Y0118_22_062A_C 02082022 Pumj(jlG_E>;j+/ FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. 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. 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. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. 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 do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. 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. Learn More. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ Here's how to get reimbursed: Submit a claim form You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. 2023 Blue Cross Blue Shield Association. 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. By continuing to use this website, you consent to these cookies. Leading through a public health crisis All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. The New to Market FDA-Approved Medication Review Exception Process allows a member to apply for coverage of an excluded drug at a tier 3 cost share if the member has met the requirements outlined. c I had COVID-19 symptoms. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . See the list of participating pharmacies and healthcare providers. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. Attach an original itemized bill from your provider (required information & example on the back) . All rights reserved. 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}; You can also include multiple receipts with one form. We are committed to making sure members get the care they need when they need it. We generally process claims within 30 days from receiving your completed claim form and receipts. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. 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. Once completed you can sign your fillable form or send for signing. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. In this case, you should fill out three claim forms one for each member. This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. 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. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; 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 . (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . With each claim form, you should include the same receipt. OTC COVID test kit claim. For more information, view our privacy policy. With each claim form, you should include the same receipt. You can submit up to 8 tests per covered member per month Tests must be FDA-authorized Tests must be purchased on or after January 15, 2022 Your commercial plan will reimburse you up to $12 per test. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream Medicare member reimbursement amount per test may vary by Medicare plan. Buying tests to store them for a potential need isn't good for the community or public health. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package toward the quantity limit. Medicare Advantage members: You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. You have been exposed or potentially exposed to an individual with COVID-19 (even if you dont have symptoms). This is all part of our overall strategy to ramp-up access to easy-to-use, at-home tests at no cost," said U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra, in a . PDF COVID-19 Frequently Asked Questions - Blue Cross Blue Shield of 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. That form will be replaced on Jan. 23 once the insurer develops a . UPDATE: COVID-19 over the counter testing reimbursement - IBX Newsroom Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. What you need to know about the disease and our coverage commitment. If you purchased an OTC at-home test at the direction of your health care provider, please use this form: If you purchased an OTC at-home test for any other reason, please use this form: Send a copy of all your receipt(s) with the form. 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. You do not need health insurance to receive your free tests. In addition to your BCBSRI benefits, every home in the United States is eligible to orderfree COVID-19 home test kits through the federal government atcovidtests.gov. 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=/; "}; 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}; Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. Use this form to request reimbursement for Medicare Part B premium expenses. Member Discounts Take advantage of member-only discounts on health-related products and services. H0148_22_003_C_020822. COVID-19 TESTING | Benefits Services Division - Arizona See our FAQfor detailed instructions. 0 If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. All Rights Reserved. If you have a large employer, please call member services at the . 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). 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). 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 Your signature is also required in the COVID-19 home test kit claim section. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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.. Home COVID tests to be covered by insurers starting Saturday You will be reimbursed $12 per test. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. The vaccines are free, safe and effective and widely available for anyone age 5 and up. Federal Agencies Extend Timely Filing and Appeals Deadlines 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. 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. If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. Coronavirus Update Center - bcbsal.org Member Forms. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. Once we process your claim, well mail the contract holder a reimbursement check. 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. below is required. follow the latest CDC guidance for isolation. To be eligible for reimbursement, your test must be . For help with these documents, please call 1-800-975-6314. . Want to get your at-home COVID test reimbursed? | wltx.com Member Discounts Take advantage of member-only discounts on health-related products and services. PDF Florida Blue Prescription Drug Claim Form Your coverage for COVID-19 | Blue Shield of CA