All Rights Reserved. With each claim form, you should include the same receipt. To be eligible for reimbursement, your test must be . Instead of showing your BCBSRI member ID card at the pharmacy counter, you provide that information online and then pick up the home test kits at a CVS Pharmacy location. Please note that taxes and other fees are not covered. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. There are different ways to submit your reimbursement depending on your plan. OTC tests are covered with no out-of-pocket costs when purchased at the pharmacy counter for members with . At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. %%EOF Read our Nondiscrimination and Language Assistance notice. If any information is missing from the invoice, contact the provider. Blue Shield of California PO Box 272540 Chico, CA 95927-2540 COVID-19 laboratory tests (PCR tests) If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. 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. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 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 have a BCBSRI Medicare Advantage plan that includes a quarterly OTC allowance ($25-$275, depending on your plan), you can also use it to buy COVID-19 home test kits. Then, complete and submit the online form. Receipt required. All information below is required. See below.). endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream If you bought or ordered an at-home COVID-19 test on or after January 15, 2022, you may be able to get reimbursed for the cost. F2g5 :s+Jc The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. What Impacts the Cost of Health Insurance? endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. CHICAGO - Blue Cross and Blue Shield (BCBS) companies are working closely with state and local governments, as well as partners within the health care system, to address local needs from the COVID-19 outbreak. Find answers on our member and employer pages, or contact us. Thats a big step toward stopping the spread of the virus. For more information, view our privacy policy. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bWNW% All rights reserved. Mail-in claims All of the content provided on this website or on the linked websites is for informational purposes only and is not intended to serve as medical, legal or tax advice. In the face of COVID-19, every question, answer and vaccination is important. 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. This page may have documents that can't be read by screen reader software. The tests listed below are available for $0 at the pharmacy counter. Check out the changes and updates to our plan in 2023. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. Here is the process: If you prefer to have your home test kits shipped to your house, you can pay out-of-pocket and submit for reimbursement using this form. Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. 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 Coverage for Members Your health is always our priority. 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. . 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. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. 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. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. Making healthcare affordable. Provide your BCBSRI health plan information and follow the steps to order the tests. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. How to get free at-home tests: Express Scripts Pharmacy Order up to 8 at-home COVID-19 tests every 30 days from Express Scripts Pharmacy. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. Blue Shield of California has neither reviewed nor endorsed this information. You dont need to sign in to search for a pharmacy. Commercial Health Plans, Northeast Region. Reimbursement is limited to $12 per test, which may include tax and shipping/delivery charges (to a maximum of $12). As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. A single Pfizer-BioNTech COVID-19 vaccine booster dose for children is recommended at least 5 months after the primary series is administered. Mail-in claim forms allow you to submit a claim for multiple members with one form. Health plans are offered by Blue Shield of California. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. OTC COVID test kit claim. Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. 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. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. 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. You will be reimbursed via check, mailed to the address we have on file within 30 days of Blue Cross Blue Shield of Arizona (BCBSAZ) receiving your reimbursement information. independent licensees of the Blue Cross and Blue Shield Association. 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. The $0 coverage only applies when you receive your home test kits at participating locations. 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. Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. We also provide language assistance. Once you receive a confirmation from CVS Pharmacy, your order will be waiting for you at the front store register. 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. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test 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. 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. On July 31, one day remains to file the claim. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page. You can find provider manuals, reimbursement documents and procedures. 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Blue Shield of Louisiana Statement on COVID-19, Blue Cross Platform Powers COVID-19 Louisiana Outbreak Tracker in Collaboration with State Health Department, Video: How big data in healthcare is predicting the future and improving lives, Blue Cross and Blue Shield of Massachusetts, Blue Cross and Blue Shield of Massachusetts COVID Vaccination Efforts, BCBS Massachusetts supports public health, nonprofits during COVID crisis, BCBS of Massachusetts Information for Members, BCBS of Massachusetts Statement on Testing and Care Related to COVID-19, Blue Cross Blue Shield of Massachusetts Expands Coverage and Access for Members During the Coronavirus Pandemic, CareFirst BlueCross BlueShield COVID Vaccination Efforts, CareFirst responds to COVID-19's dual public health and economic crisis, Anthem Blue Cross and Blue Shield Maine COVID Vaccination Efforts, Blue Cross Blue Shield of Michigan COVID Vaccination Efforts, BCBS Michigan investing in access to support communities during COVID-19, More 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share, BCBS of Rhode Island Information for Members, Blue Cross and Blue Shield of South Carolina, Blue Cross and Blue Shield of South Carolina COVID Vaccination Efforts, BCBS of South Carolina Information for Members, BCBS of South Carolina Coverage for Members, BlueCross BlueShield of Tennessee COVID Vaccination Efforts, BCBS Tennessee supports food banks and funds testing for vulnerable residents, How our foundation is helping local organizations fight hunger, BCBS of Tennessee Information for Members, BlueCross Tennessee to Cover Full Testing Costs for COVID-19, BlueCross Expanding Telehealth Access with In-Network Providers, Blue Cross and Blue Shield of Texas COVID Vaccination Efforts, COVID-19 Coverage For BCBS of Texas Members, BCBS of Texas Lifting Telemedicine Cost-Sharing for Fully Insured Members, Regence BlueCross BlueShield of Utah to cover cost of coronavirus (COVID-19) testing for members, Anthem Blue Cross and Blue Shield Virginia, Anthem Blue Cross and Blue Shield 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