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 UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. 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. 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. 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. We also provide language assistance. For help with these documents, please call 1-800-975-6314. . This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream 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 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. 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. Making healthcare affordable. We generally process claims within 30 days from receiving your completed claim form and receipts. 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). Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. California Physicians' Service DBA Blue Shield of California 1999-2023. More than 140 million Americans have received a dose of the COVID-19 vaccine. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Health plans are offered by Blue Shield of California. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. 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. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. f/4kg>/ProcSet[/PDF]>>>>stream 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. Sign in or register at Caremark.com (You must be a CVS Caremark member) To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. We've taken steps to lower costs and provide our members easier access to care related to COVID-19. ro?gu?"t6Vr K?K@n}r`TyEycB". 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. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form You dont need to sign in to search for a pharmacy. The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. Testing and Treatment Coverage To print and mail your claim, download theclaim form (PDF). Buying tests to store them for a potential need isn't good for the community or public health. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. A diagnostic test is used to determine if a person has COVID-19. This list is subject to change as additional home test kits become available. // ]]>, // /ProcSet[/PDF]>>>>stream You'll be reimbursed by check within 60 calendar days. Each test within a package is counted individually. However, you must include all required information requested in the form. If you have questions about reimbursement of at-home tests, contact Express Scripts at 855.612.3128. All rights reserved. The following claims process pertains to CareFirst commercial members* only. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Telehealth. The vaccines are free, safe and effective and widely available for anyone age 5 and up. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. Even if you dont have symptoms and have not been exposed to someone with COVID-19, using a home test kit before gathering indoors with others can give you information about the risk of spreading the virus that causes COVID-19. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Mail-in claim forms allow you to submit a claim for multiple members with one form. All Rights Reserved. endstream endobj startxref These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. follow the latest CDC guidance for isolation. Here is the process: If you prefer to have your home test kits shipped to your house, you can pay out-of-pocket and submit for reimbursement using this form. CHICAGO -- Blue Cross Blue Shield Association (BCBSA) announced today that its network of 36 independent and locally-operated Blue Cross and Blue Shield (BCBS) companies will waive prior authorizations and increase coverage for COVID-19 as described below. You do not need health insurance to receive your free tests. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. An attending health care provider may order a test. Tests that can be purchased at a retail location or online but are then sent to a lab for processing are not covered unless accompanied by a doctor's order (except for individuals covered by plans based in the District of Columbia). 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. PO Box 272540 Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Here's how to get reimbursed: Submit a claim form These may include your doctors office, a pharmacy or health clinic, or an urgent care center. 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}; . [CDATA[ Commercial Health Plans, Northeast Region. endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. They are typically easy to use and produce rapid results. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. Learn More. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). Please check with your employer if you have questions. 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 Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). 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. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream 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. Receipt required. Each person on your plan is covered for up to 8 individual home test kits every 30 days. 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. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. You can also include multiple receipts with one form. Also, note that all American households can order free COVID-19 tests from the federal government. This network may be different than your plans standard pharmacy network. Coverage varies by plan type. For example, a physician, a nurse practitioner, or a physician assistant. 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. Reimbursement requests take up to 4-6 weeks to process, Questions? If you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. California Physicians' Service DBA Blue Shield of California 1999-2023. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. But I called @BCBSTX as a consumer, and asked . Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Complete the Member Request Form for ACA HIV Prevention Coverage. To access your member services, please visit your BCBS company. People ages 12 years and older who are moderately or severely immunocompromised. 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 . // ]]>, // .ky!R'@ E Highest Member Satisfaction Two Years in a Row! You dont need to sign in to search for a pharmacy. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Call the number located on the back your member ID Card.
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