The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. People ages 12 years and older who are moderately or severely immunocompromised. These may include your doctors office, a pharmacy or health clinic, or an urgent care center. 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. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. This page may have documents that can't be read by screen reader software. Also, note that all American households can order free COVID-19 tests from the federal government. To print and mail your claim, download theclaim form (PDF). 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'); } }); } *If your pharmacy coverage is not through BCBSRI, your employer may have chosen to offer the home test kit benefit through your pharmacy coverage instead of your BCBSRI health plan. When filing claims online, you must use a separate claim form for each receipt and for each member. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. 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. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. If you buy the tests at a participating pharmacyat the pharmacy counteryou will pay $0 when using your BCBSRI member ID card. Blue Shield of California has neither reviewed nor endorsed this information. 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. There are 0 fields that need to be corrected. 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. Many Blue Cross Blue Shield of Rhode Island plans include $0 coverage for COVID-19 test kits without a prescription. 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. Find your BCBS company. Attach an original itemized bill from your provider (required information & example on the back) . All OTC at-home tests ordered by a healthcare provider are covered. endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream You can view a complete list of. 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. (CVS, a participating pharmacy, has a different process for getting your home test kits for $0. Learn More. You can find detailed instructions on how to file an appeal in the Disputed Claims Processdocument. Telehealth. ro?gu?"t6Vr K?K@n}r`TyEycB". "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Our participating pharmacy network for COVID-19 home test kits has approximately 65,000 pharmacies nationwide. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Mail-in claim forms allow you to submit a claim for multiple members with one form. Overseas members should use the Overseas Medical Claim Form. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. This network may be different than your plans standard pharmacy network. Please note that these home test kits cant be used for workplace screening or travel. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. Select the list of exceptions for your plan. Please note: Your receipt must be dated January 15, 2022 or later to be eligible for reimbursement. Our Commitment to You What's Covered Coverage will vary based on your plan. Commercial Health Plans, Northeast Region. 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). You can also include multiple receipts with one form. Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. 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. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. We've taken steps to lower costs and provide our members easier access to care related to COVID-19. Sources: endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream You will be reimbursed $12 per test. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. Mail-in claims It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while . At a participating pharmacy, go to the pharmacy counter (not the store checkout) and. Everyone qualifies. Wu3B= e&gZ-h'BR$djC?Wn>2esFdUb'$K6Q If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. We are committed to making sure members get the care they need when they need it. or retailer (e.g. Check out the changes and updates to our plan in 2023. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. You do not need health insurance to receive your free tests. If the test is less than $12, reimbursement will be the cost of the test. Use our. Read our Nondiscrimination and Language Assistance notice. Once we process your claim, well mail the contract holder a reimbursement check. c I had COVID-19 symptoms. Starting today, Blue Cross commercial members can walk into any of the 60,000 pharmacies in the national Express Scripts network and buy certain tests at the pharmacy counter for $0: Inteliswab Covid-19 Rapid Test Binaxnow Covid-19 Ag Self Test Quickvue At-Home Covid-19 Test Ellume Covid-19 Home Test Blue Cross and Blue Shield of Oklahoma At-Home Testing Guidance for Members. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. This policy will remain in effect for the duration of the Federal Public Health Emergency. 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. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. 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 . You can buy the tests for $0 at a participating pharmacy (at the pharmacy counter) when using your BCBSRI member ID card. For all formulary tier exceptions you will need to complete and file a request form. Get started with your reimbursement request. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. Please note that this does not apply to members with BCBSRI Medicare Advantage or Plan 65 coverage. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Your signature is also required in the COVID-19 home test kit claim section. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. See below.). To access your member services, please visit your BCBS company. Purchase up to 8 tests per family member in a 30-day period. Copyright document.write(new Date().getFullYear()) Blue Cross & Blue Shield of Rhode Island. If you have a BCBSRI Medicare Advantage plan that includes a quarterly OTC allowance ($25-$275, depending on your plan), you can also use it to buy COVID-19 home test kits. [CDATA[ Dylan Scott covers health care for Vox. You'll be reimbursed by check within 60 calendar days. 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. 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