If members present their Blue Cross NC member ID card at an in-network pharmacy counter, they will pay no out-of-pocket costs. Most Blue Cross NC members should not need reimbursement for their OTC COVID-19 tests.
Depending on volume, additional time may be needed for processing. Upon receipt of the required materials, Prime will issue a reimbursement check, typically within 21 days. The address to mail the OTC COVID-19 test claim form is: Purchase receipt documenting the date of purchase and the price of the test.Completed OTC COVID-19 test claim form*.When submitting a claim to be reimbursed, members must mail a: Each test is counted separately regardless of how many tests are sold in one package. Eligible members will receive up to eight (8) OTC COVID-19 tests per month for reimbursement.To be reimbursed, the test must be FDA-approved or have emergency use authorization. Reimbursement for test kits purchased from out-of-network pharmacies and retailers is limited to no more than $12 per individual test.Medicare members are not eligible for reimbursement from Blue Cross NC for these tests.įor Members on an Employer's Group Plan and Individual Members: These tests are available to anyone with Medicare Part B coverage, including those with a Medicare Advantage plan.
CNA TEST NC FREE
Medicare members (including members with a Medicare Supplemental or Medicare Advantage plan) should check with their pharmacy or health care provider to determine if they are participating in the initiative to provide free OTC COVID-19 tests.
Medicare will cover up to eight over-the-counter COVID-19 tests per calendar month when picked up at a participating pharmacy or health care provider.Participating pharmacies and health care providers will bill Medicare for OTC tests and there will be no out-of-pocket costs for members on Medicare plans.This applies to members who purchase OTC tests without their Blue Cross NC prescription drug card at an out-of-network pharmacy or location other than a pharmacy counter. If a local pharmacy is not able to directly cover the cost of tests, members can pay out-of-pocket and mail an eligible OTC COVID-19 test claim form to Prime Therapeutics (our pharmacy benefit manager), for reimbursement. Purchasing OTC COVID-19 test kits is not limited to a particular pharmacy chain and includes, Walmart, Walgreens, Kmart, CVS, EPIC Pharmacies, various Independent Pharmacies and more:Ģ022 List of Pharmacies from Prime Therapeutics (our pharmacy benefit manager)Ģ) Purchase at an out-of-network pharmacy or any location other than a pharmacy counter, pay out-of-pocket for the tests and submit a claim form to be reimbursed up to $12 per test By purchasing at an in-network pharmacy counter, insurance is filed electronically, allowing members to purchase the test with no out-of-pocket costs. Members who plan to get their eligible OTC COVID-19 test from an in-network pharmacy must present their prescription benefits card, the same way they purchase their prescriptions. Members on an Employer's Group Plan and Individual Members:ġ) Purchase at a local pharmacy counter using a Blue Cross NC prescription benefits card to pay no out-of-pocket costs Members have several options for purchasing an OTC COVID-19 test. Beginning July 1, members can find home tests at /PickUpTests. NCDHHS is doubling down on at-home testing by establishing Community Access Points in all counties to provide free and easy COVID-19 tests for home use. For information about how and where to find a testing location in North Carolina, visit /FindTests. When to TestĪccording to NCDHHS, anyone who has symptoms of or has been exposed to COVID-19 should get tested as soon as possible. These tests do not have to be ordered by a doctor and can be self-administered and self-read at home. We cover eight (8) over-the-counter (OTC) tests that have been approved or received emergency use authorization (EUA) by the FDA per member per month. Non-Discrimination Policy and Accessibility Servicesīlue Cross and Blue Shield of North Carolina (Blue Cross NC) covers COVID-19 tests performed in labs or at home that are consistent with CDC guidance and have been cleared, approved or given emergency use authorization (EUA) by the FDA.Get a Quote for Individual and Family PlansĪncillary and Specialty Benefits for Employees.Health Plans for Individuals and Families.
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