representative for a Medicare member. But I called @BCBSTX as a consumer, and asked . 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. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID 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. below is required. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; To access your member services, please visit your BCBS company. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Fillable COVID-19 Testing Member Reimbursement Form Non-Medicare See our FAQfor detailed instructions. Read Full Story Communities Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. You dont need to sign in to search for a pharmacy. endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream Submit one form per member. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. Leading the way in health insurance since 1929. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. We are committed to making sure members get the care they need when they need it. PO Box 272540 Use this order form for specialty medications. This network may be different than your plans standard pharmacy network. 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 . 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). General Information Anesthesia Payment and Billing Update Participating Provider Fee Schedule Requests: Professional Providers %%EOF You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. To be reimbursed for a COVID home test kit purchased at any pharmacy . In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Our Commitment to You What's Covered Coverage will vary based on your plan. Learn More. COVID-19 At-Home Test Member Reimbursement Form Please use this form to request reimbursement for actual cost of FDA-approved COVID-19 at-home test(s). hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bCOVID-19 TESTING | Benefits Services Division - Arizona Want to get your at-home COVID test reimbursed? | wltx.com All forms are printable and downloadable. Please note that taxes and other fees are not eligible for reimbursement. Mail claim form and all attachments to BCBSMA, P . 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. What you need to know about the disease and our coverage commitment. You'll be reimbursed by check within 60 calendar days. You can find provider manuals, reimbursement documents and procedures. He has reported on health . or retailer (e.g. 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. Receipt and UPC barcode from the kit package are required. 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. Check out the changes and updates to our plan in 2023. For more information, view our privacy policy. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). Coverage for COVID-19 testing | Blue Shield of CA Member Discounts Take advantage of member-only discounts on health-related products and services.