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. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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.. 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. Medicare member reimbursement amount per test may vary by Medicare plan. F2g5 :s+Jc Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Thats a big step toward stopping the spread of the virus. How Highmark and other insurers will cover at-home covid tests Online claims You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. 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. 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. Required documentation for this medical claim includes: The attestation included in our claims process ensures our members comply with the spirit of this policyto ensure tests are accessible and affordable for those who need them. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. c I had COVID-19 symptoms. 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. Findings. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. There are different ways to submit your reimbursement depending on your plan. 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){}})(); Blue Cross and Blue Shield Companies Announce Coverage of Coronavirus No, I am the authorized representative for a Medicare member. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. 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. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bOver-the-Counter COVID-19 Testing | Producer | Premera Blue Cross try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Everyone qualifies. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Mail-in claims Find and download forms often used by our members. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. qGm1UCk3Ht}uh>.ky!R'@ E 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. Test kit cost $ All information below is required. Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. The vaccines are free, safe and effective and widely available for anyone age 5 and up. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. For members of BCBSRI Medicare Advantage and Plan 65 To be eligible for reimbursement, you must submit: Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. 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. Read our Nondiscrimination and Language Assistance notice. Mail-in claim forms allow you to submit a claim for multiple members with one form. Medicare member reimbursement amount per test may vary by Medicare plan. The government is committed to ensuring access to OTC tests. Local Blue Cross and Blue Shield Companies Waive Cost-Sharing for COVID 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 $12 per test. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q The following claims process pertains to CareFirst commercial members* only. Members need to submit a separate claim form for each family member. Coronavirus Update Center - bcbsal.org 1095-B Tax Form Message. // /Encrypt 455 0 R/Filter/FlateDecode/ID[]/Index[454 121]/Info 453 0 R/Length 185/Prev 186847/Root 456 0 R/Size 575/Type/XRef/W[1 3 1]>>stream Mail-in claim forms allow you to submit a claim for multiple members with one form. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Pumj(jlG_E>;j+/ Telehealth. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Use this form to request reimbursement for Medicare Part B premium expenses. You can also submit reimbursement for home test kits. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { 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). // ]]>, // COVID-19 At Home Testing | Oklahoma Insurance Department See below.). Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Visit the Medi-Cal website for more details. You can also include multiple receipts with one form. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. What to know about COVID tests | Coverage - Blue Cross Blue Shield of Visit the CDC website for the most up-to-date testing guidance. How to snag your free at-home COVID-19 test kit | wtsp.com Postal Service. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. 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}; ro?gu?"t6Vr K?K@n}r`TyEycB". COVID-19 TESTING AND REIMBURSEMENT. We use cookies on this website to give you the best experience and measure website usage.