Individuals attempting unauthorized access will be prosecuted. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. For example, one box containing two tests counts as two tests. follow the latest CDC guidance for isolation. You are leaving this website/app ("site"). COVID-19 benefits will change after that date. Blue Shield of California has neither reviewed nor endorsed this information. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. 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=/; "}; We are committed to making sure members get the care they need when they need it. See below.). Mail-in claim forms allow you to submit a claim for multiple members with one form. Use the doctors, labs and facilities in your BCBSTX health plans provider network for: File is in portable document format (PDF). Claim Forms - Blue Cross and Blue Shield's Federal Employee Program Some testing locations may not be in your health plans network. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Message and data rates may apply. In this case, you should fill out three claim forms one for each member. Waiving cost-sharing for COVID-19 testing and treatment. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. Purchase up to 8 tests per family member in a 30-day period. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. The site may also contain non-Medicare related information. Under federal guidelines, the plan covers only specific tests. Your doctor can order a COVID-19 diagnostic test and coordinate your testing at an in-network lab or pharmacy. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. |X9GZaX~
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When filing claims online, you must use a separate claim form for each receipt and for each member. 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. Over-the-counter COVID-19 tests will not be covered by your medical or pharmacy benefits after the end of the public health emergency. You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. Just choose the form based on your group or plan and the service. You will be reimbursed via check, mailed to the address we have on file within 30 days of Blue Cross Blue Shield of Arizona (BCBSAZ) receiving your reimbursement information. Pumj(jlG_E>;j+/
What you need to know about the disease and our coverage commitment. Claim Forms | Plan Documents | bcbsm.com Online claims Find your BCBS company. California Physicians' Service DBA Blue Shield of California 1999-2023. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California If you have an Anthem Medicaid or Medicare plan, you will need to visit your member website for information on how your health plan covers COVID-19 testing. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. For more information, view our privacy policy. cRequired for employment purposes. s&jPDed
To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. To access your member services, please visit your BCBS company. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. 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. endstream
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Register Now. 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. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. endstream
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If you are a Medicare Advantage, Medigap, Medicaid or Dual Eligible Special Needs Plan member, please call the number on the back of your member ID card for benefit information. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. Member Discounts Take advantage of member-only discounts on health-related products and services. Postal Service. PDF COVID-19 AT-HOME TEST REIMBURSEMENT FORM - Arizona (function(){var g=function(e,h,f,g){ We provide health insurance in Michigan. Coverage varies by plan type. If you use a pharmacy in Primes network, you should not have to submit a separate claim when you buy the tests at the pharmacy counter. 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. All Rights Reserved. Blue Shield of California PO Box 272540 Chico, CA 95927-2540 COVID-19 laboratory tests (PCR tests) If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. 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}; CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. c I had COVID-19 symptoms. This currently does not apply to Medicare Advantage members. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Increasing access to prescription medications. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated.
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. The Biden administration announced that it intends to end the COVID-19 national and public health emergency (PHE) declarations on May 11, 2023. Coronavirus Disease (Covid-19): Health Insurance Faqs You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Some testing locations may not be in your health plans network, particularly if they arent part of a medical group or facility. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. COVID-19 (Coronavirus) Resource Center - FAQs - FEP Blue We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. If any information is missing from the invoice, contact the provider. Waiving all prior authorization requirements for COVID-19 testing and related covered services. This new site may be offered by a vendor or an independent third party. 574 0 obj
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For help with these documents, please call 1-800-975-6314. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 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. However, you must include all required information requested in the form. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. 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. Each test within a package is counted individually. Updates to your COVID-19 coverage. If you purchase at-home tests without an order from your healthcare provider, you can be reimbursed for up to eight individual tests per member, per month. Lets say you made a one-time purchase of up to 24 tests for three members. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. In this case, you should fill out three claim forms one for each member. By continuing to use this website, you consent to these cookies. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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. One option is Adobe Reader which has a built-in screen reader. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 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. 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. 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()};}; File is in portable document format (PDF). Making healthcare affordable.
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. 142 0 obj
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COVID-19 Test Kits Available Through the Federal Government COVID-19 test kits are available through the Federal Government . You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. If you have any questions about your reimbursement claim submission, call . To qualify: . Get access to your member portal. Coverage of at-home COVID-19 tests | ERS - Texas What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX Member Discounts Take advantage of member-only discounts on health-related products and services. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. endstream
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If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. PDF Florida Blue Prescription Drug Claim Form Most PDF readers are a free download. 510 0 obj
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If you have Medicare, you can go to www.empireblue.com/medicare for information about your plan. In addition, some sites may require you to agree to their terms of use and privacy policy. Your frequently asked questions about COVID19 - IBX Newsroom 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. Once we process your claim, the contract holder will receive a reimbursement check by mail. Please enter the NDC or UPC number from the cash register receipt or test package. Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. One option is Adobe Reader which has a built-in screen reader. 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. Heres everything you need to know about it. The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. Mail-in claims Message and data rates may apply. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Check the state-by-state list of Blue Cross Blue Shield companies to get started. Effective May 12, 2023, home test kits will only be covered at $0 with an order or prescription from your provider. 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 made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. Medicare Advantage COVID-19 Testing Member Reimbursement Form Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue . Sometimes the form is called Member Application for Payment Consideration, which is the same as a claim form. (For example, you can buy 4 boxes that include 2 over-the-counter COVID-19 tests.). Coronavirus (COVID-19) Updates | bcbsm.com This new site may be offered by a vendor or an independent third party. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test (s) packaging. Li@ c;8tH$0Neh,````1A88Co&)
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At home Covid test coverage - Blue Cross Blue Shield of Massachusetts In the face of COVID-19, every question, answer and vaccination is important. 2023 Blue Cross Blue Shield Association. You must submit a separate claim form for each covered family member. It must include the original receipt or a copy of the receipt for purchasing the tests. qGm1UCk3Ht}uh>.ky!R'@ E Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. 2023 Blue Cross Blue Shield Association. 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. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. Online claim example 2: If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. qO;,lH
Box 272540, Chico, CA 95927-2540 Questions? Check your symptoms and risk for COVID-19 The CDC has a prevention tool you can use. New User? The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. You can also find an in-network doctor by. 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 . COVID-19 Coverage Expanded to Include Over-the-Counter Kits - Anthem 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. You are leaving this website/app ("site"). 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()};}; bxx,|
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. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b
