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. Since Medicare members and members of non-Medicare plans have different coverage, be sure to look at the information below that applies to you. Heres everything you need to know about it. By continuing to use this website, you consent to these cookies. This coverage began on January 15, 2022. However, you must include all required information requested in the form. For more information, view our privacy policy. below is required. COVID-19 At-Home Test Member Reimbursement Form Please use this form to request reimbursement for actual cost of FDA-approved COVID-19 at-home test(s). Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . For example, a physician, a nurse practitioner, or a physician assistant. The New to Market FDA-Approved Medication Review Exception Process allows a member to apply for coverage of an excluded drug at a tier 3 cost share if the member has met the requirements outlined. Sources: or retailer (e.g. . You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. Please note that taxes and other fees are not eligible for reimbursement. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; You can view a complete list of. If you buy the tests online or at a retail store (including the regular store checkout at a pharmacy rather than the pharmacy counter), youll need to submit a form, along with your receipt, and will be reimbursed up to $12 per individual test. 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. Read our Nondiscrimination and Language Assistance notice. 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. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. OTC COVID test kit claim. Once we process your claim, well mail the contract holder a reimbursement check. | 8cqy .-mg7b Telehealth. endstream endobj 460 0 obj <>/ProcSet[/PDF]>>>>stream Buying tests to store them for a potential need isn't good for the community or public health. CHICAGO - Blue Cross and Blue Shield (BCBS) companies are working closely with state and local governments, as well as partners within the health care system, to address local needs from the COVID-19 outbreak. If they have, you are eligible to order 8 tests every 30 days for each person on your plan. b&HXR 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. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Member Benefit Updates. Blue Cross and Blue Shield companies (BCBS) will also increase access to prescription drugs, enhanced telehealth and other clinical support . Each person on your plan is covered for up to 8 individual home test kits every 30 days. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nations recovery. You can submit up to 8 tests per covered member per month Tests must be FDA-authorized Tests must be purchased on or after January 15, 2022 Your commercial plan will reimburse you up to $12 per test. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. D@3[0V Please note that you cant submit for reimbursement for a home test kit unless you have a doctors note or prescription. To be eligible for reimbursement, your test must be . This network may be different than your plans standard pharmacy network. Mail-in claims Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. Commercial members may receive reimbursement for up to eight over-the-counter COVID-19 at-home tests per covered individual in the household per 30-days without a healthcare provider order or clinical assessment. We use cookies on this website to give you the best experience and measure website usage. UnitedHealthcare COVID At-Home Test Reimbursement Form. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. 1095-B Tax Form Message. See the FAQ below for details.) Dylan Scott covers health care for Vox. Provide your BCBSRI health plan information and follow the steps to order the tests. You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. 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. Thats a big step toward stopping the spread of the virus. // ]]>, // ;j+/ Health plans are offered by Blue Shield of California. All forms are printable and downloadable. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Reimbursement requests take up to 4-6 weeks to process Questions? After completing the form, be sure to sign the COVID-19 home test kit claim section and attach your home test kit receipt. Medicare member reimbursement amount per test may vary by Medicare plan. FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. 0 However, we recommend you use your $0 coverage through your Medicare Part B benefit first and then use your OTC benefit if needed. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. What Impacts the Cost of Health Insurance? 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}; Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Beginning January 15, 2022, and for the duration of the Federal Public Health Emergency, over-the-counter tests used for diagnostic purposes that are purchased online or at a store or pharmacy will also be covered. For members of BCBSRI Medicare Advantage and Plan 65 Here's how to get reimbursed: Submit a claim form Sign in or register at Caremark.com (You must be a CVS Caremark member) For more information about coverage of over-the-counter tests, view our frequently asked questions. PO Box 272540 Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 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. If youre visiting the governments home test kit site without using the link above, please make sure you are on the correct page by looking for the U.S. flag in the top left corner and text that states An official website of the United States government.. That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>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. COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. Blue Cross and Blue Shield of Alabama covers, with no member cost share, testing that is ordered by your provider to help diagnose or treat you for COVID-19 COVID-19 Vaccination Information COVID-19 Vaccine Booster Shots The CDC recommends the COVID-19 vaccine booster to eligible individuals. 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}; You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. 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. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. 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. Should you wish to request to recruit a facility or physician into the GMMI network, please complete this nomination form. For members of BCBSRI Medicare Advantage and Plan 65 endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream 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. 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. Today, the Blue Cross Blue Shield Association (BCBSA) announced that independent and locally-operated BCBS companies across the country and the BCBS Federal Employee Program (FEP . 3. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America.
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