That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Y0118_22_062A_C 02082022 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. Get access to your member portal. COVID-19 benefits will change after that date. More than 140 million Americans have received a dose of the COVID-19 vaccine. When filing claims online, you must use a separate claim form for each receipt and for each member. A recent announcement from the federal government intends to increase access to COVID-19 testing. 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. Blue Shield and Blue Shield Promise cover these types of tests: 1Tests ordered by a healthcare provider means that a licensed and authorized healthcare provider has requested that you obtain a test for COVID-19. We generally process claims within 30 days from receiving your completed claim form and receipts. // /ProcSet[/PDF]>>>>stream (For example, you can buy 4 boxes that include 2 over-the-counter COVID-19 tests.). (To submit a single form for multiple members and/or receipts, use a mail-in form instead. All rights reserved. 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. 454 0 obj <> endobj Pickup cannot happen via drive-thru and tests will not be shipped. All 35 Blue Cross and Blue Shield companies are fighting against COVID-19, investing more than $12.8 billion in the nation's recovery. %%EOF Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. // ]]>, // /Subtype/Form/Type/XObject>>stream See below.). If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. This new site may be offered by a vendor or an independent third party. How can I resolve a problem with my PPO or HMO claim? To access your member services, please visit your BCBS company. Find your BCBS company. The site may also contain non-Medicare related information. endstream endobj 464 0 obj <>/ProcSet[/PDF]>>>>stream To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: must be purchased on or after January 15, 2022 must be for personal diagnostic use used to identify the potential COVID-19 infection not be used for employment purposes not used for surveillance testing You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. Most PDF readers are a free download. 510 0 obj <>/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 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 Support Members Through COVID-19 Outbreak, Blue Cross and Blue Shield of New Mexico COVID Vaccination Efforts, Anthem Blue Cross and Blue Shield Nevada COVID Vaccination Efforts, Empire Blue Cross Blue Shield COVID Vaccination Efforts, BCBS Western New York supporting nonprofits during COVID-19, BCBS of Western New York Information for Members, BCBS of Western New York COVID-19 (Coronavirus) Message to Members, Excellus BlueCross BlueShield COVID Vaccination Efforts, Excellus BCBS responds to COVID-19 with $162 million for community, Excellus BCBS Updates on COVID-19 (Coronavirus), Anthem Blue Cross and Blue Shield Ohio COVID Vaccination Efforts, Blue Cross and Blue Shield of Oklahoma COVID Vaccination Efforts, Regence BlueCross BlueShield of Oregon taking action to support members through coronavirus (COVID-19) outbreak, Capital Blue Cross COVID Vaccination Efforts, Capital Blue Cross Information for Members, Capital BlueCross Temporarily Modifies Coverage to Help Members Deal with Spread of COVID-19, Highmark Blue Cross Blue Shield COVID Vaccination Efforts, Allegheny Health Network, Highmark to announce drive-up testing sites Wednesday, Independence Blue Cross COVID Vaccination Efforts, Independence Blue Cross Information for Members, Independence response to coronavirus disease (COVID-19), Independence joins new funding initiative for area nonprofits to help vulnerable populations affected by COVID-19, Independence expands telemedicine coverage during COVID-19 outbreak, Independence provides members access to emotional wellness app at no cost, BlueCross BlueShield of Puerto Rico COVID Vaccination Efforts, BCBS Puerto Rico mobilized to fund foodbanks and reach isolated seniors, Blue Cross and Blue Shield of Rhode Island, Blue Cross & Blue Shield of Rhode Island COVID Vaccination Efforts, Blue Cross & Blue Shield of Rhode Island invests in COVID-19 relief efforts, Blue Cross & Blue Shield of Rhode Island to cover triage calls with specialists with no member cost 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 Virginia COVID Vaccination Efforts, Blue Cross and Blue Shield of Vermont COVID Vaccination Efforts, Premera Blue Cross COVID Vaccination Efforts, Regence BlueShield taking action to support members through coronavirus (COVID-19) outbreak, Anthem Blue Cross and Blue Shield Wisconsin, Anthem Blue Cross and Blue Shield Wisconsin COVID Vaccination Efforts, Highmark Blue Cross Blue Shield West Virginia, Highmark Blue Cross Blue Shield West Virginia COVID Vaccination Efforts, Blue Cross Blue Shield of Wyoming COVID Vaccination Efforts, Blue Cross Blue Shield of Wyoming to waive out-of-pocket costs for COVID-19 treatment, Blue Cross Blue Shield Of Wyoming Covers Corona Virus Testing Costs, BCBS of Wyoming COVID-19 Update for Providers. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. Li@ c;8tH$0Neh,````1A88Co&) W e#f`lF|kQN2qC,`j` ` ;v The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. Not Registered? 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. Updates to your COVID-19 coverage. 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. 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. Coverage varies by plan type. Also, note that all American households can order free COVID-19 tests from the federal government. You can submit any number of receipts on a single claim form. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Everyone qualifies. 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. Sources: 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. 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 . As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. 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 $24 for a box that includes two tests, for up to 8 tests per person every 30 days. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& COVID-19 diagnostic tests will be covered at your regular benefit level after the end of the public health emergency. You can be reimbursed (paid back) for both: Medi-Cal members: Do NOT use this page for test reimbursement. Read Full Story Audience Communities Pumj(jlG_E>;j+/ Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. The site may also contain non-Medicare related information. m]6Us4xgTI0a+yhO,FR~E=KT#NbgA={jAul,WldU/ window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Some labs and hospitals may not provide testing without a doctors order. All Rights Reserved. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. ro?gu?"t6Vr K?K@n}r`TyEycB". Message and data rates may apply. We use cookies on this website to give you the best experience and measure website usage. 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. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. hb``g``````pD8 D8: I=3011\o`;!A ;\/0fpi$ ([!x For additional COVID-19 information, visit the Blue Cross Blue Shield Coronavirus Resource Center. If you were on a cruise, you'll use the same claim form for reimbursement of medical expenses. You will still have access to vaccines . In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 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. File is in portable document format (PDF). If your employer has asked you to submit receipts to your pharmacy benefit plan, please dont submit them here. endstream endobj 14 0 obj <>>> endobj 15 0 obj <. New User? 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. Thats a big step toward stopping the spread of the virus. If you think you may have the virus or have been exposed to someone who has it: Not all testing sites are the same. 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. If you are a Medicare Advantage, Medigap, Medicaid or Dual Eligible Special Needs Plan member, please call the number on the back of your member ID card for benefit information. 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. You can also include multiple receipts with one form. Register Now. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. You will be reimbursed up to $12 per test by submitting a claim. Register Now. Chico, CA 95927-2540. [CDATA[ (function(){var g=function(e,h,f,g){ |X9GZaX~ You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. For help with these documents, please call 1-800-975-6314. Health Insurance Providers Help Vaccinate More Than 2 Million Seniors Against COVID-19 in Underserved Communities, Blue Cross and Blue Shield Federal Employee Program (FEP) Joins White House Effort to Achieve National Vaccination Goal, Blue Cross Blue Shield Association Partners with Feeding America and its Network of 200 Food Banks to Drive Education of COVID-19 Vaccination, Blue Cross and Blue Shield Companies Join National Commitment to Protect Employees and Communities from COVID-19, Health Insurance Providers Commit to Help Millions of Seniors in Underserved Communities Receive COVID Vaccines, HPV vaccination rates low despite risks of related cancers, Infographic: COVID-19 patients with high-risk conditions 3x more likely to need the ICU, Why flu shots are so important during COVID-19 pandemic, Blue Cross Blue Shield Companies Invest in COVID-19 Relief, Frequently Asked Questions about COVID-19 Vaccination, Guidance for Communities, Workplaces and Schools. PO Box 272540 Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. Some testing locations may not be in your health plans network. For help with these documents, please call 1-800-975-6314. Find out if the testing site is charging a separate/additional fee to give you the test, and exercise caution if visiting a non-State regulated or out-of-network pop-up testing site which may not have the same standards or billing practices as an in-network provider with your health plan. In this case, you should fill out three claim forms one for each member. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Health plans are offered by Blue Shield of California. 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. [CDATA[ Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. See below.). Visit the Medi-Cal website for more details. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Additional details about at-home COVID-19 testing can be found on the Blue Cross Blue Shield website. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Contact your local health department to learn about free COVID-19 testing locations or pickup sites. When filing claims online, you must use a separate claim form for each receipt and for each 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)}}; Member Discounts Take advantage of member-only discounts on health-related products and services. endstream endobj startxref Online claim example 1: Lets say you made a one-time purchase of up to 24 tests for three members. Thats why were providing you with information to help alleviate concerns about your children receiving a COVID-19 vaccine. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Heres everything you need to know about it. For more information, view our privacy policy. | 8cqy .-mg7b 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. H0148_22_003_C_020822. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated. F2g5 :s+Jc Once you reach the limit of eight tests per member per calendar month, we will not reimburse claims for additional tests.
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