Pickup cannot happen via drive-thru and tests will not be shipped. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. General Information Anesthesia Payment and Billing Update Participating Provider Fee Schedule Requests: Professional Providers You dont need to sign in to search for a pharmacy. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. Receipt required. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream Testing and Treatment Coverage . cRequired for employment purposes. This policy will remain in effect for the duration of the Federal Public Health Emergency. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. IMPORTANT CORONAVIRUS/COVID-19 ANTI-FRAUD MESSAGE TO CONSUMERS. If you have any questions about your over-the-counter test, you should call your healthcare provider or check out our FAQs. The $0 coverage only applies when received at participating pharmacies or through participating healthcare providers. What you need to know about the disease and our coverage commitment. The tests listed below are available for $0 at the pharmacy counter. Further questions 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. // ]]>, // .ky!R'@ E Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. Pumj(jlG_E>;j+/ For members of all other BCBSRI heath plans For the Health of America. For members of BCBSRI Medicare Advantage and Plan 65, For members of all other BCBSRI health plans. All rights reserved. The CDC states that home test kits may be used in the following situations: On the CDC website, you can find additional information, including how to use home tests and what to do if your test is negative or positive. In the face of COVID-19, every question, answer and vaccination is important. To access your member services, please visit your BCBS company. The Formulary Exception process allows members to apply for coverage of a non-covered drug if they have tried and failed the covered drug(s). For more information, view our privacy policy. Everyone qualifies. 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. Read our Nondiscrimination and Language Assistance notice. To be eligible for reimbursement, your test must be . With each claim form, you should include the same receipt. People may also access free or affordably priced testing in the community. The Dispense as Written exception process allows for coverage of the brand drug without paying the difference in cost between brand and generic. If you are asked to pay for the tests at the regular store checkout, you can let the pharmacy know your coverage is through Prime. Standard Option Basic Option FEP Blue Focus Tier Exception Member Request Form CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. 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