Licensees of the Blue Cross and Blue Shield Association. The Biden administration has also set up a website where people can order four free COVID-19 rapid tests per household. For more options to get free OTC tests. As of April 4, 2022, members with BCBSRI Medicare Advantage and Plan 65 coverage can now receive COVID-19 home test kits at no cost under their Part B benefit. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. These may include fees for other tests or other services unrelated to the COVID-19 test. For our commercial products (managed care HMO and POS, PPO, and Indemnity), we will accept the following CPT codes for COVID vaccines and COVID vaccine administration. Coverage is available when the pharmacy offers OTC COVID-19 tests and has them in stock. Coverage for Medi-Cal and Cal MediConnect members I received a check from Blue Shield. For information about your insurer's network of preferred providers and reimbursement process, see the information below. I have BCBSIL insurance, but don't live in Illinois. Ancillary and some behavioral health providers. COVID-19 Testing Coverage Website: PDF COVID-19 Testing Member Reimbursement Form Non-Medicare Advantage - BCBSM If you paid the provider at the time of your appointment, the healthcare provider should give you a refund after Blue Shield reimburses them. If you need to get tested or seek treatment for COVID-19, well help you know exactly what your plan covers. If you purchase an over-the-counter COVID-19 test from a pharmacy, store, or online retailer and are charged for your test, keep your receipt and submit a claim to Cigna for reimbursement. Members can register for Teladoc by visiting fepblue.org/coronavirus. OTC at-home tests that are reimbursed by other entities like a flexible spending account (FSA), health savings account (HSA) or health reimbursement account (HRA) or through reselling are not covered. Reimbursement Process Link or Description: Using a paper claim form allows you to submit reimbursement for multiple purchases and for multiple members at the same time. This page may have documents that can't be read by screen reader software. WASHINGTON - The Blue Cross and Blue Shield Federal Employee Program (FEP) announced today that it will waive cost-sharing for coronavirus diagnostic testing, waive prior authorization requirements for treatment and take other steps to enhance access to care for those needing treatment for COVID-19 to ensure its members can swiftly access the Members covered through Medicaid plans: 1-800-711-5952. You can also log in to your online account to learn what benefits your plan covers or call the customer service number at the number on your ID card. Its important not to fall behind on preventive care visits. https://www.paramounthealthcare.com/covid-19/at-home-covid-testing-kits, COVID-19 Testing Coverage Website: You can request an authorization to cover more. For more details, please see fepblue.org. https://www.hioscar.com/at-home-covid-test-reimbursement, Network of Preferred Providers: Bill for ambulance transport The screenshot below shows the correct way to enter modifiers. 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R. Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, Asymptomatic and without known COVID-19 contact, Contact with and (suspected) exposure to other viral communicable diseases, Symptomatic or has been exposed to COVID-19, Encounter for observation for suspected exposure to other biological agents ruled out, Encounter for screening for COVID-19 (Effective January 1, 2021), Contact with and (suspected) exposure to COVID-19 (Effective January 1, 2021), Other coronavirus as the cause of diseases classified elsewhere, SARS-associated coronavirus as the cause of diseases classified elsewhere, 2019-nCOV acute respiratory disease (Effective April 1, 2020), Pneumonia due to COVID-19 (Effective January 1, 2021), Multisystem inflammatory syndrome (Effective January 1, 2021), Other specified systemic involvement of connective tissue (Effective January 1, 2021), Diagnostic site (including COVID-19 testing) or therapeutic site (including dialysis; excluding physician office or hospital) to hospital, Residential, domiciliary, custodial facility (other than skilled nursing facility) if the facility is the beneficiarys home to hospital, Hospital to diagnostic site (including COVID-19 testing) or therapeutic site (including dialysis; excluding physician office or hospital), Hospital to residential, domiciliary, custodial facility (other than skilled nursing facility) if the facility is the beneficiarys home, Hospital to hospital (includes ASCs approved to provide hospital level of care), Hospital to alternative site for skilled nursing facility (SNF), Freestanding end-stage renal disease (ESRD) facility to skilled nursing facility, Skilled nursing facility to freestanding end-stage renal disease (ESRD) facility, Physician office to community mental health center, federally qualified health center, rural health center, urgent care facility, non-provider-based ambulatory surgical center or freestanding emergency center, or location furnishing dialysis services that is not affiliated with an end-stage renal facility, Physician office to residential, domiciliary, custodial facility (other than skilled nursing) if the facility is the beneficiarys home. In a hospital (including emergency room). FAQs abour medication and treatment, COVID-19 coverage for testing If a vaccine administration service is provided with an evaluation and management service that: This applies to professional and facility claims. We extended existing authorizations through December 31, 2020. Providing Support During the COVID-19 Pandemic Communities Leading through a public health crisis All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. We are in the process of determining what the end of the Massachusetts public health emergency means to our business and our provider partners. Blue Shield of California has neither reviewed nor endorsed this information. The following drugs are not covered outside of the clinical trial setting: We lifted limits on early refills of most prescription medications, allowing members to obtain one additional fill of their existing prescription. However, if you fall ill with COVID-19 symptoms while traveling internationally, testing and treatment may be covered. We will reimburse medically necessary telehealth and visits by phone at the same rate as an in-person visit, for all providers, including behavioral health providers. Members can submit a direct member reimbursement claim to McLaren using the form found by following the link: https://www.mclarenhealthplan.org/community-member/materials-mhp/direct-member-reimbursement-7049. For Federal Employee Program (FEP) members, member cost is removed for inpatient acute care hospitals, inpatient rehab facilities, long-term acute care hospitals, and skilled nursing facilities for services related to COVID-19. *UB-04 billers do not need to submit place of service code. Toll free: 800-462-3589, Reimbursement Process Link or Description: We will continue to monitor and assess potential impacts to our business and our provider partners as the state considers any further actions on measures established during the state of emergency. Beginning January 15, 2022, and until the end of the Public Health Emergency, Independence will cover up to eight FDA approved OTC COVID-19 tests per calendar month as directed by the Biden administrations program. Related fees may include specimen collection or processing fees. I paid out-of-pocket for a COVID-19 test that should be covered. Seewhichtestsarecoveredforyourplan. Members will have the option of online submission through the secure member website or sending a paper submission. If a test reader is required, reimbursement is limited to $12. HSAs are offered through financial institutions. California Physicians' Service DBA Blue Shield of California 1999-2023. Use one of the following telehealth modifiers on all lines billed: GT, 95, G0, or GQ. Learn about what coverage and care you can receive through your Blue Shield, Blue Shield Promise Medicare Advantage, or Medicare Supplement benefits. Yes, but coverage for testing varies by plan. The Blue Cross Blue Shield (BCBS) Association, a federation of 35 independent health insurance companies that collectively cover one in three Americans, has voiced concern with the COVID-19 test . Screening tests for domestic travel are covered for most plans. We've taken steps to lower costs and provide our members easier access to care related to COVID-19. All rights reserved. COVID Test Reimbursement: How To Get Refund After Buying At Home Claims submission and reimbursement for testing. How can I get a free OTC COVID-19 test? Also, there are some limitations to the number of tests that can be reimbursed without a provider order. As of April 1, for the duration of the COVID-19 public health emergency, we have added a 10-day supply limit to these medications for: This supply limit applies to members who use our standard Blue Cross Blue Shield of Massachusetts formulary. Reimbursement Process Link or Description: https://www.priorityhealth.com/covid-19/vaccine, COVID-19 Testing Coverage Website: Your plan will provide this coverage through reimbursement to you. Premera Blue Cross Blue Shield of Alaska is here to support members, employers, and healthcare providers during the coronavirus (COVID-19) outbreak. Some restrictions apply. CNN . Blue Cross Blue Shield of Massachusetts follows federal and state requirements for SARS CoV-2 (COVID-19) testing coverage. https://www.hap.org/covid19-coronavirus/at-home-covid-19-rapid-testing-kits. FAQs about resuming "regular" care For PPO/Insurance Company inquiries, please call 517-364-8456 or (toll-free) 800-203-9519. BinaxNOW COVID-19 Antigen Self-Test (Abbott), BD Veritor At-Home COVID-19 Test (Becton Dickinson), CareStart COVID-19 Antigen Home Test (Access Bio), Celltrion DiaTrust COVID-19 Ag Home-Test (Celltrion), CLINITEST Rapid COVID-19 Antigen Self-Test (Siemens), Flowflex COVID-19 Antigen Home Test (ACON), iHealth COVID-19 Antigen Rapid Test (iHealth Labs), QuickVue At-Home OTC COVID-19 Test (Quidel), SCoV-2 Ag Detect Rapid Self-Test (InBios), See a complete list of authorized tests on the FDA's web page. Provider Information on COVID-19 Coverage | Blue Cross and Blue Shield Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. COVID-19 home test kit claim itemized pharmacy receipts to the back of this form. Testing and Treatment Coverage Insurance Coverage for Over-the-Counter COVID-19 Tests - Michigan Contact the company for the latest information. Some examples of authorized tests include: See a complete list of authorized tests on the FDA's web page. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. During the Massachusetts public health emergency, we reimburse all providers, including ancillary, behavioral health, and applied behavioral analysis providers, at the same rate they would receive for an in-person visit. For more information, read these FAQs:Frequently Asked Questions on the Revocation of the Emergency Use Authorization for Hydroxychloroquine Sulfate and Chloroquine Phosphate (PDF, 125 KB). Effective May 1, 2021, for members of our fully-insured employer and individual plans, as well as self-funded plans, Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines at a rate of $40 per administration. Billing for partial hospitalization and intensive outpatient using telehealth. 2019. By doing this, we will be able to identify when members should receive the cost-share waiver for COVID-19 testing, and the claim will be . Your frequently asked questions about COVID19 - IBX Newsroom These amounts not paid by the plan may be the responsibility of the member. What's Covered - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX All rights reserved. You must use one of the following telehealth modifiers listed above (GT, 95, G0, and GQ) and the applicable place of service code. Your plan includes COVID-19 tests, treatment, and care. State-chartered Bank and State-chartered Savings Bank forms. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: There are no prior approvals needed for COVID-19 screenings, evaluations, or testing. New bivalent boosters from Moderna (ages 6 months and up) and Pfizer (ages 6 months and up) are now available. You are now leaving the blueshieldca.com website, Your coverage for COVID-19 | Blue Shield of CA. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. This includes at-home over-the-counter test kits. Blue Cross Blue Shield of Massachusetts has a similar reimbursement model, with an initial submission form available on its website. Please also use one of the following applicable place of service codes that describes the location of the drive-through or temporary testing site. Please check yourEvidence of Coverageor plan policy documents to find out what is covered when traveling internationally. You must use one of the following telehealth modifiers (GT, 95, G0, and GQ) with the applicable place of service code. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. How can I get a free OTC COVID-19 test? Blue Cross recommends that members contact and work closely with their health care . Licensed independent clinical social worker, Psychiatric and state psychiatric hospital.