Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. Use our. Each person on your plan is covered for up to 8 individual home test kits every 30 days. 2. He has reported on health . Purchase up to 8 tests per family member in a 30-day period. 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. 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 access your member services, please visit your BCBS company. Please note that taxes and other fees are not eligible for reimbursement. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); To be eligible for reimbursement, you must submit: 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 Home test kits can be an important and convenient tool for diagnosing COVID-19, and BCBSRI members have $0 coverage for these home test kits without a prescription. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. bxx,|
Youll be reimbursed up to $12 per individual test. // ]]>, // =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 Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. If they have, you are eligible to order 8 tests every 30 days for each person on your plan. Reimbursement requests take up to 4-6 weeks to process Questions? Wu3B=
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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). (If you dont already have a CVS account, youll need to create one.). "We have tests, treatments, and vaccines that can . Receipt and UPC barcode from the kit package are required. Then, complete and submit the online form. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. Taxes and shipping costs are eligible for reimbursement, but total reimbursement may not exceed $12 per test. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. Pregnant members can use this form to request a blood pressure monitor at no cost. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. 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. Sources:
If you use a pharmacy in Prime's network, you should not have to submit a separate claim when you buy the tests at the pharmacy counter. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. s&jPDed
Medicare member reimbursement amount per test may vary by Medicare plan. This coverage applies to all BCBSRI health plans except Medicare. The vaccines are free, safe and effective and widely available for anyone age 5 and up. Blue Shield of California has neither reviewed nor endorsed this information. For J.D. F2g5 :s+Jc
You must submit a separate claim form for each covered family member. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. 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. If you have employer coverage, or an individual or family plan, you can get FDA-authorized, over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. Online claims The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Forms for members enrolled in individual, family and employer plans with Florida Blue. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. This page may have documents that can't be read by screen reader software. The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. b&HXR (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Leading the way in health insurance since 1929. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. Waiving cost-sharing for COVID-19 testing and treatment. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Looking for COVID-19 coverage and benefit information? We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity, or gender expression. 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. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. No, I am the authorized representative for a Medicare member. 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. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. and independent licensees of the Blue Cross and Blue Shield Association. Receipt required. Important information about expanded coverage. We use cookies on this website to give you the best experience and measure website usage. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . 454 0 obj
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The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. Member Benefit Updates. Centers for Disease Control and Prevention (CDC), Coronavirus, World Health Organization (WHO), Coronavirus, Keep Your Children 5 and Older Safe With a COVID-19 Vaccine, How to Manage Back-to-the-Workplace Anxiety, Anthem has a limited number of at-home diagnostic test kits available for certain members to order online. Coverage varies by plan type. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. In addition to your benefits, every home in the United States is eligible to orderfree COVID-19 home test kits through the federal government atcovidtests.gov. endstream
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below is required. This form is for members of non-Medicare plans. Please note that taxes and other fees are not covered. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. 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. With each claim form, you should include the same receipt. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. See the list of participating pharmacies and healthcare providers. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. 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. 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. Important Please provide what is on your member card, failure to provide at least one of these fields can lead to failure in claim approval. California Physicians' Service DBA Blue Shield of California 1999-2023. Test kit cost $ 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. It should not be considered current, complete or exhaustive, nor should you rely on such information to recommend any tests, products, procedures, opinions, or a course of treatment for you or any other individual. Once we process your claim, the contract holder will receive a reimbursement check by mail. No, the home tests provided by the government do not count toward your $0 coverage. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . All forms are printable and downloadable. Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b