Check out the changes and updates to our plan in 2023. Over-the-counter COVID-19 tests will not be covered by your medical or pharmacy benefits after the end of the public health emergency. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSTX/Prime Therapeutics pharmacy benefits until the end of the public health emergency on May 11, 2023. Purchase up to 8 tests per family member in a 30-day period. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. Each test within a package is counted individually. c I had COVID-19 symptoms. Blue Cross Blue Shield of Michigan PPO: 1-800-762-2382 Blue Care Network HMO: 1-800-482-5982 Medicare Plus Blue PPO: 1-888-803-4960 BCN Advantage HMO and HMO-POS: 1-800-431-1059 Or, learn more about all the mental health options available to you. O=>WNW% We have a nationwide network of providers that participate with Blue Cross Blue Shield of Michigan. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Your member ID card is your key to using your medical plan benefits. A recent announcement from the federal government intends to increase access to COVID-19 testing. Using facts from the CDC, we hope to answer your questions and arm you with the knowledge you and your children deserve so you can feel confident in your decision. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test (s) packaging. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX W006259 COVID-19 Testing Member Reimbursement Form - Non-Medicare Advantage Please use this form to request reimbursement for COVID-19 tests you have paid for out of your own pocket. COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX 142 0 obj <>stream Check the state-by-state list of Blue Cross Blue Shield companies to get started. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated. Your frequently asked questions about COVID19 - IBX Newsroom 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. In this case, you should fill out three claim forms one for each member. D@3[0V If you paid for a COVID-19 test and think you might qualify for reimbursement, read the COVID-19 Testing Member Reimbursement Form (PDF) to find out more. Forms for Blue Cross Blue Shield of Michigan (PPO) members . Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. The site may also contain non-Medicare related information. Coronavirus (COVID-19) Updates | Blue Cross Blue Shield As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. If you are covered by a group or individual and family health plan, you can get reimbursed for your purchase of FDA-authorized, at-home testing kits at $12 per test, or $24 for a box that includes two tests, for up to 8 tests per person every 30 days. 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. California Physicians' Service DBA Blue Shield of California 1999-2023. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. 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. This page may have documents that cant be read by screen reader software. You are leaving this website/app ("site"). At home Covid test coverage - Blue Cross Blue Shield of Massachusetts This new site may be offered by a vendor or an independent third party. Please mail completed form with copy of purchase receipt(s) to: Blue Shield of California P.O. One option is Adobe Reader which has a built-in screen reader. CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" To make sure the associated costs for getting diagnostic tests are covered by your BCBSTX plan: 1To download the BCBSTX app, textBCBSTXAPPto33633or search for BCBSTX in the Apple App Store or Google Play. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. In addition, some sites may require you to agree to their terms of use and privacy policy. endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. bxx,| If you are concerned mail has been suspended to the address previously provided, please call 1- 888-999-9862 and choose Option 2 for Pharmacy Programs. Message and data rates may apply. Sometimes the form is called Member Application for Payment Consideration, which is the same as a claim form. COVID-19 benefits will change after that date. What you need to know about the disease and our coverage commitment. Use the doctors, labs and facilities in your BCBSTX health plans provider network for: File is in portable document format (PDF). Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. 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=/; "}; According to the Centers for Disease Control (CDC) recommendations, if your over-the-counter test has a positive result, you should follow the latest CDC guidance for isolation, wear a well-fitted mask if you have contact with others and call your healthcare provider. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Blue Shield of California has neither reviewed nor endorsed this information. s&jPDed *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. Use the claims form for OTC at-home tests with a healthcare provider order. // ]]>, // Reimbursement Claim Form for Over-the-Counter at-home COVID-19 Test Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. You must submit a separate claim form for each covered family member. 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. 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. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { [CDATA[ BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Some testing locations may not be in your health plans network. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, COVID-19 Testing Member Reimbursement Form (PDF), Forms for Blue Cross Blue Shield of Michigan (PPO) members, Forms for Blue Care Network (HMO) members, Prescription drug claim forms (PPO and HMO). If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. If you dont have a primary care doctor, we can help you find one. 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. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Additional details about at-home COVID-19 testing can be found on the Blue Cross Blue Shield website. Medicare Advantage members: You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. Some labs may not provide testing without a doctors order. All Rights Reserved. at-home COVID-19 Test Reimbursement Claim form found here. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. . 574 0 obj <>stream Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Mail-in claim forms allow you to submit a claim for multiple members with one form. What Impacts the Cost of Health Insurance? All rights reserved. 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. cRequired for employment purposes. 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. 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. Call us at the Customer Service number on your BCBSTX member ID card. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. 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. See below.). If you think you may have the virus or have been exposed to someone who has it: Not all testing sites are the same. endstream endobj startxref Please enter the NDC or UPC number from the cash register receipt or test package. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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.). Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. 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. BCBS COVID-19 Info - Benefits, Testing, and More - FEP Blue Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services, must be purchased on or after January 15, 2022, used to identify the potential COVID-19 infection, will be self-administered with results that can be self-read, will not be resold, given or supplied to persons other than family members covered under the same policy, The purchase receipt documenting the date of purchase and price, UPC** cut-out from the over-the-counter COVID-19 test packaging, Signed, completed attestation confirming and acknowledging that the purchased over-the-counter at-home COVID-19 test meets eligibility guidelines. If you have any questions, call the phone number on the back of your subscriber ID card, also known as enrollee ID, or contact us and we'll help. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. (For example, you can buy 4 boxes that include 2 over-the-counter COVID-19 tests.). Keep your purchase receipt (s) to submit for reimbursement. 1To download the BCBSTX app, text BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play. If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package toward the quantity limit. 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). 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){}})(); Effective May 12, 2023, home test kits will only be covered at $0 with an order or prescription from your provider. Increasing access to prescription medications. You can find medical and prescription drug claim forms on our Medicare website. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. The following claims process pertains to CareFirst commercial members* only. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Individuals attempting unauthorized access will be prosecuted. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Mail-in claims Some labs and hospitals may not provide testing without a doctors order. To qualify: . Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. When filing claims online, you must use a separate claim form for each receipt and for each member. | 8cqy .-mg7b We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. COVID-19 (Coronavirus) Resource Center - FAQs - FEP Blue To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. endstream endobj startxref Waiving cost-sharing for COVID-19 testing and treatment. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: must be purchased on or after January 15, 2022 must be for personal diagnostic use used to identify the potential COVID-19 infection not be used for employment purposes not used for surveillance testing Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. All rights reserved. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. [CDATA[ PDF COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage - BCBSM Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. If this happens, you can pay for the test and then submit a claim for reimbursement. COVID-19 | Independence Blue Cross - IBX endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream For more information, view our privacy policy. Check your symptoms and risk for COVID-19 The CDC has a prevention tool you can use. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. (function(){var g=function(e,h,f,g){ We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. endstream endobj 468 0 obj <>/ProcSet[/PDF]>>>>stream New User? All information below is required. To view this file, you may need to install a PDF reader program. hb``g``````pD8 D8: I=3011\o`;!A ;\/0fpi$ ([!x P/* ldF76Y*\v|*-9?S % To be reimbursed for a COVID home test kit purchased at any pharmacy or retailer (e.g. To find an in-network pharmacy, click here or download the fepblue app. Find your BCBS company. For example, a physician, a nurse practitioner, or a physician assistant. We use cookies on this website to give you the best experience and measure website usage. How Your Benefits Work COVID-19 vaccination coverage after the Public Health Emergency Coverage for COVID-19 testing COVID-19 treatment If you have Medicaid, you can go to https://mss.empireblue.com/ny/home.html for information about your plan. 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. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc.
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