Once we process your claim, the contract holder will receive a reimbursement check by mail. COVID-19 diagnostic tests will be covered at your regular benefit level after the end of the public health emergency. 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. 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue . If you think you may have the virus or have been exposed to someone who has it: Not all testing sites are the same. Most PDF readers are a free download. Over-the-Counter Tests | CareFirst BlueCross BlueShield PDF Florida Blue Prescription Drug Claim Form *CVS Caremark is an independent company that has been contracted to administer your pharmacy benefits for Blue Cross Blue Shield of Massachusetts. To access your member services, please visit your BCBS company. endstream
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-60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Coronavirus (COVID-19) Updates | Blue Cross Blue Shield 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. 0
If any information is missing from the invoice, contact the provider. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. See below.). You will be reimbursed up to $12 per test by submitting a claim. If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. (function(){var g=function(e,h,f,g){ The list will be updated as new FDA-authorized tests become available. endstream
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COVID-19 (Coronavirus) Resource Center - FAQs - FEP Blue try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Coronavirus Disease (Covid-19): Health Insurance Faqs 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=/; "}; 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. One option is Adobe Reader which has a built-in screen reader. Even if you have medical, vision, dental or prescription drug coverage through Blue Cross Blue Shield of Michigan or Blue Care Network, there may be occasions when you have to pay for services yourself. 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. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. For the Health of America. What you need to know about the disease and our coverage commitment. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. Y0118_22_062A_C 02082022 To access your member services, please visit your BCBS company. Wu3B=
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Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. This policy will remain in effect for the duration of the Federal Public Health Emergency. The site may also contain non-Medicare related information. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. All rights reserved. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Please enter the NDC or UPC number from the cash register receipt or test package. hb``g``````pD8 D8: I=3011\o`;!A
;\/0fpi$ ([!x 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. We are committed to making sure members get the care they need when they need it. When filing claims online, you must use a separate claim form for each receipt and for each member. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. 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. The protection of your privacy will be governed by the privacy policy of that site. With each claim form, you should include the same receipt. H0148_22_003_C_020822. This new site may be offered by a vendor or an independent third party. State and Federal Privacy laws prohibit unauthorized access to Member's private information.
To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. Use the claims form for OTC at-home tests with a healthcare provider order. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. endstream
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Everyone qualifies. To be reimbursed for a COVID home test kit purchased at any pharmacy or retailer (e.g. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. PO Box 272540 Each test within a package is counted individually. Chico, CA 95927-2540. This currently does not apply to Medicare Advantage members. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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. CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. See our FAQfor detailed instructions. Mail-in claim forms allow you to submit a claim for multiple members with one form. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem All Rights Reserved. Get access to your member portal. [CDATA[ Forms for Blue Cross Blue Shield of Michigan (PPO) members . qO;,lH
If you have health coverage through a large employer, we recommend you contact your Benefits or HR Administrator to determine if your over-the-counter COVID-19 testing claim should be submitted to CareFirst as a medical claim or to your employers Pharmacy Benefit Manager as a pharmacy claim. 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. 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. Under federal guidelines, the plan covers only specific tests. [CDATA[ The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. c I had COVID-19 symptoms. Heres everything you need to know about it. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. If you recently visited a doctor outside of your network and you need to submit a claim, you can use one of these claim forms. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. If you have any questions, please contact customer service at the phone number on your Blue Shield member ID card. Use the doctors, labs and facilities in your BCBSTX health plans provider network for: File is in portable document format (PDF). A recent announcement from the federal government intends to increase access to COVID-19 testing. endstream
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<. For example, one box containing two tests counts as two tests. 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. You can also include multiple receipts with one form. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Blue Shield and Blue Shield Promise cover these types of tests: 1Tests ordered by a healthcare provider means that a licensed and authorized healthcare provider has requested that you obtain a test for COVID-19. You must submit a separate claim form for each covered family member. 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. And if you use a pharmacy in Prime's network and check out at the pharmacy counter, you shouldn't have to pay upfront or submit a claim . 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 Visit the Medi-Cal website for more details. Read Full Story Audience Communities You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b
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