If you use a pharmacy in Prime's network, you should not have to submit a separate claim when you buy the tests at the pharmacy counter. See below.). Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. Want to get your at-home COVID test reimbursed? | wltx.com You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. You dont need to sign in to search for a pharmacy. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. Buying tests to store them for a potential need isn't good for the community or public health. 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. What Impacts the Cost of Health Insurance? Your signature is also required in the COVID-19 home test kit claim section. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Coverage varies by plan type. 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. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. As of Jan. 15, 2022, people with private health insurance can get reimbursed by their insurer for the cost of up to eight at-home COVID tests per month. The following claims process pertains to CareFirst commercial members* only. 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}; *Thisprocess applies to members with individual, employer-sponsored or student health plan coverage, as well as Federal Employee Program (FEP) and Federal Employee Health Benefits Program (FEHBP) plan members. Use the claims form for OTC at-home tests with a healthcare provider order. 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. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. If a test reader is required, reimbursement is limited to $12. 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. // ]]>, // I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& 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. Commercial Health Plans, Northeast Region. Your frequently asked questions about COVID19 - IBX Newsroom this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Find answers on our member and employer pages, or contact us. Blue Cross Blue Shield of Massachusetts Announces New Resources for At You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. COVID-19 At Home Testing | Oklahoma Insurance Department (function(){var g=function(e,h,f,g){ Coronavirus (COVID-19) Updates | bcbsm.com 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. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; 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. Telehealth. For example, one box containing two tests counts as two tests. . Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Submit a claim only when you are billed for services from a provider that does not directly submit a claim to the local Blue Cross Blue Shield plan. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama 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). We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. We generally process claims within 30 days from receiving your completed claim form and receipts. Please enter the NDC or UPC number from the cash register receipt or test package. How to snag your free at-home COVID-19 test kit | wtsp.com 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. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX Contact your local health department to learn about free COVID-19 testing locations or pickup sites. You can submit any number of receipts on a single claim form. 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. 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. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. This page may have documents that can't be read by screen reader software. Pickup cannot happen via drive-thru and tests will not be shipped. PDF COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage - BCBSM Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. 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. |X9GZaX~ Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. He has reported on health . 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. 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 Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. Pregnant members can use this form to request a blood pressure monitor at no cost. 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. cRequired for employment purposes. How to get reimbursed for COVID-19 tests | Blue Shield of CA If youre visiting the governments home test kit site without using the link above, please make sure you are on the correct page by looking for the U.S. flag in the top left corner and text that states An official website of the United States government.. The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. Claim Forms - Blue Cross and Blue Shield's Federal Employee Program All rights reserved. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. 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. Once completed you can sign your fillable form or send for signing. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. We use cookies on this website to give you the best experience and measure website usage. Blue Cross recommends that members contact and work closely with their health care . Overseas members should use the Overseas Medical Claim Form. Also, note that all American households can order free COVID-19 tests from the federal government. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. All Rights Reserved. Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. 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. Will Blue Cross cover COVID-19 testing for non-medically necessary purposes (e.g., return- . Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. We provide information as it becomes available here and on our News and Updates page. By continuing to use this website, you consent to these cookies. COVID-19 | Blue Cross and Blue Shield of Illinois. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. For all formulary tier exceptions you will need to complete and file a request form. Your commercial plan will reimburse you up to $12 per test. endstream endobj startxref 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 . COVID-19 OTC | CVS Caremark 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. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. 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. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California If the test is less than $12, reimbursement will be the cost of the test. Thats a big step toward stopping the spread of the virus. The $0 coverage only applies when you receive your home test kits at participating locations. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. The frustrating Covid-19 test reimbursement process is a - Vox If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. BCBS COVID-19 Info - Benefits, Testing, and More - FEP Blue Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. You can find provider manuals, reimbursement documents and procedures. You will be reimbursed $12 per test. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). You do not need health insurance to receive your free tests. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream See the list. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" A recent announcement from the federal government intends to increase access to COVID-19 testing. Use this form to order a mail order prescription. Waiving all prior authorization requirements for COVID-19 testing and related covered services. 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. Throughout the pandemic, CareFirst has enhanced our benefits to ensure members can get the care they need. follow the latest CDC guidance for isolation. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . For more information about coverage of over-the-counter tests, view our frequently asked questions. Find and download forms often used by our members. We also provide language assistance. Each person on your plan is covered for up to 8 individual home test kits every 30 days. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. COVID-19 Over-the-Counter Test Reimbursement Form - OptumRx As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. 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