Find your BCBS company. Reimbursement Claim Form for Over-the-Counter at-home COVID-19 Test With a BCBSTX health plan, you have access to care for COVID-19 related health issues. 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. Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. You will still have access to vaccines . endstream endobj 465 0 obj <>/ProcSet[/PDF]>>>>stream Each test within a package is counted individually. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; They are typically easy to use and produce rapid results. 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. A nurse case manager with Blue Cross & Blue Shield of Rhode Island found that listening, without judgment, to one patients concerns made all the difference. Keep your purchase receipt (s) to submit for reimbursement. If you have Medicare, you can go to www.empireblue.com/medicare for information about your plan. Leading the way in health insurance since 1929. Effective May 12, 2023, home test kits will only be covered at $0 with an order or prescription from your provider. In this case, you should fill out three claim forms one for each member. Mail-in claims Purchase up to 8 tests per family member in a 30-day period. You can also include multiple receipts with one form. try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); If you need more space to include additional members, receipts, or healthcare providers, you may use a separate sheet of paper. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Youll go to a page that explains the form and has a link to download it. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. To submit a claim online, log in to, or register forMy Account, click My Documents, then Forms and select Over-the-Counter COVID-19 Test Online Claim to get started. O=>WNW% COVID-19 Home Test Kits - For members | Blue Cross Blue Shield - BCBSRI hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [& English. COVID-19 | Blue Cross and Blue Shield of Texas - BCBSTX
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