Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. 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. "We have tests, treatments, and vaccines that can . If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. 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. 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. 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 . You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. Member Discounts Take advantage of member-only discounts on health-related products and services. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { 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.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; below is required. This coverage applies to all BCBSRI health plans except Medicare. Information Regarding Coronavirus (COVID-19) | Highmark BCBSWNY The protection of your privacy will be governed by the privacy policy of that site. 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 How To Get Your At-Home Covid Tests Reimbursed - Forbes Dylan Scott covers health care for Vox. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. 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=/; "}; Receipt required. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Please review the terms of use and privacy policies of the new site you will be visiting. 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.). You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. b&HXR What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. UnitedHealthcare COVID At-Home Test Reimbursement Form. follow the latest CDC guidance for isolation. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. F2g5 :s+Jc The government is committed to ensuring access to OTC tests. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. See below.). Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. 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. You do not need health insurance to receive your free tests. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. Telehealth. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. . By continuing to use this website, you consent to these cookies. California Physicians' Service DBA Blue Shield of California 1999-2023. 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. The $0 coverage only applies when you receive your home test kits at participating locations. Power 2022 award information, visit jdpower.com/awards. For members of BCBSRI Medicare Advantage and Plan 65 Please check with your employer if you have questions. 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 . Pumj(jlG_E>;j+/ 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. For all formulary tier exceptions you will need to complete and file a request form. Once completed you can sign your fillable form or send for signing. Receipt and UPC barcode from the kit package are required. 8 At-Home Rapid tests per 30 days. Mail-in claim forms allow you to submit a claim for multiple members with one form. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. We provide information as it becomes available here and on our News and Updates page. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. Increasing access to prescription medications. Test kit cost $ Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. Will Blue Cross cover COVID-19 testing for non-medically necessary purposes (e.g., return- . There are different ways to submit your reimbursement depending on your plan. This form is for members of non-Medicare plans. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. 454 0 obj <> endobj 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Fill Online, Printable, Fillable, Blank COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage (Blue Cross Blue Shield of Michigan) Form Use Fill to complete blank online BLUE CROSS BLUE SHIELD OF MICHIGAN pdf forms for free. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bPDF NATIONAL PUBLIC HEALTH EMERGENCY EXTENDED TO OCT. 13, 2022 - Tennessee 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. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. All OTC at-home tests ordered by a healthcare provider are covered. 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}; Visit the Medi-Cal website for more details. %PDF-1.7 % COVID-19 TESTING AND REIMBURSEMENT. For more information, view our privacy policy. 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. For members of all BCBSRI plans except Medicare endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream You can find a list of community-based testing sites here. It must include the original receipt or a copy of the receipt for purchasing the tests. You can also include multiple receipts with one form. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Waiving cost-sharing for COVID-19 testing and treatment. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . In addition to your 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. For members of all other BCBSRI heath plans try{(new g(100,"r","QSI_S_ZN_eQKLROMaB9E1yfz","https://zneqklromab9e1yfz-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_eQKLROMaB9E1yfz&utm_source=Qualtrics")).start()}catch(i){}})(); The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. For the Health of America. An attending health care provider may order a test. We generally process claims within 30 days from receiving your completed claim form and receipts. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. Highest Member Satisfaction Two Years in a Row! Complete the Member Request Form for ACA Bowel Prep Prevention Coverage. Lets say you made a one-time purchase of up to 24 tests for three members. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . COVID-19 updates | S.C. PEBA - South Carolina Member Benefit Updates. Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. 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. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. 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At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. To access your member services, please visit your BCBS company. Call the number located on the back your member ID Card. 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. Overseas members will need to complete and file this claim form for any pharmacy services received. Blue Cross Blue Shield Association (BCBS, BCBSA) is a federation, or supraorganization, of, in 2022, 34 independent and locally operated BCBSA companies that provide health insurance in the United States to more than 115 million people. Your coverage for COVID-19 | Blue Shield of CA 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. Ted S. Warren/AP. All information . You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Reimbursement requests take up to 4-6 weeks to process Questions? Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. 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. Submit a separate form for each patient. That form will be replaced on Jan. 23 once the insurer develops a . To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment please complete and file this form. All Rights Reserved. See the FAQ below for details.) No, I am the authorized representative for a Medicare member. 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. 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. PDF Subscriber Claim Form - Blue Cross Blue Shield of Massachusetts The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and 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. 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()};}; How to get your at-home Covid test kits reimbursed - CNBC (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. You do not need health insurance to receive your free tests. See the list. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. Check out the changes and updates to our plan in 2023. Blue Cross Blue Shield Association - Wikipedia Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. 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=/; "}; The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). When filing claims online, you must use a separate claim form for each receipt and for each member. The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. All forms are printable and downloadable. 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. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . Instead of showing your BCBSRI member ID card at the pharmacy counter, you provide that information online and then pick up the home test kits at a CVS Pharmacy location. In this case, you should fill out three claim forms one for each member. If a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. If the pharmacy continues to direct you to pay at the regular store checkout, please consider paying for the test kit and submitting for reimbursement or trying to use a different pharmacy. For more information about coverage of over-the-counter tests, view our frequently asked questions. If you have questions about reimbursement of at-home tests, contact Express Scripts at 855.612.3128. COVID-19 Coverage for Members Your health is always our priority. Further questions You can get these tests for $0 at pharmacies and healthcare providers that are participating with the federal government for this specific program. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. D@3[0V People ages 12 years and older who are moderately or severely immunocompromised. . Important information about expanded coverage. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. 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). Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. 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. 2023 Blue Cross Blue Shield Association. PDF Florida Blue Prescription Drug Claim Form endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream By continuing to use this website, you consent to these cookies. Find and download forms often used by our members. 3. Forms for members enrolled in individual, family and employer plans with Florida Blue. The protection of your privacy will be governed by the privacy policy of that site. CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. However, you must include all required information requested in the form. At-home COVID-19 testing As of Jan. 15, 2022, and through the end of the public health emergency, all individuals with pharmacy coverage through Blue Cross Blue Shield of Michigan and Blue Care Network have more ways to get at-home COVID-19 rapid diagnostic tests at no cost. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. Health plans are offered by Blue Shield of California. Complete the Member Request Form for Primary Breast Cancer Prevention Coverage. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. 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. These may include your doctors office, a pharmacy or health clinic, or an urgent care center.