All OTC at-home tests ordered by a healthcare provider are covered. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. f/4kg>/ProcSet[/PDF]>>>>stream Waiving all prior authorization requirements for COVID-19 testing and related covered services. English. 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. 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. This currently does not apply to Medicare Advantage members. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q To be reimbursed for a COVID home test kit purchased at any pharmacy or retailer (e.g. You will still have access to vaccines . The protection of your privacy will be governed by the privacy policy of that site. 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. O=>WNW% Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. Check the state-by-state list of Blue Cross Blue Shield companies to get started. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. With each claim form, you should include the same receipt. Most PDF readers are a free download. We provide health insurance in Michigan. Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. 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. Pumj(jlG_E>;j+/ Then, complete and submit the online form. 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. endstream endobj 455 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(a;uY[7y\\ Y)/P -1036/R 4/StmF/StdCF/StrF/StdCF/U(6Tn= )/V 4>> endobj 456 0 obj <>>> endobj 457 0 obj <> endobj 458 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 10/Tabs/W/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 459 0 obj <>/ProcSet[/PDF]>>>>stream 574 0 obj <>stream The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. What Impacts the Cost of Health Insurance? Your plan covers up to 8 tests every 30 days per covered person. People may also access free or affordably priced testing in the community. This policy will remain in effect for the duration of the Federal Public Health Emergency. 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. Some labs may not provide testing without a doctors order. Coverage varies by plan type. 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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during pandemic, Coronavirus Update: Florida Blue Increasing Access to Health Care Services for Members to Aid in Treatment, Florida Blue Increasing Access to Health Care Services to Aid in Coronavirus Treatment, Free 24/7 Bilingual Helpline Open to Provide Emotional Support during COVID-19 Health Crisis, Blue Cross Blue Shield of Georgia COVID Vaccination Efforts, Blue Cross and Blue Shield of Hawaii COVID Vaccination Efforts, BCBS Hawaii and its foundation distribute aid in wake of COVID-19, HMSA announces steps to help members prepare for COVID-19, Wellmark Blue Cross and Blue Shield COVID Vaccination Efforts, Wellmark announces important health plan updates regarding coronavirus, Blue Cross of Idaho COVID Vaccination Efforts, BC Idaho and its foundation respond to community needs amidst COVID-19, More Steps from Blue Cross of Idaho to Support Members During the Coronavirus Pandemic, Blue Cross of Idaho Foundation for Health contributes to COVID-19 response fund, Regence BlueCross BlueShield COVID Vaccination Efforts, Regence BlueShield of Idaho to cover cost of coronavirus (COVID-19) testing for members, Blue Cross and Blue Shield of Illinois COVID Vaccination Efforts, HCSC supports community needs during COVID-19, Health Care Service Corporation Information for Members, Blue Cross and Blue Shield of Illinois Responds to COVID-19 by Further Expanding Telehealth and Waiving Member Cost-Share, Anthem Blue Cross and Blue Shield Indiana, Anthem Blue Cross and Blue Shield Indiana COVID Vaccination Efforts, Anthem Blue Cross and Blue Shield invests $50M+ in COVID-19 response efforts, Blue Cross and Blue Shield of Kansas COVID Vaccination Efforts, BCBS Kansas supporting child welfare and families during COVID-19, BCBS of Kansas: Coronavirus: How we're responding to COVID-19, Anthem Blue Cross and Blue Shield Kentucky, Anthem Blue Cross and Blue Shield Kentucky COVID Vaccination Efforts, Blue Cross and Blue Shield of Louisiana COVID Vaccination Efforts, Blue Cross and 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 Than 30 Blue Cross Blue Shield of Michigan Employees Volunteer for Front-Line Work to Assist in Treating Covid-19 Patients, Blue Cross Blue Shield of Michigan Will Waive Member Copays and Deductibles for COVID-19 Tests, Among Series of Proactive Steps on Coronavirus, Blue Cross Blue Shield of Michigan Information for Members, Blue Cross Blue Shield of Michigan Statement and Waiving of Copays/Deductibles, Blue Cross and Blue Shield of Minnesota COVID Vaccination Efforts, Blue Cross and Blue Shield of Minnesota fights food insecurity and protects healthcare workers, Blue Cross joins Allina to launch skilled volunteer effort to create masks for hospitals and clinics, Blue Cross and Blue Shield of Minnesota announces $750,000 commitment to Second Harvest Heartland, Blue Cross and Blue Shield of Minnesota Information for Members, Anthem Blue Cross and Blue Shield Missouri, Blue Cross and Blue Shield of Kansas City, Anthem Blue Cross and Blue Shield Missouri COVID Vaccination Efforts, Blue KC driving better health by investing in community engagement, Blue Cross and Blue Shield of Kansas City Announces It Will Cover COVID-19 Testing and 24/7 Access to Virtual Care, BCBS of Kansas City Information for Members, Blue Cross And Blue Shield Of Kansas City Announces It Will Cover COVID-19 Testing And 24/7 Access To Virtual Care, Blue Cross and Blue Shield of Mississippi, Blue Cross & Blue Shield of Mississippi COVID Vaccination Efforts, BCBS Mississippi alleviates food insecurity during COVID-19 crisis, BCBS of Mississippi Information for Members, Blue Cross and Blue Shield of Montana COVID Vaccination Efforts, COVID-19 Coverage for BCBS of Montana Members, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Carolina COVID Vaccination Efforts, BCBS North Carolina supporting community nonprofits during pandemic, Thrive NC Postponed until 2021; Blue Cross NC Commitment to Food Security Remains, BCBS of North Carolina Information for Members, Blue 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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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Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. The site may also contain non-Medicare related information. When filing claims online, you must use a separate claim form for each receipt and for each member. Li@ c;8tH$0Neh,````1A88Co&) W e#f`lF|kQN2qC,`j` ` ;v For help with these documents, please call 1-800-975-6314. If this happens, you can pay for the test and then submit a claim for reimbursement. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Individuals attempting unauthorized access will be prosecuted. 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. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. 1To download the BCBSTX app, text BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play. endstream endobj 460 0 obj <>/ProcSet[/PDF]>>>>stream You can find medical and prescription drug claim forms on our Medicare website. Most PDF readers are a free download. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. Member Discounts Take advantage of member-only discounts on health-related products and services. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. You will be reimbursed up to $12 per test by submitting a claim. 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 do not need health insurance to receive your free tests. Each test within a package is counted individually. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. All rights reserved. Check out the changes and updates to our plan in 2023. Leading the way in health insurance since 1929. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. (function(){var g=function(e,h,f,g){ You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Find out if the testing site is charging a separate/additional fee to give you the test, and exercise caution if visiting a non-State regulated or out-of-network pop-up testing site which may not have the same standards or billing practices as an in-network provider with your health plan. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. endstream endobj startxref 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. |X9GZaX~ Buying tests to store them for a potential need isn't good for the community or public health. 2023 Blue Cross Blue Shield Association. 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. COVID-19 benefits will change after that date. Some testing locations may not be in your health plans network. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. Visit the CDC website for the most up-to-date testing guidance. 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). Call your doctor. Message and data rates may apply. The government is committed to ensuring access to OTC tests. 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. 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. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. . try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); 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. PO Box 272540 Looking for COVID-19 coverage and benefit information? Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Health Benefits Election Form (SF 2809 Form) 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. For more information, view our privacy policy. The following claims process pertains to CareFirst commercial members* only. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. COVID-19 Test Kits Available Through the Federal Government COVID-19 test kits are available through the Federal Government . Additional details about at-home COVID-19 testing can be found on the Blue Cross Blue Shield website. follow the latest CDC guidance for isolation. 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. To view this file, you may need to install a PDF reader program. 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 As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. If you go to an out-of-state doctor or hospital that doesnt participate with Blue Cross Blue Shield, you may pay upfront for services. Register Now. F2g5 :s+Jc 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 can also include multiple receipts with one form. endstream endobj startxref We generally process claims within 30 days from receiving your completed claim form and receipts. Please enter the NDC or UPC number from the cash register receipt or test package. 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. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream // ]]>, // , // .ky!R'@ E If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. D@3[0V Medicare Advantage COVID-19 Testing Member Reimbursement Form *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. Keep your purchase receipt (s) to submit for reimbursement.
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