California Physicians' Service DBA Blue Shield of California 1999-2023. D@3[0V Blue Shield of California has neither reviewed nor endorsed this information. COVID-19 | Blue Cross and Blue Shield of Illinois. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 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. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Submit one form per member. 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). 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.. Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . 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. Pumj(jlG_E>;j+/ Then, complete and submit the online form. Example 3: You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. 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. For the Health of America. // ]]>. You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. The health and well-being of our members is our top priority, and we remain committed to ensuring our members and customers have access to the care and information they need. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. 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. You will be reimbursed $12 per test. This form is for members of non-Medicare plans. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. All information . As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. 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. (function(){var g=function(e,h,f,g){ The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Our Commitment to You What's Covered Coverage will vary based on your plan. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Receipt and UPC barcode from the kit package are required. To print and mail your claim, download theclaim form (PDF). Use this form to order a mail order prescription. You can submit any number of receipts on a single claim form. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. But some are still hesitant to get the shot. %PDF-1.7 % At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. Members need to submit a separate claim form for each family member. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream . H0148_22_003_C_020822. f/4kg>/ProcSet[/PDF]>>>>stream 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 . "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Check out the changes and updates to our plan in 2023. You can view a complete list of. To be reimbursed for a COVID home test kit purchased at any pharmacy . Blue Cross recommends that members contact and work closely with their health care . 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. If this happens, you can pay for the test and then submit a claim for reimbursement. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. 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). To be eligible for reimbursement, your test must be . You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. All Rights Reserved. See below.). Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Reimbursement requests take up to 4-6 weeks to process Questions? For members of BCBSRI Medicare Advantage and Plan 65 To be eligible for reimbursement, you must submit: To access your member services, please visit your BCBS company. 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. To get reimbursed, pleasedownloadthis formand mail it to the address listed,along with a receipt. 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. All rights reserved. Each person on your plan is covered for up to 8 individual home test kits every 30 days. 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. The $0 coverage only applies when you receive your home test kits at participating locations. This page may have documents that can't be read by screen reader software. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. qGm1UCk3Ht}uh>.ky!R'@ E To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. 2023 Blue Cross Blue Shield Association. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. No, you dont need an order or prescription unless you are buying more test kits than allowed under your $0 coverage or at a location that is not participating with your Medicare Part B benefit. 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. For more information, view our privacy policy. What Impacts the Cost of Health Insurance? We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. It should not be considered current, complete or exhaustive, nor should you rely on such information to recommend any tests, products, procedures, opinions, or a course of treatment for you or any other individual. Chico, CA 95927-2540. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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.). Pregnant members can use this form to request a blood pressure monitor at no cost. See the list of participating pharmacies and healthcare providers. Find your BCBS company. If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. 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){}})(); 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. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. You dont need to sign in to search for a pharmacy. Insurers must cover the cost of eight tests per insured individual. All forms are printable and downloadable. Attach an original itemized bill from your provider (required information & example on the back) . For example, a physician, a nurse practitioner, or a physician assistant. 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. Heres everything you need to know about it. 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. You can find a list of community-based testing sites here. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. For members of BCBSRI Medicare Advantage and Plan 65 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. // /ProcSet[/PDF]>>>>stream You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. Health plans are offered by Blue Shield of California. 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. All rights reserved. Lets say you made a one-time purchase of up to 24 tests for three members. Here's how to get reimbursed: Submit a claim form endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream 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. The government is committed to ensuring access to OTC tests. There is a limit of . In the face of COVID-19, every question, answer and vaccination is important. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. We use cookies on this website to give you the best experience and measure website usage. 3. Who can order a test? below is required. While all FDA-authorized COVID-19 rapid tests are covered, and will be reimbursed under the Emergency Rule, only certain tests are likely to process correctly through pharmacy claims systems at the moment. 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. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. In this case, you should fill out three claim forms one for each member. Visit the Medi-Cal website for more details. 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. Blue Cross and Blue Shield of Alabama covers, with no member cost share, testing that is ordered by your provider to help diagnose or treat you for COVID-19 COVID-19 Vaccination Information COVID-19 Vaccine Booster Shots The CDC recommends the COVID-19 vaccine booster to eligible individuals. Check out the changes and updates to our plan in 2023. Please note that these home test kits cant be used for workplace screening or travel. endstream endobj startxref As part of our mission to improve and protect the healthcare system, particularly under the threat of the Coronavirus/COVID-19, the Blue Cross Blue Shield Association is focused on protecting members from fraudsters who seek to take advantage of the fear and confusion many feel surrounding the coronavirus/COVID-19 during these uncertain times. 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()};};