See our FAQfor detailed instructions. 2. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. Health plans are offered by Blue Shield of California. 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. Test kit cost $ Leading the way in health insurance since 1929. This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. and independent licensees of the Blue Cross and Blue Shield Association. This network may be different than your plans standard pharmacy network. Submit one form per member. Overseas members will need to complete and file this claim form for any pharmacy services received. Home test kits are tests you can do at home and read yourself, without the help of a provider or lab. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. 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. 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){}})(); **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. *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. 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. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. Provide your BCBSRI health plan information and follow the steps to order the tests. 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 . qGm1UCk3Ht}uh>.ky!R'@ E Terreri grabs two at-home COVID-19 test kits to be handed out during a . We are committed to making sure members get the care they need when they need 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. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. To submit a claim online, log in to, or register forMy Account, click My Documents, then Forms and select Over-the-Counter COVID-19 Test Online Claim to get started. At-home testing options and costs The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. 2023 Blue Cross Blue Shield Association. Leading the way in health insurance since 1929. Highest Member Satisfaction Two Years in a Row! If a test is sold in a package of two, that is considered two tests and you will be reimbursed $24. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. bxx,| 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. F2g5 :s+Jc Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Blue Shield of California has neither reviewed nor endorsed this information. Attach an original itemized bill from your provider (required information & example on the back) . "We have tests, treatments, and vaccines that can . The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Members need to submit a separate claim form for each family member. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. COVID-19 TESTING AND REIMBURSEMENT. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. That form will be replaced on Jan. 23 once the insurer develops a . hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& You will be reimbursed $12 per test. You dont need to sign in to search for a pharmacy. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California On July 31, one day remains to file the claim. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. Reimbursement requests take up to 4-6 weeks to process Questions? All Rights Reserved. Power 2022 award information, visit jdpower.com/awards. Check out the changes and updates to our plan in 2023. Heres everything you need to know about it. More than 140 million Americans have received a dose of the COVID-19 vaccine. Please note that these home test kits cant be used for workplace screening or travel. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); [CDATA[ (function(){var g=function(e,h,f,g){ This coverage cant be used for workplace screening or travel. When filing claims online, you must use a separate claim form for each receipt and for each member. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). With each claim form, you should include the same receipt. endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. Here's how to get reimbursed: Submit a claim form In this case, you should fill out three claim forms one for each member. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Please enter the NDC or UPC number from the cash register receipt or test package. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. Please ask at the pharmacy counter. [CDATA[ You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. Then, complete and submit the online form. qO;,lH Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. Once completed you can sign your fillable form or send for signing. 2023 Blue Cross Blue Shield Association. All Rights Reserved. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. With each claim form, you should include the same receipt. Sources: this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b/ProcSet[/PDF]>>>>stream But I called @BCBSTX as a consumer, and asked . 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. endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream To be eligible for reimbursement, your test must be . 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 . By continuing to use this website, you consent to these cookies. 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'); } }); } 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. California Physicians' Service DBA Blue Shield of California 1999-2023. The tests listed below are available for $0 at the pharmacy counter. 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. The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Blue Cross Blue Shield COVID At-Home Test Reimbursement Form. We also provide language assistance. 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. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. 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. All Rights Reserved. The $0 coverage only applies when you receive your home test kits at participating locations. Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. What you need to know about the disease and our coverage commitment. reimbursement through FSA, HRA, or HSA accounts? Waiving cost-sharing for COVID-19 testing and treatment. NDC or UPC number Date purchased / / Quantity of tests. Health plans are offered by Blue Shield of California. You do not need health insurance to receive your free tests. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. OTC COVID test kit claim. 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. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream Complete the Member Request Form for ACA HIV Prevention Coverage. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. California Physicians' Service DBA Blue Shield of California 1999-2023. It must include the original receipt or a copy of the receipt for purchasing the tests. By continuing to use this website, you consent to these cookies. All rights reserved. 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.). Insurers must cover the cost of eight tests per insured individual. D@3[0V You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. 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 . Member Discounts Take advantage of member-only discounts on health-related products and services. Call the number located on the back your member ID Card. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. (If you dont already have a CVS account, youll need to create one.). Receipt required. Mail claim form and all attachments to BCBSMA, P . The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. You dont need to sign in to search for a pharmacy. When filing claims online, you must use a separate claim form for each receipt and for each member. Please enter the NDC or UPC number from the cash register receipt. There is a limit of . Postal Service. Starting today, Blue Cross commercial members can walk into any of the 60,000 pharmacies in the national Express Scripts network and buy certain tests at the pharmacy counter for $0: Inteliswab Covid-19 Rapid Test Binaxnow Covid-19 Ag Self Test Quickvue At-Home Covid-19 Test Ellume Covid-19 Home Test People may also access free or affordably priced testing in the community. This list is subject to change as additional home test kits become available. 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. Example 3: 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.