That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. 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. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" Everyone qualifies. Use the claims form for OTC at-home tests with a healthcare provider order. . Heres everything you need to know about it. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. All Rights Reserved. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. At-home testing options and costs COVID-19 TESTING AND REIMBURSEMENT. 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()};}; The tests listed below are available for $0 at the pharmacy counter. Use this order form for specialty medications. Effective 1/1/2020, roughly 17,500 over-the-counter (OTC) drugs and medications such as . endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. 2023 Blue Cross Blue Shield Association. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Complete the Member Request Form for Primary Breast Cancer Prevention Coverage. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. Please note that you cant submit for reimbursement for a home test kit unless you have a doctors note or prescription. . Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Please note that orders will be held for 72 hours and cannot be picked up at the drive-through. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form COVID-19 | Blue Cross and Blue Shield of Texas Standing by You Your health, safety and well-being are our top priorities. // ]]>, // /ProcSet[/PDF]>>>>stream The vaccines are free, safe and effective and widely available for anyone age 5 and up. Leading through a public health crisis All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. Find your BCBS company. 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. F2g5 :s+Jc The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. The protection of your privacy will be governed by the privacy policy of that site. 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 The government is committed to ensuring access to OTC tests. Read our Nondiscrimination and Language Assistance notice. All information below is required. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. The IRS no longer requires us to automatically mail Form 1095-B to members. To find an in-network pharmacy, click here or download the fepblue app. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. No, the home tests provided by the government do not count toward your $0 coverage. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. News Release For Release December 8, 2021 Contact: Sara Teachout (802) 371-3254 teachouts@bcbsvt.com Blue Cross Blue Shield of Vermont to Cover Certain Take Home Antigen Tests Berlin, Vermont . Testing and Treatment Coverage Telehealth. Once we process your claim, well mail the contract holder a reimbursement check. While all FDA-authorized COVID-19 rapid tests are covered, and will be reimbursed under the Emergency Rule, only certain tests are likely to process correctly through pharmacy claims systems at the moment. See the list of participating pharmacies and healthcare providers. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. Dylan Scott covers health care for Vox. California Physicians' Service DBA Blue Shield of California 1999-2023. endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream But some are still hesitant to get the shot. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity, or gender expression. In this case, you should fill out three claim forms one for each member. You do not need health insurance to receive your free tests. Leading the way in health insurance since 1929. To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide, including CVS Pharmacy, Walgreens, Walmart, and Costco. 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 Blue Shield sent a statement saying: We received updated guidance from the federal government regarding at-home COVID-19 testing coverage late Monday afternoon. If you go to another location and pay upfront for a home test kit, you cant submit for reimbursement unless you have a doctors note or prescription. Please note that taxes and other fees are not covered. 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. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. Some people may be eligible for a second booster, including: Adults ages 50 years and older. 2023 Blue Cross Blue Shield Association. //