Mail-in claim forms allow you to submit a claim for multiple members with one form. Once we process your claim, well mail the contract holder a reimbursement check. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. The site may also contain non-Medicare related information. Your plan covers up to 8 tests every 30 days per covered person. 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 $24 for a box that includes two tests, for up to 8 tests per person every 30 days. Just choose the form based on your group or plan and the service. Increasing access to prescription medications. And if you use a pharmacy in Prime's network and check out at the pharmacy counter, you shouldn't have to pay upfront or submit a claim . The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [&
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 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. You'll be reimbursed up to $12 per individual test. Once we process your claim, the contract holder will receive a reimbursement check by mail. 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. Ask your doctor to refer you to an in-network testing site. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. -60kWX6Ejr,@)wQGte^>2WUViq zn=`8REgLh`EsF53&5oc027R9 Looking for COVID-19 coverage and benefit information? California Physicians' Service DBA Blue Shield of California 1999-2023. We use cookies on this website to give you the best experience and measure website usage.
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We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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()};}; 2023 Blue Cross Blue Shield Association. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Forms for Blue Cross Blue Shield of Michigan (PPO) members . SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. endstream
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Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. We are committed to making sure members get the care they need when they need it. Visit the CDC website for the most up-to-date testing guidance. The Biden administration announced that it intends to end the COVID-19 national and public health emergency (PHE) declarations on May 11, 2023. How Your Benefits Work COVID-19 vaccination coverage after the Public Health Emergency Coverage for COVID-19 testing COVID-19 treatment If you have Medicaid, you can go to https://mss.empireblue.com/ny/home.html for information about your plan. 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. 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. Message and data rates may apply. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. Wu3B=
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You can also find an in-network doctor by. To access your member services, please visit your BCBS company. Additional details about at-home COVID-19 testing can be found on the Blue Cross Blue Shield website. Y0118_22_062A_C 02082022 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. 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. endstream
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You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. To make sure the associated costs for getting diagnostic tests are covered by your BCBSTX plan: 1To download the BCBSTX app, textBCBSTXAPPto33633or search for BCBSTX in the Apple App Store or Google Play. How can I resolve a problem with my PPO or HMO claim? Health plans are offered by Blue Shield of California. F2g5 :s+Jc
Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. 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. To view this file, you may need to install a PDF reader program. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test (s) packaging. Check out the changes and updates to our plan in 2023. For the Health of America. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. With each claim form, you should include the same receipt. You do not need health insurance to receive your free tests. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, COVID-19 Testing Member Reimbursement Form (PDF), Forms for Blue Cross Blue Shield of Michigan (PPO) members, Forms for Blue Care Network (HMO) members, Prescription drug claim forms (PPO and HMO). this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; endstream
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For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. 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. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Also, note that all American households can order free COVID-19 tests from the federal government. We provide health insurance in Michigan. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Use the doctors, labs and facilities in your BCBSTX health plans provider network for: File is in portable document format (PDF). 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. The site may also contain non-Medicare related information. Pumj(jlG_E>;j+/
To receive reimbursement for over-the-counter/at-home tests with a receipt dated May 11, 2023 or prior, members with Independence Blue Cross prescription drug coverage should submit documentation through ibx.com. Box 272540, Chico, CA 95927-2540 Questions? this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b, // >>
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<. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. You are leaving this website/app ("site"). P/* ldF76Y*\v|*-9?S %
For help with these documents, please call 1-800-975-6314. . 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. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Your questions answered: the COVID-19 vaccine for pre-teens and teens, I listened: A nurse case manager on addressing vaccine hesitancy, Blue Cross and Blue Shield of Alabama COVID Vaccination Efforts, BCBSAL partners with state, community on COVID-19 relief, Blue Cross and Blue Shield of Alabama Prepared to Meet the Needs of Customers In the Event of Sustained Spread of COVID-19, Blue Cross and Blue Shield of Alabama: Coronavirus (COVID-19) Update Center, Blue Cross and Blue Shield of Alabama Expands Telehealth Coverage as Customers Health and Well-Being Remains Top Priority, Premera Blue Cross and Blue Shield of Alaska, Premera Blue Cross and Blue Shield of Alaska COVID Vaccination Efforts, Blue Cross Blue Shield of Arizona COVID Vaccination Efforts, Blue Cross Blue Shield of Arizona Employees Volunteer to Assist with Covid-19 Patient Treatment, Blue Cross Blue Shield of Arizona Expands Support For Coronavirus Services And Care, Waives Telehealth Cost Share For Members, Arkansas Blue Cross and Blue Shield COVID Vaccination Efforts, BCBS Arkansas tackles food security in wake of COVID-19, BCBS of Arkansas Information for Medicare Advantage Members, COVID-19 Update for Members covered by Arkansas Blue Cross/Health Advantage (Fully Insured), Arkansas Blue Cross providing online sales and service, temporarily closing retail stores, Anthem Blue Cross COVID Vaccination Efforts, Anthem Simplifies Care Provider Protocols to Help Deliver Safe, Effective and Timely COVID-19 Care, Anthems affiliated health plans waive member costs for COVID-19 testing, while supporting telehealth and 90-day maintenance medication supply, Anthem Issues Updates Regarding COVID-19 Testing and Care to Support Affiliated Health Plan Members, Blue Shield of California COVID Vaccination Efforts, Blue Shield of California expanding access to care during pandemic, Blue Shield of California Gives $100,000 to Nonprofit MedShare for COVID-19 Response in Underserved Communities, Blue Shield of California Gives $500,000 to Oakland COVID-19 Relief Fund, Blue Shield of California Information for Members, Blue Shield of California Waiving Cost-Sharing and Prior Approval for Coronavirus Testing, Blue Shield of Californias BlueSky Launches 'New State of Mind' Digital Campaign to Support Youth Mental Health and Resilience, Anthem Blue Cross and Blue Shield Colorado, Anthem Blue Cross and Blue Shield Colorado COVID Vaccination Efforts, Anthem Blue Cross and Blue Shield Connecticut, Anthem Blue Cross and Blue Shield Connecticut COVID Vaccination Efforts, Highmark Blue Cross Blue Shield Delaware COVID Vaccination Efforts, Highmark Expands Telehealth Opioid Treatment Program to Pennsylvania, Delaware During Covid-19 Crisis, Carefirst Bluecross Blueshield Announces Volunteer Program for Coronavirus Response and Relief, CareFirst BlueCross BlueShield Announces Substantial Actions to Further Increase Access to Care During Coronavirus Pandemic, BCBS Florida partners with community organizations during pandemic, Coronavirus Update: Florida Blue Increasing Access to Health Care Services for Members to Aid in Treatment, Florida Blue Increasing Access to Health Care Services to Aid in Coronavirus Treatment, Free 24/7 Bilingual Helpline Open to Provide Emotional Support during COVID-19 Health Crisis, Blue Cross Blue Shield of Georgia COVID Vaccination Efforts, Blue Cross and Blue Shield of Hawaii COVID Vaccination Efforts, BCBS Hawaii and its foundation distribute aid in wake of COVID-19, HMSA announces steps to help members prepare for COVID-19, Wellmark Blue Cross and Blue Shield COVID Vaccination Efforts, Wellmark announces important health plan updates regarding coronavirus, Blue Cross of Idaho COVID Vaccination Efforts, BC Idaho and its foundation respond to community needs amidst COVID-19, More Steps from Blue Cross of Idaho to Support Members During the Coronavirus Pandemic, Blue Cross of Idaho Foundation for Health contributes to COVID-19 response fund, Regence BlueCross BlueShield COVID Vaccination Efforts, Regence BlueShield of Idaho to cover cost of coronavirus (COVID-19) testing for members, Blue Cross and Blue Shield of Illinois COVID Vaccination Efforts, HCSC supports community needs during COVID-19, Health Care Service Corporation Information for Members, Blue Cross and Blue Shield of Illinois Responds to COVID-19 by Further Expanding Telehealth and Waiving Member Cost-Share, Anthem Blue Cross and Blue Shield Indiana, Anthem Blue Cross and Blue Shield Indiana COVID Vaccination Efforts, Anthem Blue Cross and Blue Shield invests $50M+ in COVID-19 response efforts, Blue Cross and Blue Shield of Kansas COVID Vaccination Efforts, BCBS Kansas supporting child welfare and families during COVID-19, BCBS of Kansas: Coronavirus: How we're responding to COVID-19, Anthem Blue Cross and Blue Shield Kentucky, Anthem Blue Cross and Blue Shield Kentucky COVID Vaccination Efforts, Blue Cross and Blue Shield of Louisiana COVID Vaccination Efforts, Blue Cross and Blue Shield of Louisiana Statement on COVID-19, Blue Cross Platform Powers COVID-19 Louisiana Outbreak Tracker in Collaboration with State Health Department, Video: How big data in healthcare is predicting the future and improving lives, Blue Cross and Blue Shield of Massachusetts, Blue Cross and Blue Shield of Massachusetts COVID Vaccination Efforts, BCBS Massachusetts supports public health, nonprofits during COVID crisis, BCBS of Massachusetts Information for Members, BCBS of Massachusetts Statement on Testing and Care Related to COVID-19, Blue Cross Blue Shield of Massachusetts Expands Coverage and Access for Members During the Coronavirus Pandemic, CareFirst BlueCross BlueShield COVID Vaccination Efforts, CareFirst responds to COVID-19's dual public health and economic crisis, Anthem Blue Cross and Blue Shield Maine COVID Vaccination Efforts, Blue Cross Blue Shield of Michigan COVID Vaccination Efforts, BCBS Michigan investing in access to support communities during COVID-19, More Than 30 Blue Cross Blue Shield of Michigan Employees Volunteer for Front-Line Work to Assist in Treating Covid-19 Patients, Blue Cross Blue Shield of Michigan Will Waive Member Copays and Deductibles for COVID-19 Tests, Among Series of Proactive Steps on Coronavirus, Blue Cross Blue Shield of Michigan Information for Members, Blue Cross Blue Shield of Michigan Statement and Waiving of Copays/Deductibles, Blue Cross and Blue Shield of Minnesota COVID Vaccination Efforts, Blue Cross and Blue Shield of Minnesota fights food insecurity and protects healthcare workers, Blue Cross joins Allina to launch skilled volunteer effort to create masks for hospitals and clinics, Blue Cross and Blue Shield of Minnesota announces $750,000 commitment to Second Harvest Heartland, Blue Cross and Blue Shield of Minnesota Information for Members, Anthem Blue Cross and Blue Shield Missouri, Blue Cross and Blue Shield of Kansas City, Anthem Blue Cross and Blue Shield Missouri COVID Vaccination Efforts, Blue 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 Cross North Carolina to Cover Member Cost of Coronavirus Test, Blue Cross Blue Shield of North Dakota COVID Vaccination Efforts, BCBS of North Dakota Information for Members, How BCBS of North Dakota is responding to coronavirus to help protect the health of all North Dakotans, Blue Cross and Blue Shield of Nebraska COVID Vaccination Efforts, How Blue Cross and Blue Shield of Nebraska is responding to the coronavirusand what you need to know, Anthem Blue Cross and Blue Shield New Hampshire, Anthem Blue Cross and Blue Shield New Hampshire COVID Vaccination Efforts, Horizon Blue Cross and Blue Shield of New Jersey, Horizon Blue Cross and Blue Shield of New Jersey COVID Vaccination Efforts, 72 Doctors, Nurses, Pharmacists and Health Clinicians from Horizon Answer Governor Murphys Healthcare Professionals Call to Serve, Horizon Commits $2.36 Million for Masks, Face Shields, Food, and Social Services to Protect Our Communities and Our Health Professionals, Horizon Announces Initial Steps to 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share, BCBS of Rhode Island Information for Members, Blue Cross and Blue Shield of South Carolina, Blue Cross and Blue Shield of South Carolina COVID Vaccination Efforts, BCBS of South Carolina Information for Members, BCBS of South Carolina Coverage for Members, BlueCross BlueShield of Tennessee COVID Vaccination Efforts, BCBS Tennessee supports food banks and funds testing for vulnerable residents, How our foundation is helping local organizations fight hunger, BCBS of Tennessee Information for Members, BlueCross Tennessee to Cover Full Testing Costs for COVID-19, BlueCross Expanding Telehealth Access with In-Network Providers, Blue Cross and Blue Shield of Texas COVID Vaccination Efforts, COVID-19 Coverage For BCBS of Texas Members, BCBS of Texas Lifting Telemedicine Cost-Sharing for Fully Insured Members, Regence BlueCross BlueShield of Utah to cover cost of coronavirus (COVID-19) testing for members, Anthem Blue Cross and Blue Shield Virginia, Anthem Blue Cross and Blue Shield 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