Find answers on our member and employer pages, or contact us. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. For the Health of America. Pregnant members can use this form to request a blood pressure monitor at no cost. All information . 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. As of January 15, 2022, your health plan administrator may have started covering at-home COVID-19 tests. See the FAQ below for details.) 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. FDA-approved tests are covered for $0 when received at a pharmacy or healthcare provider participating with the federal government. If you take advantage of Service Benefit Plan dental benefits, you will need to complete and file a claim form for reimbursement. "We have tests, treatments, and vaccines that can . 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()};}; You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. 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. This policy will remain in effect for the duration of the Federal Public Health Emergency. Learn More. Visit the CDC website for the most up-to-date testing guidance. b&HXR A nurse case manager with Blue Cross & Blue Shield of Rhode Island found that listening, without judgment, to one patients concerns made all the difference. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. 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. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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. Reimbursement is capped at $12 per test (or the cost of the test, if less than $12). What Impacts the Cost of Health Insurance? Purchase up to 8 tests per family member in a 30-day period. Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. General Information Anesthesia Payment and Billing Update Participating Provider Fee Schedule Requests: Professional Providers You can submit any number of receipts on a single claim form. In this case, you should fill out three claim forms one for each member. Member Forms. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. 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. Heres everything you need to know about it. The following claims process pertains to CareFirst commercial members* only. Ted S. Warren/AP. Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. A recent announcement from the federal government intends to increase access to COVID-19 testing. Please ask at the pharmacy counter. 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. In this case, you should fill out three claim forms one for each member. 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. 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. If this happens, you can pay for the test and then submit a claim for reimbursement. Receipt required. 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. To get reimbursed, pleasedownloadthis formand mail it to the address listed,along with a receipt. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. Purchase a COVID-19 at-home test kit and submit a claim through the paper-based OTC test claim form. reimbursement through FSA, HRA, or HSA accounts? Blue Cross Blue Shield of Massachusetts continues our commitment to our members and . In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. O=>WNW% 1095-B Tax Form Message. 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. 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). window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { if (evt.target.id=== 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. Read Full Story Communities See our FAQfor detailed instructions. 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. When filing claims online, you must use a separate claim form for each receipt and for each member. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). Purchase FDA-authorized OTC tests at a retail location and then submit a Health Benefits Claim Form, providing an itemized receipt that clearly shows that your purchase was for a COVID-19 OTC test to your local BCBS Plan. 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}; Check out the changes and updates to our plan in 2023. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. All FDA-approved home test kits are covered without a prescription. 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. endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream . 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. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. %PDF-1.7 % You can also include multiple receipts with one form. Overseas members should use the Overseas Medical Claim Form. California Physicians' Service DBA Blue Shield of California 1999-2023. Findings. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. qGm1UCk3Ht}uh>.ky!R'@ E For other FDA-approved home test kits (that are generally not available at pharmacies), you can submit a claim for reimbursement. On July 31, one day remains to file the claim. California Physicians' Service DBA Blue Shield of California 1999-2023. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. 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 . below is required. (function(){var g=function(e,h,f,g){ 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. The government is committed to ensuring access to OTC tests. 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. The tests listed below are available for $0 at the pharmacy counter. This coverage cant be used for workplace screening or travel. 2023 copyright Anthem Insurance Companies, Inc. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. An attending health care provider may order a test. Starting January 15, 2022, you have $0 coverage for COVID-19 home test kits without a prescription, and each person on your plan is covered for up to 8 individual home test kits every 30 days. Thats a big step toward stopping the spread of the virus. Prime has an established electronic connection with most pharmacies, even those not in their network, and the claim should process successfully. If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. This program applies only to at-home tests purchased on or after Jan. 15, 2022, and covers eight free tests per covered individual per month. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. 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. 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 page may have documents that can't be read by screen reader software. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. Important information about expanded coverage. 3. Who can order a test? 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. 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. Please note that taxes and other fees are not eligible for reimbursement. bxx,| California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 454 0 obj <> endobj If a test reader is required, reimbursement is limited to $12. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); The process we've put in place empowers our members to buy and submit claims for tests purchased through online vendors and retail locations of their choosing. You can also submit reimbursement for home test kits. 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. This network may be different than your plans standard pharmacy network. 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.. 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()};}; What you need to know about the disease and our coverage commitment. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. For members of BCBSRI Medicare Advantage and Plan 65 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. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . Overseas members will need to complete and file this claim form for any medical services received. // ]]>, // >>/EncryptMetadata false/Filter/Standard/Length 128/O(a;uY[7y\\ Y)/P -1036/R 4/StmF/StdCF/StrF/StdCF/U(6Tn= )/V 4>> endobj 456 0 obj <>>> endobj 457 0 obj <> endobj 458 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 10/Tabs/W/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 459 0 obj <>/ProcSet[/PDF]>>>>stream this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b/ProcSet[/PDF]>>>>stream Complete the Member Request Form for Primary Breast Cancer Prevention Coverage. Receipt and UPC barcode from the kit package are required. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. All information below is required. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Health Insurance Providers Help Vaccinate More Than 2 Million Seniors Against COVID-19 in Underserved Communities, Blue Cross and Blue Shield Federal Employee Program (FEP) Joins White House Effort to Achieve National Vaccination Goal, Blue Cross Blue Shield Association Partners with Feeding America and its Network of 200 Food Banks to Drive Education of COVID-19 Vaccination, Blue Cross and Blue Shield Companies Join National Commitment to Protect Employees and Communities from COVID-19, Health Insurance Providers Commit to Help Millions of Seniors in Underserved Communities Receive COVID Vaccines, HPV vaccination rates low despite risks of related cancers, Infographic: COVID-19 patients with high-risk conditions 3x more likely to need the ICU, Why flu shots are so important during COVID-19 pandemic, Blue Cross Blue Shield Companies Invest in COVID-19 Relief, Frequently Asked Questions about COVID-19 Vaccination, Guidance for Communities, Workplaces and Schools. 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. Use this order form for specialty medications. 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. You'll be reimbursed by check within 60 calendar days. UnitedHealthcare COVID At-Home Test Reimbursement Form. Reimbursement is not available through medical benefits with BlueCross BlueShield or Cigna. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. We generally process claims within 30 days from receiving your completed claim form and receipts. If you have a large employer, please call member services at the . See the list of participating pharmacies and healthcare providers. If you have questions about reimbursement of at-home tests, contact Express Scripts at 855.612.3128. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. [CDATA[ Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. For example, one box containing two tests counts as two tests. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Waiving all prior authorization requirements for COVID-19 testing and related covered services. However, even if a pharmacy is not participating in our network, you may be able to buy the test for $0. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association.