blue cross blue shield covid test reimbursement form texas

Then, complete and submit the online form. hb``g``````pD8 D8: I=3011\o`;!A ;\/0fpi$ ([!x Contact your local health department to learn about free COVID-19 testing locations or pickup sites. 1To download the BCBSTX app, text BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play. If any information is missing from the invoice, contact the provider. You must submit a separate claim form for each covered family member. A recent announcement from the federal government intends to increase access to COVID-19 testing. 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. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. Making healthcare affordable. We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 2023 copyright Anthem Insurance Companies, Inc. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Medicare Advantage COVID-19 Testing Member Reimbursement Form Use the doctors, labs and facilities in your BCBSTX health plans provider network for: File is in portable document format (PDF). You are leaving this website/app ("site"). 2. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. You can find medical and prescription drug claim forms on our Medicare website. f/4kg>/ProcSet[/PDF]>>>>stream Health plans are offered by Blue Shield of California. If you have employer coverage, or an individual or family plan, you can get FDA-authorized, over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSTX/Prime Therapeutics. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test (s) packaging. This page may have documents that cant be read by screen reader software. In this case, you should fill out three claim forms one for each member. Find your BCBS company. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream If this happens, you can pay for the test and then submit a claim for reimbursement. Your plan covers up to 8 tests every 30 days per covered person. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. Use our. Individuals attempting unauthorized access will be prosecuted. *Thisprocess applies to members with individual, employer-sponsored or student health plan coverage, as well as Federal Employee Program (FEP) and Federal Employee Health Benefits Program (FEHBP) plan members. To access your member services, please visit your BCBS company. If you were on a cruise, you'll use the same claim form for reimbursement of medical expenses. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. at-home COVID-19 Test Reimbursement Claim form found here. Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests. Please call OptumRx customer service toll-free at (855) 828-9834 (TTY:711) or see the COVID-19 test kit FAQ under "Which tests are covered" for the most up to date list of covered tests. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If a test is sold in a package of two, that is considered two tests, and you'll be reimbursed $24. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or 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. s&jPDed Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. The protection of your privacy will be governed by the privacy policy of that site. Your member ID card is your key to using your medical plan benefits. Register Now. New User? Some testing locations may not be in your health plans network, particularly if they arent part of a medical group or facility. Box 272540, Chico, CA 95927-2540 Questions? If you have any questions about your reimbursement claim submission, call . It must include the original receipt or a copy of the receipt for purchasing the tests. O=>WNW% D@3[0V With each claim form, you should include the same receipt. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { If you have any questions, call the phone number on the back of your subscriber ID card, also known as enrollee ID, or contact us and we'll help. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. 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. Please review the terms of use and privacy policies of the new site you will be visiting. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices You can also include multiple receipts with one form. For example, a physician, a nurse practitioner, or a physician assistant. [CDATA[ Effective May 12, 2023, home test kits will only be covered at $0 with an order or prescription from your provider. Read Full Story Audience Communities 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=/; "}; The following claims process pertains to CareFirst commercial members* only. See our FAQfor detailed instructions. 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. At-home diagnostic tests can be purchased over the counter, online, at a local pharmacy, or from a big-box store. b&HXR m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ | 8cqy .-mg7b Call your doctor. For example, you have to see an out-of-network doctor that doesnt accept your insurance. Message and data rates may apply. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. If you go to an out-of-state doctor or hospital that doesnt participate with Blue Cross Blue Shield, you may pay upfront for services. Most PDF readers are a free download. Just choose the form based on your group or plan and the service. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. bxx,| [CDATA[ Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. You can also include multiple receipts with one form. By continuing to use this website, you consent to these cookies. Check your symptoms and risk for COVID-19 The CDC has a prevention tool you can use. %%EOF You will be reimbursed up to $12 per test by submitting a claim. // , // /ProcSet[/PDF]>>>>stream Blue Shield of California has neither reviewed nor endorsed this information. Throughout the COVID-19 pandemic, Independence Blue Cross (Independence) has been committed to helping you get the care you need. 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. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Updates to your COVID-19 coverage. Chico, CA 95927-2540. 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. Some labs and hospitals may not provide testing without a doctors order. qGm1UCk3Ht}uh>.ky!R'@ E You are leaving this website/app ("site"). Buying tests to store them for a potential need isn't good for the community or public health. If you are concerned mail has been suspended to the address previously provided, please call 1- 888-999-9862 and choose Option 2 for Pharmacy Programs. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. This page may have documents that cant be read by screen reader software. Register Now. Youll go to a page that explains the form and has a link to download it. 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'); } }); } File is in portable document format (PDF). a|VOXHXT:B4 Sometimes the form is called Member Application for Payment Consideration, which is the same as a claim form. The site may also contain non-Medicare related information. Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. PO Box 272540 Purchase up to 8 tests per family member in a 30-day period. Blue Shield of California is an independent member of the Blue Shield Association A53064-FF . You can use these claim forms to ask us for reimbursement. For help with these documents, please call 1-800-975-6314. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California // ]]>, // /ProcSet[/PDF]>>>>stream According to the Centers for Disease Control (CDC) recommendations, if your over-the-counter test has a positive result, you should follow the latest CDC guidance for isolation, wear a well-fitted mask if you have contact with others and call your healthcare provider. Waiving all prior authorization requirements for COVID-19 testing and related covered services. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& Most PDF readers are a free download. [CDATA[ 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}; Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. (To submit a single form for multiple members and/or receipts, use a mail-in form instead. 574 0 obj <>stream To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. If you have any questions, please contact customer service at the phone number on your Blue Shield member ID card. endstream endobj 14 0 obj <>>> endobj 15 0 obj <. Only visit the ER or call 911 if youre experiencing life-threatening symptoms. qO;,lH Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. // ]]>, // /Subtype/Form/Type/XObject>>stream 454 0 obj <> endobj You may need to show your red, white and blue Medicare identification card. %%EOF 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.. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b/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 You can find a list of community-based testing sites here. Message and data rates may apply. 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 . If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. 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. 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. 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. 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}; Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. 2023 Blue Cross Blue Shield Association. Costco, Wal-Mart, Amazon), please attach itemized register receipts to the back of this form. New User? See below.). All Rights Reserved. Coverage varies by plan type. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Pumj(jlG_E>;j+/ OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: Members must complete a claim form to be reimbursed for over-the-counter COVID-19 testing. If you think you may have the virus or have been exposed to someone who has it: Not all testing sites are the same. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. 2023 Blue Cross Blue Shield Association. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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. *CVS Caremark is an independent company that has been contracted to administer your pharmacy benefits for Blue Cross Blue Shield of Massachusetts. c I had COVID-19 symptoms. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Use the claims form for OTC at-home tests with a healthcare provider order. Some labs may not provide testing without a doctors order. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated. Paper Claim Form. cRequired for employment purposes. Mail-in claims Visit the Medi-Cal website for more details. ro?gu?"t6Vr K?K@n}r`TyEycB". Once we process your claim, the contract holder will receive a reimbursement check by mail. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. If you paid for a COVID-19 test and think you might qualify for reimbursement, read the COVID-19 Testing Member Reimbursement Form (PDF) to find out more. Reimbursement will be in the form of a paper check in U.S. currency and mailed to the address provided on your Retail Prescription Drug Overseas Claim Form. Postal Service. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care.

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