Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSTX/Prime Therapeutics pharmacy benefits until the end of the public health emergency on May 11, 2023. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. // ]]>. Individuals attempting unauthorized access will be prosecuted. See our FAQfor detailed instructions. You must submit a separate claim form for each covered 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)}}; Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. The government is committed to ensuring access to OTC tests. qO;,lH The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. Find your BCBS company. Blue Shield of California PO Box 272540 Chico, CA 95927-2540 COVID-19 laboratory tests (PCR tests) If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. 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. 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. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. Here's how to get reimbursed: Submit a claim form Complete a Health Benefits Claim Form and submit it by mail to your local BCBS company. You can submit any number of receipts on a single claim form. Medicare Advantage COVID-19 Testing Member Reimbursement Form COVID-19 Coverage for Members Your health is always our priority. If you recently visited a doctor outside of your network and you need to submit a claim, you can use one of these claim forms. Even though the Public Health Emergency is ending May 11, 2023, our commitment to helping you live your healthiest life will not change. endstream endobj 462 0 obj <>/ProcSet[/PDF]>>>>stream endstream endobj 467 0 obj <>/ProcSet[/PDF]>>>>stream 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'); } }); } Most PDF readers are a free download. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Visit the, Reimbursement is limited to OTC COVID-19 at-home tests. Sources: You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. You will be reimbursed via check, mailed to the address we have on file within 30 days of Blue Cross Blue Shield of Arizona (BCBSAZ) receiving your reimbursement information. The site may also contain non-Medicare related information. With each claim form, you should include the same receipt. You can also include multiple receipts with one form. Coverage of at-home COVID-19 tests | ERS - Texas You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. You can use these claim forms to ask us for reimbursement. This page may have documents that cant be read by screen reader software. Paper Claim Form. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. P/* ldF76Y*\v|*-9?S % CareFirst continues to cover the cost of COVID-19 tests administered by a healthcare provider for diagnostic purposes. If you have health coverage through a large employer, we recommend you contact your Benefits or HR Administrator to determine if your over-the-counter COVID-19 testing claim should be submitted to CareFirst as a medical claim or to your employers Pharmacy Benefit Manager as a pharmacy claim. Important Information About Medicare Plans. Blue Cross Blue Shield of Michigan PPO: 1-800-762-2382 Blue Care Network HMO: 1-800-482-5982 Medicare Plus Blue PPO: 1-888-803-4960 BCN Advantage HMO and HMO-POS: 1-800-431-1059 Or, learn more about all the mental health options available to you. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. 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=/; "}; 0 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. We recognize the important role testing, along with vaccines and boosters, has played in the effort to battle the pandemic. 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. Additionally, the federal government now requires commercial health plans to cover the cost of over-the-counter COVID-19 tests for members. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 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. Find out if the testing provider is in your health plans network. 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. 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. Blue Shield of California is an independent member of the Blue Shield Association A53064-FF . 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. Some labs and hospitals may not provide testing without a doctors order. For example, a physician, a nurse practitioner, or a physician assistant. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Visit the CDC website for the most up-to-date testing guidance. The following claims process pertains to CareFirst commercial members* only. 0 If you have an Anthem Medicaid or Medicare plan, you will need to visit your member website for information on how your health plan covers COVID-19 testing. Coverage for COVID-19 testing | Blue Shield of CA We ask everyone to respect and protect community health as the supply chain and our health and retail partners catch up with demand. Keep your purchase receipt (s) to submit for reimbursement. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream Register Now. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. Log in using the Sydney, You can still use in-person diagnostic COVID-19 testing sites. 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. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Mail your completed claim form with a copy of your receipt(s) to: 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. You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. For more information about coverage of over-the-counter tests, view our frequently asked questions. If you do not have an itemized receipt, you must send us the barcode (UPC code) from your test(s) packaging. Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment please complete and file this form. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. 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. To access your member services, please visit your BCBS company. %%EOF Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. You'll be reimbursed up to $12 per individual test. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices To pay no out-of-pocket costs, order your tests online through cvs.com or the CVS Pharmacy mobile app for store pickup1. 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()};}; Li@ c;8tH$0Neh,````1A88Co&) W e#f`lF|kQN2qC,`j` ` ;v What you need to know about the disease and our coverage commitment. If you dont have a primary care doctor, we can help you find one. In the face of COVID-19, every question, answer and vaccination is important. We generally process claims within 30 days from receiving your completed claim form and receipts. Effective May 12, 2023, home test kits will only be covered at $0 with an order or prescription from your provider. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated. COVID-19 (Coronavirus) Resource Center - FAQs - FEP Blue 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. All Rights Reserved. Mail-in claim forms allow you to submit a claim for multiple members with one form. Use the claims form for OTC at-home tests with a healthcare provider order. Visitcovidtests.gov, and click the blue "Order Free At-Home Tests" button. New User? Y0118_22_062A_C 02082022 . Use our. When filing claims online, you must use a separate claim form for each receipt and for each member. . 2023 Blue Cross Blue Shield Association. But some are still hesitant to get the shot. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. FAQ - COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX This policy will remain in effect for the duration of the Federal Public Health Emergency. (function(){var g=function(e,h,f,g){ For help with these documents, please call 1-800-975-6314. The site may also contain non-Medicare related information. 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. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); endstream endobj 470 0 obj <>/Subtype/Form/Type/XObject>>stream You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. The protection of your privacy will be governed by the privacy policy of that site. Everyone qualifies. Looking for COVID-19 coverage and benefit information? If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. In this case, you should fill out three claim forms one for each member. Your plan covers up to 8 tests every 30 days per covered person. If you purchase a test kit that includes two rapid tests, that will count as two of your eight covered tests. If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. // ]]>, // =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}; Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. If you think you may have the virus or have been exposed to someone who has it: Not all testing sites are the same. Just choose the form based on your group or plan and the service. All rights reserved. Mail-in claim forms allow you to submit a claim for multiple members with one form. qGm1UCk3Ht}uh>.ky!R'@ E California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. **The UPC (Universal Product Code) is the barcode and 12-digit-number that typically runs below it. Register Now. cRequired for employment purposes. (function(){var g=function(e,h,f,g){ FEP will cover up to eight (8) over-the-counter COVID-19 tests per member on a contract per calendar month. endstream endobj startxref We use cookies on this website to give you the best experience and measure website usage. All rights reserved. All information below is required. Pickup cannot happen via drive-thru and tests will not be shipped. 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. 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 You are leaving this website/app ("site"). follow the latest CDC guidance for isolation. You can also go to any other in-network retail pharmacy and purchase the test kits at the pharmacy counter2. COVID-19 Test Kits Available Through the Federal Government COVID-19 test kits are available through the Federal Government .

Phylicia Rashad Son Prince, Articles B