Some labs and hospitals may not provide testing without a doctors order. Log in to blueshieldca.com (Engagement Point users at engagementpoint.com) Choose "Claims" Select "File a claim" 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. [CDATA[ 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. We are committed to making sure members get the care they need when they need it. We generally process claims within 30 days from receiving your completed claim form and receipts. 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. If you have Medicare Part B (includes Medicare Advantage), you can get up to 8 free over-the-counter tests each month, until the end of the COVID-19 public health emergency on May 11, 2023. endstream endobj 463 0 obj <>/ProcSet[/PDF]>>>>stream Waiving cost-sharing for COVID-19 testing and treatment. If this happens, you can pay for the test and then submit a claim for reimbursement. CVS Caremark is part of the CVS Health family of companies. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. If you dont have a primary care doctor, we can help you find one. You can find medical and prescription drug claim forms on our Medicare website. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you paid out of pocket for a test that was sent to a laboratory, follow the steps below to file a reimbursement claim. 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. // ]]>, // /ProcSet[/PDF]>>>>stream Get access to your member portal. Please enter the NDC or UPC number from the cash register receipt or test package. hb``g``````pD8 D8: I=3011\o`;!A ;\/0fpi$ ([!x Mail-in claim forms allow you to submit a claim for multiple members with one form. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. We are expanding access to vaccines, educating communities, and meeting ongoing healthcare and social needs in communities across the country. You must submit a separate claim form for each covered family member. We use cookies on this website to give you the best experience and measure website usage. 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 include multiple receipts with one form. CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. This page may have documents that cant be read by screen reader software. For the Health of America. But some are still hesitant to get the shot. A recent announcement from the federal government intends to increase access to COVID-19 testing. | 8cqy .-mg7b In this case, you should fill out three claim forms one for each member. To file a claim for those out-of-network services, youll need to use the claim form from the state where you were treated. To view this file, you may need to install a PDF reader program. Pumj(jlG_E>;j+/ |X9GZaX~ follow the latest CDC guidance for isolation. 574 0 obj <>stream Blue Shield of California is an independent member of the Blue Shield Association A53064-FF . When filing claims online, you must use a separate claim form for each receipt and for each member. You can also include multiple receipts with one form. Pickup cannot happen via drive-thru and tests will not be shipped. Tests that can be purchased at a retail location or online but are then sent to a lab for processing are not covered unless accompanied by a doctor's order (except for individuals covered by plans based in the District of Columbia). Sources: You will need an order for an OTC at-home test from an authorized healthcare provider to get reimbursed at this time. 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=/; "}; 2023 Blue Cross Blue Shield Association. . endstream endobj 469 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. To be eligible for reimbursement, the purchased over-the-counter at-home COVID-19 tests: Members must complete a claim form to be reimbursed for over-the-counter COVID-19 testing. All information below is required. All rights reserved. If you have Medicare, you can go to www.empireblue.com/medicare for information about your plan. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Member Discounts Take advantage of member-only discounts on health-related products and services. Health plans are offered by Blue Shield of California. Medicare Advantage COVID-19 Testing Member Reimbursement Form If you use a pharmacy in Primes network, you should not have to submit a separate claim when you buy the tests at the pharmacy counter. To access your member services, please visit your BCBS company. What Impacts the Cost of Health Insurance? Check out the changes and updates to our plan in 2023. s&jPDed BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Ask your doctor to refer you to an in-network testing site. We have a nationwide network of providers that participate with Blue Cross Blue Shield of Michigan. endstream endobj 471 0 obj <>/Subtype/Form/Type/XObject>>stream 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. Online claim example 2: If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. The site may also contain non-Medicare related information. The protection of your privacy will be governed by the privacy policy of that site. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. 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. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Starting February 1, 2022, Medi-Cal members should obtain OTC at-home tests through pharmacies enrolled as Medi-Cal providers. 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. 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 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. endstream endobj 461 0 obj <>/ProcSet[/PDF]>>>>stream See below.). *CVS Caremark is an independent company that has been contracted to administer your pharmacy benefits for Blue Cross Blue Shield of Massachusetts. You may need to show your red, white and blue Medicare identification card. 2Some pharmacies may not be able to process claims for OTC tests at the pharmacy counter. 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. Sometimes the form is called Member Application for Payment Consideration, which is the same as a claim form. b&HXR ro?gu?"t6Vr K?K@n}r`TyEycB". Waiving all prior authorization requirements for COVID-19 testing and related covered services.