All rights reserved. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: COVID-19 screenings or evaluations done: Virtually using telehealth, In a doctor's office, At an urgent care center, or In a hospital (including emergency room). See the list. Blue Cross recommends that members contact and work closely with their health care . 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. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. Select the list of exceptions for your plan. Blue Cross Blue Shield of Massachusetts is starting with a reimbursement system, with a submission form available on its website. 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. 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. People may also access free or affordably priced testing in the community. PO Box 272540 The protection of your privacy will be governed by the privacy policy of that site. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. You can find provider manuals, reimbursement documents and procedures. Your Blue Cross and Blue Shield of Illinois (BCBSIL) health plan gives you access to the care you need during the COVID-19 pandemic. 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. Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q 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. In addition to your BCBSRI benefits, every home in the United States is eligible to orderfree COVID-19 home test kits through the federal government atcovidtests.gov. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. 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. 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 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. Receipt and UPC barcode from the kit package are required. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. Select the list of exceptions for your plan. Also, note that all American households can order free COVID-19 tests from the federal government. Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. See below.). For example, one box containing two tests counts as two tests. You'll be reimbursed by check within 60 calendar days. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Please note that taxes and other fees are not covered. Then, complete and submit the online form. . No, I am the authorized representative for a Medicare member. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, . For help with these documents, please call 1-800-975-6314. . You do not need health insurance to receive your free tests. This policy will remain in effect for the duration of the Federal Public Health Emergency. 1095-B Tax Form Message. As of Jan. 15, 2022, people with private health insurance can get reimbursed by their insurer for the cost of up to eight at-home COVID tests per month. As of January 15, Americans with private insurance are supposed to be reimbursed for the cost of the tests. Members should complete the OptumRx Over-the-Counter Test Reimbursement Form and include their receipts. 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. *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. %%EOF Here's how to get reimbursed: Submit a claim form Health plans are offered by Blue Shield of California. F2g5 :s+Jc At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. See the list of participating pharmacies and healthcare providers. 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}; Mail-in claims bxx,| 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=/; "}; You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. People ages 12 years and older who are moderately or severely immunocompromised. The CDC states that home test kits may be used in the following situations: On the CDC website, you can find additional information, including how to use home tests and what to do if your test is negative or positive. 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. 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}; Overseas members will need to complete and file this claim form for any pharmacy services received. 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. COVID-19 TESTING AND REIMBURSEMENT. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. That form will be replaced on Jan. 23 once the insurer develops a . Please review the terms of use and privacy policies of the new site you will be visiting. 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. Once you receive a confirmation from CVS Pharmacy, your order will be waiting for you at the front store register. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . The federal government is providing up to 8 individual home test kits per calendar month to Medicare members with Medicare Part B. Looking for COVID-19 coverage and benefit information? 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. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Sign in or register at Caremark.com (You must be a CVS Caremark member) You must submit a separate claim form for each covered family member. 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. We use cookies on this website to give you the best experience and measure website usage. He has reported on health . endstream endobj 469 0 obj <>/Subtype/Form/Type/XObject>>stream For members of BCBSRI Medicare Advantage and Plan 65 f/4kg>/ProcSet[/PDF]>>>>stream 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. 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. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. For members of BCBSRI Medicare Advantage and Plan 65 Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. 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. 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. 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. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& Check out the changes and updates to our plan in 2023. 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. If the test is less than $12, reimbursement will be the cost of the test. All rights reserved. // ]]>. This is especially important before gathering with unvaccinated children, older individuals, those who are immunocompromised, or individuals at risk of severe disease. 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. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. 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. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Get started with your reimbursement request. To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: Members must complete a claim form to be reimbursed for over-the-counter COVID-19 testing. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. There are 0 fields that need to be corrected. You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Visit the Medi-Cal website for more details. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Forms for members enrolled in individual, family and employer plans with Florida Blue. Reimbursement requests take up to 4-6 weeks to process Questions? OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. 8 At-Home Rapid tests per 30 days. The IRS no longer requires us to automatically mail Form 1095-B to members. All Rights Reserved. Visit the CDC website for the most up-to-date testing guidance. You can submit a claim for reimbursement electronically by logging in to myBCBSRI.com. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Yes, home test kits can be purchased with your quarterly OTC allowance ($25-$275, available with most BCBSRI Medicare Advantage plans). 510 0 obj <>/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 Member Discounts Take advantage of member-only discounts on health-related products and services. Read Full Story Communities However, even if a pharmacy is not participating in our network, you may be able to buy the test for $0. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. The Blue Cross Blue Shield companies partner with state and federal agencies, as well as advocacy organizations, to report, investigate and reduce the incidence of healthcare fraud. However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. Find and download forms often used by our members. follow the latest CDC guidance for isolation. Use this form to order a mail order prescription. You are now leaving the blueshieldca.com website, Do NOT use this page for test 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. Complete this claim form for any pharmacy services received. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. You dont need to sign in to search for a pharmacy. 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. With each claim form, you should include the same receipt. All Rights Reserved. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. If a test is sold in a package of two, that is considered two tests, and youll be reimbursed $24. 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. 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. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. Outcome - The time to file this claim is suspended starting on March 1, 2020, until 60 days after the National Emergency is declared over. More than 140 million Americans have received a dose of the COVID-19 vaccine. All information . "We have tests, treatments, and vaccines that can . 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. This form is for members of non-Medicare plans. We're here to help you stay informed about COVID-19 and to access the care and coverage you need. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Making healthcare affordable. Heres everything you need to know about it. Provide your BCBSRI health plan information and follow the steps to order the tests. endstream endobj 460 0 obj <>/ProcSet[/PDF]>>>>stream Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. This page may have documents that can't be read by screen reader software. (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered . Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19).