More than 140 million Americans have received a dose of the COVID-19 vaccine. 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. Y0118_22_062A_C 02082022 Testing and Treatment Coverage Call the number located on the back your member ID Card. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . 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. Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. Also, note that all American households can order free COVID-19 tests from the federal government. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=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}; Here's how to get reimbursed: Submit a claim form There are different ways to submit your reimbursement depending on your plan. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream The following claims process pertains to CareFirst commercial members* only. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. 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. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. An attending health care provider may order a test. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Mail-in claims 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. 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. You can also submit reimbursement for home test kits. We use cookies on this website to give you the best experience and measure website usage. This coverage applies to all BCBSRI health plans except Medicare. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. [CDATA[ Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. For the Health of America. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. This list is subject to change as additional home test kits become available. All rights reserved. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Everyone qualifies. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. Food and Drug Administration (FDA). 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}; Use this form to order a mail order prescription. 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. 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.). 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. What you need to know about the disease and our coverage commitment. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. COVID-19 TESTING AND REIMBURSEMENT. 2023 Blue Cross Blue Shield Association. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Chico, CA 95927-2540. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. You must submit a separate claim form for each covered family member. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. endstream endobj startxref 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. 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.. That form will be replaced on Jan. 23 once the insurer develops a . California Physicians' Service DBA Blue Shield of California 1999-2023. Find your BCBS company. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . . and independent licensees of the Blue Cross and Blue Shield Association. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California 2. That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream 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 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. 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. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. Test kit cost $ 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.. 2023 Blue Cross Blue Shield Association. Member Benefit Updates. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. Mail-in claim forms allow you to submit a claim for multiple members with one form. Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. Fill Online, Printable, Fillable, Blank COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage (Blue Cross Blue Shield of Michigan) Form Use Fill to complete blank online BLUE CROSS BLUE SHIELD OF MICHIGAN pdf forms for free. 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. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. f/4kg>/ProcSet[/PDF]>>>>stream All Rights Reserved. All OTC at-home tests ordered by a healthcare provider are covered. |X9GZaX~ Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } 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 . Please enter the NDC or UPC number from the cash register receipt. But some are still hesitant to get the shot. Receipt and UPC barcode from the kit package are required. Complete the Member Request Form for Primary Breast Cancer Prevention Coverage.