Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. The number one priority for Blue Cross Blue Shield (BCBS) companiesespecially as the nation faces this unprecedented health crisisis getting their members across the country the care they need. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. Insurers must cover the cost of eight tests per insured individual. Purchase up to 8 tests per family member in a 30-day period. Also, note that all American households can order free COVID-19 tests from the federal government. Use this form to order a mail order prescription. It must include the original receipt or a copy of the receipt for purchasing the tests. Read our Nondiscrimination and Language Assistance notice. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. If you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. We recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. For all formulary tier exceptions you will need to complete and file a request form. The government is committed to ensuring access to OTC tests. Submit one form per member. For members of BCBSRI Medicare Advantage and Plan 65 If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Health plans are offered by Blue Shield of California. Sources: Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. Once we process your claim, the contract holder will receive a reimbursement check by mail. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). Submit a separate form for each patient. Call the number located on the back your member ID Card. H0148_22_003_C_020822. 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}; For J.D. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. You can find a list of community-based testing sites here. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { We use cookies on this website to give you the best experience and measure website usage. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. 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. This page may have documents that can't be read by screen reader software. But I called @BCBSTX as a consumer, and asked . |X9GZaX~ reimbursement through FSA, HRA, or HSA accounts? At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. If you purchase at-home tests without an order from your healthcare provider, you can be reimbursed for up to eight individual tests per member, per month. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. *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. Sign in or register at Caremark.com (You must be a CVS Caremark member) You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. endstream endobj 468 0 obj <>/ProcSet[/PDF]>>>>stream 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. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. 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 . Then, complete and submit the online form. 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. or retailer (e.g. Mail-in claim forms allow you to submit a claim for multiple members with one form. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. On July 31, one day remains to file the claim. Read Full Story Communities 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.. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. If they have, you are eligible to order 8 tests every 30 days for each person on your plan. 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. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. For more information, view our privacy policy. Some people may be eligible for a second booster, including: Adults ages 50 years and older. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Once completed you can sign your fillable form or send for signing. Findings. Member Discounts Take advantage of member-only discounts on health-related products and services. Our Commitment to You What's Covered Coverage will vary based on your plan. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream 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. Please note that taxes and other fees are not covered. endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). Heres everything you need to know about it. 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. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. (If you dont already have a CVS account, youll need to create one.). 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. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. 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. In this case, you should fill out three claim forms one for each member. 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. Select the list of exceptions for your plan. Everyone qualifies. Overseas members will need to complete and file this claim form for any pharmacy services received. "We have tests, treatments, and vaccines that can . You can view a complete list of. Leading the way in health insurance since 1929. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. 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. Please review the terms of use and privacy policies of the new site you will be visiting. In this case, you should fill out three claim forms one for each member. To be reimbursed for a COVID home test kit purchased at any pharmacy . Blue Shield of California has neither reviewed nor endorsed this information. 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. When filing claims online, you must use a separate claim form for each receipt and for each member. See below.). Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. 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. cRequired for employment purposes. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. c I had COVID-19 symptoms. By continuing to use this website, you consent to these cookies. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. Please enter the NDC or UPC number from the cash register receipt or test package. 1095-B Tax Form Message. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Visit the Medi-Cal website for more details. 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. Postal Service. Find and download forms often used by our members. Please note that you cant submit for reimbursement for a home test kit unless you have a doctors note or prescription. Making healthcare affordable. 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. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. All Rights Reserved. Member Benefit Updates. Please check with your employer if you have questions. See our FAQfor detailed instructions. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Highest Member Satisfaction Two Years in a Row! You'll be reimbursed by check within 60 calendar days. Y0118_22_062A_C 02082022 COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. Testing and Treatment Coverage Complete the Member Request Form for Primary Breast Cancer Prevention Coverage. Further questions Reimbursement requests take up to 4-6 weeks to process, Questions? If a test reader is required, reimbursement is limited to $12. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: COVID-19 screenings or evaluations done: Virtually using telehealth, In a doctor's office, At an urgent care center, or In a hospital (including emergency room). Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. This network may be different than your plans standard pharmacy network. [CDATA[ m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. 2023 Blue Cross Blue Shield Association. Get reimbursed for your over-the-counter COVID-19 tests OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. UnitedHealthcare COVID At-Home Test Reimbursement Form. Member Reimbursement: If members purchased an OTC COVID-19 test on or after January 15, 2022, they can submit for a reimbursement of up to $12 per test. Health plans are offered by Blue Shield of California. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b;j+/ For members of BCBSRI Medicare Advantage and Plan 65 Your questions answered: the COVID-19 vaccine for pre-teens and teens, I listened: A nurse case manager on addressing vaccine hesitancy, Blue Cross and Blue Shield of Alabama COVID Vaccination Efforts, BCBSAL partners with state, community on COVID-19 relief, Blue Cross and Blue Shield of Alabama Prepared to Meet the Needs of Customers In the Event of Sustained Spread of COVID-19, Blue Cross and Blue Shield of Alabama: Coronavirus (COVID-19) Update Center, Blue Cross and Blue Shield of Alabama Expands Telehealth Coverage as Customers Health and Well-Being Remains Top Priority, Premera Blue Cross and Blue Shield of Alaska, Premera Blue Cross and Blue Shield of Alaska COVID Vaccination Efforts, Blue Cross Blue Shield of Arizona COVID 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COVID-19 Update for Providers.