You can submit any number of receipts on a single claim form. If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package toward the quantity limit. In the face of COVID-19, every question, answer and vaccination is important. Online claims 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.. For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. 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. Members need to submit a separate claim form for each family member. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Our Commitment to You What's Covered Coverage will vary based on your plan. The following claims process pertains to CareFirst commercial members* only. Forms for members enrolled in individual, family and employer plans with Florida Blue. Here are helpful Service Benefit Plan brochures, claim forms, reference guides and videos. Use our. For help with these documents, please call 1-800-975-6314. . If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services, must be purchased on or after January 15, 2022, used to identify the potential COVID-19 infection, will be self-administered with results that can be self-read, will not be resold, given or supplied to persons other than family members covered under the same policy, The purchase receipt documenting the date of purchase and price, UPC** cut-out from the over-the-counter COVID-19 test packaging, Signed, completed attestation confirming and acknowledging that the purchased over-the-counter at-home COVID-19 test meets eligibility guidelines. 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. 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KC driving better health by investing in community engagement, Blue Cross and Blue Shield of Kansas City Announces It Will Cover COVID-19 Testing and 24/7 Access to Virtual Care, BCBS of Kansas City Information for Members, Blue Cross And Blue Shield Of Kansas City Announces It Will Cover COVID-19 Testing And 24/7 Access To Virtual Care, Blue Cross and Blue Shield of Mississippi, Blue Cross & Blue Shield of Mississippi COVID Vaccination Efforts, BCBS Mississippi alleviates food insecurity during COVID-19 crisis, BCBS of Mississippi Information for Members, Blue Cross and Blue Shield of Montana COVID Vaccination Efforts, COVID-19 Coverage for BCBS of Montana Members, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Carolina COVID Vaccination Efforts, BCBS North Carolina supporting community nonprofits during pandemic, Thrive NC Postponed until 2021; Blue Cross NC Commitment to Food Security Remains, BCBS of North Carolina Information for Members, Blue 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Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California Please check with your employer if you have questions. The government is committed to ensuring access to OTC tests. These tests include: BinaxNow COVID-19 AG Card Quickvue at-home COVID-19 Intelliswab COVID-19 rapid test On/Go COVID rapid test Call the number located on the back your member ID Card. PO Box 272540 W006259 COVID-19 Testing Member Reimbursement Form - Non-Medicare Advantage Please use this form to request reimbursement for COVID-19 tests you have paid for out of your own pocket. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Pickup cannot happen via drive-thru and tests will not be shipped. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Even if you dont have symptoms and have not been exposed to someone with COVID-19, using a home test kit before gathering indoors with others can give you information about the risk of spreading the virus that causes COVID-19. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. At-home testing options and costs Heres everything you need to know about it. Telehealth. Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. See the list of participating pharmacies and healthcare providers. You can find a list of community-based testing sites here. Throughout the pandemic, CareFirst has enhanced our benefits to ensure members can get the care they need. For more information about coverage of over-the-counter tests, view our frequently asked questions. 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 General Reimbursement Information | Blue Cross and Blue Shield of Texas endstream endobj 455 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(a;uY[7y\\ Y)/P -1036/R 4/StmF/StdCF/StrF/StdCF/U(6Tn= )/V 4>> endobj 456 0 obj <>>> endobj 457 0 obj <> endobj 458 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 10/Tabs/W/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 459 0 obj <>/ProcSet[/PDF]>>>>stream 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 of Massachusetts Announces New Resources for At You can also include multiple receipts with one form. All OTC at-home tests ordered by a healthcare provider are covered. *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. Coronavirus (COVID-19) Updates | Blue Cross Blue Shield
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