Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. 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. 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 . 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. Telehealth. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 OTC COVID test kit claim. You can submit any number of receipts on a single claim form. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Some people may be eligible for a second booster, including: Adults ages 50 years and older. Member Benefit Updates. 0 If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. Coverage varies by plan type. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. However, you must include all required information requested in the form. COVID-19 TESTING AND REIMBURSEMENT. California Physicians' Service DBA Blue Shield of California 1999-2023. below is required. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Blue Cross Blue Shield sent a statement saying: We received updated guidance from the federal government regarding at-home COVID-19 testing coverage late Monday afternoon. 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}; . Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. No, I am the authorized representative for a Medicare member. We generally process claims within 30 days from receiving your completed claim form and receipts. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream Mail claim form and all attachments to BCBSMA, P . Chico, CA 95927-2540. A diagnostic test is used to determine if a person has COVID-19. Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . Everyone qualifies. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test 3. 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. Please note that you cant submit for reimbursement for a home test kit unless you have a doctors note or prescription. All Rights Reserved. Complete this claim form for any pharmacy services received. Reimbursement is not available through medical benefits with BlueCross BlueShield or Cigna. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. 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. If any information is missing from the invoice, contact the provider. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. You can find a list of community-based testing sites here. Member Discounts Take advantage of member-only discounts on health-related products and services. bxx,| Please note that these home test kits cant be used for workplace screening or travel. All forms are printable and downloadable. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Only visit the ER or call 911 if youre experiencing life-threatening symptoms. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. See the list. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. . We recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. 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). Your member ID card is your key to using your medical plan benefits. 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 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. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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 rights reserved. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } 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. Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Complete the Member Request Form for ACA Bowel Prep Prevention Coverage. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. 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. Once we process your claim, well mail the contract holder a reimbursement check. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. The protection of your privacy will be governed by the privacy policy of that site. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. 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=/; "}; Submit one form per member. Please ask at the pharmacy counter. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. Forms for members enrolled in individual, family and employer plans with Florida Blue. Your member ID card is your key to using your medical plan benefits. We also provide language assistance. qO;,lH Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). What Impacts the Cost of Health Insurance? Example 3: independent licensees of the Blue Cross and Blue Shield Association. The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. Please note that this network may be different than your plans standard pharmacy network. After completing the form, be sure to sign the COVID-19 home test kit claim section and attach your home test kit receipt. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. endstream endobj startxref There are 0 fields that need to be corrected. Then, complete and submit the online form. 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). Everyone qualifies. 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. 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