You can submit any number of receipts on a single claim form. Read Full Story Communities You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and use your red, white, and blue Medicare card. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Youll be reimbursed up to $12 per individual test. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. 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. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { if (evt.target.id=== 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Medical, Vision, Dental Claims and Reimbursement Forms Prescription Drug Forms Coverage and Premium Payment Forms Personal Information Forms Medicare Forms HIPAA. Select the list of exceptions for your plan. Submit a claim only when you are billed for services from a provider that does not directly submit a claim to the local Blue Cross Blue Shield plan. You can view a complete list ofparticipating pharmacies in Rhode Islandor search thenational directoryfor participating pharmacies. and independent licensees of the Blue Cross and Blue Shield Association. Please note that these home test kits cant be used for workplace screening or travel. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. We are committed to making sure members get the care they need when they need it. 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.. 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. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: COVID-19 screenings or evaluations done: Virtually using telehealth, In a doctor's office, At an urgent care center, or In a hospital (including emergency room). Leading the way in health insurance since 1929. As part of our mission to improve and protect the healthcare system, particularly under the threat of the Coronavirus/COVID-19, the Blue Cross Blue Shield Association is focused on protecting members from fraudsters who seek to take advantage of the fear and confusion many feel surrounding the coronavirus/COVID-19 during these uncertain times. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. An FDA-approved home test kit would be eligible for reimbursement if you had an order or prescription from a healthcare provider and if the test was medically necessary to diagnose COVID-19. . 3. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. 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. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& 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. Tests detect COVID, but vaccination remains the best way to protect yourself from severe illness. Blue Cross and Blue Shield of Texas (BCBSTX) is closely monitoring activity around the Novel Coronavirus 2019 (COVID-19). 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. It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while . Then, complete and submit the online form. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. These enhancements include covering services not previously covered and waiving fully insured member costs for select services related to COVID-19. You can only use your $0 coverage at pharmacies and healthcare providers participating with this specific program. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. COVID-19 | Blue Cross and Blue Shield of Illinois. Use our. Member Discounts Take advantage of member-only discounts on health-related products and services. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. If you have a large employer, please call member services at the . If this happens, you can pay for the test and then submit a claim for reimbursement. Submit a separate form for each patient. 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. Find your BCBS company. All information below is required. Updated April 15, 2022. 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. From January 15, 2022 until the end of the Coronavirus Public Health Emergency, each individual on your plan can get up to eight over-the-counter tests each month. Online claims The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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=/; "}; This currently does not apply to Medicare Advantage members. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Testing and Treatment Coverage Heres everything you need to know about it. f/4kg>/ProcSet[/PDF]>>>>stream Mail-in claim forms allow you to submit a claim for multiple members with one form. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. Y0118_22_062A_C 02082022 This form is for members of non-Medicare plans. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. Lets say you made a one-time purchase of up to 24 tests for three members. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. Each person on your plan is covered for up to 8 individual home test kits every 30 days. Dylan Scott covers health care for Vox. If any information is missing from the invoice, contact the provider. At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. All forms are printable and downloadable. Click on Request at-home tests, and enter your ZIP code for details on the closest store and product availability. When filing claims online, you must use a separate claim form for each receipt and for each member. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The Blue Cross Blue Shield Association warns the plan doesn't address the limited supply of home test kits. 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. Forms for members enrolled in individual, family and employer plans with Florida Blue. The protection of your privacy will be governed by the privacy policy of that site. 2023 Blue Cross Blue Shield Association. In this case, you should fill out three claim forms one for each member. ro?gu?"t6Vr K?K@n}r`TyEycB". 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). The Contraceptive Exception Form allows members to apply for coverage, or formulary tier, exception for a contraceptive drug/product. We also provide language assistance. 454 0 obj <> endobj Overseas members will need to complete and file this claim form for any pharmacy services received. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. Use the claims form for OTC at-home tests with a healthcare provider order. 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. Read our Nondiscrimination and Language Assistance notice. An attending health care provider may order a test. Will Blue Cross cover COVID-19 testing for non-medically necessary purposes (e.g., return- . Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. In addition to your benefits, every home in the United States is eligible to orderfree COVID-19 home test kits through the federal government atcovidtests.gov. Complete this form for each covered member, You can submit up to 8 tests per covered member per month, Tests must be purchased on or after January 15, 2022. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. 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 This policy will remain in effect for the duration of the Federal Public Health Emergency. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. The $0 coverage only applies when you receive your home test kits at participating locations. endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream This coverage began on April 4, 2022, and includes anyone with BCBSRI Medicare Advantage or Plan 65 coverage. We've taken steps to lower costs and provide our members easier access to care related to COVID-19. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. Call the number located on the back your member ID Card. By continuing to use this website, you consent to these cookies. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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.. 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. What you need to know about the disease and our coverage commitment. Use the doctors, labs and facilities in your BCBSTX health plan's provider network for: Tests to diagnose COVID-19 Receipt and UPC barcode from the kit package are required. Get reimbursed for your over-the-counter COVID-19 tests OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. Reimbursement requests take up to 4-6 weeks to process Questions? If the pharmacy continues to direct you to pay at the regular store checkout, please consider paying for the test kit and submitting for reimbursement or trying to use a different pharmacy. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. You have been exposed or potentially exposed to an individual with COVID-19 (even if you dont have symptoms). You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. 0 Using facts from the CDC, we hope to answer your questions and arm you with the knowledge you and your children deserve so you can feel confident in your decision. Find answers on our member and employer pages, or contact us. If the National Emergency were over on June 1, 2020, 60 days later is July 31, 2020. 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. Findings. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. After completing the form, be sure to sign the COVID-19 home test kit claim section and attach your home test kit receipt. Your commercial plan will reimburse you up to $12 per test. Your signature is also required in the COVID-19 home test kit claim section. [CDATA[ To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. or retailer (e.g. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Medicare member reimbursement amount per test may vary by Medicare plan. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. The government is committed to ensuring access to OTC tests. Please note that taxes and other fees are not eligible for reimbursement. Member Forms. At-home COVID-19 testing As of Jan. 15, 2022, and through the end of the public health emergency, all individuals with pharmacy coverage through Blue Cross Blue Shield of Michigan and Blue Care Network have more ways to get at-home COVID-19 rapid diagnostic tests at no cost.