hbbd``b`$ j "d l"\qDT %@+H0 ,)&@d !JlA@b Covid-19 Test Kit Claim Formulare. Javascript must be enabled to use this site. Please print clearly. For example, if you receive eight over-the-counter COVID-19 tests on April 14, 2022, through this initiative, you will not be eligible for another round of eight free over-the-counter COVID-19 tests until May 1, 2022. More than 60 million people ages 65 and older and younger adults with long-term disabilities are covered by Medicare. An award-winning journalist, Bunis spent decades working for metropolitan daily newspapers, including as Washington bureau chief for theOrange County Registerand as a health policy and workplace writer forNewsday. Medicare Advantage members have a $0 cost-share for in-network, medically appropriate, FDA-approved COVID-19 diagnostic and antibody tests ordered by a physician or authorized by a health care professional. During the emergency period, Medicare will also cover some evaluation and management and patient education services provided to patients via audio-only telephone. In the next 24 hours, you will receive an email to confirm your subscription to receive emails You can get the covered tests at any participating eligible pharmacy or health care provider at no cost to you, even if you arent a current customer or patient. CMS Changes Medicare Payment to Support Faster COVID-19 Diagnostic Testing 2. If a beneficiary's provider prescribes a PCR test, they are available at no charge at more than 20,000 free testing sites. The Uninsured Program stopped accepting claims due to a lack of sufficient funds. 0000002681 00000 n
covers FDA-authorized COVID-19 diagnostic tests. (Typically Medicare Part D plans place limits on the amount of medication people can receive at one time and the frequency with which patients can refill their medications.). When tests are available for you in your state, Medicare covers and you pay nothing for: Tests to diagnose or aid the diagnosis of COVID-19; Some tests for related respiratory conditions to aid diagnosis of COVID-19 done together with the COVID-19 test; Medicare covers these tests at different locations, including some "parking lot" test sites. COVID test: How to get free at home tests with insurance reimbursement Medicare beneficiaries who get a lab test for COVID-19 are not required to pay the Part B deductible or any coinsurance for this test, because clinical diagnostic laboratory tests are covered under traditional Medicare at no cost sharing. Everyone covered by your plan is eligible. Beneficiaries who need post-acute care following a hospitalization have coverage of SNF stays, but Medicare does not cover long-term services and supports, such as extended stays in a nursing home. She also writes the Medicare Made Easy column for theAARP Bulletin. Note tests are sometimes packaged with more than one test per box, so eight tests may come in fewer than eight boxes. You can get coverage for eight at-home COVID-19 tests (also known as over-the-counter or OTC tests) per 30-day period during the public health emergency (PHE). Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Medicare wont cover over-the-counter COVID-19 tests if you only have Medicare Part A (Hospital Insurance) coverage, but you may be able to get free tests through other programs. Editors note: This story was updated with new information. Before sharing sensitive information, make sure youre on a federal government site. Skip at main content. COVID-19 Over-the-Counter Test Reimbursement Form AARP and other advocates pushed back strongly, saying that America's older adults, who are most vulnerable to the coronavirus, need to have these tests available to them at no charge. Over-the-counter (OTC) at-home COVID-19 tests are covered for Medicare Advantage and Medicare Part B. Medicaid coverage for those tests may be available for dually eligible members, including those enrolled in a dual eligible special needs plan (D-SNP). In response to the national emergency declaration related to the coronavirus pandemic, CMS has waivedthe requirement for a 3-day prior hospitalization for coverage of a skilled nursing facility (SNF) for those Medicare beneficiaries who need to be transferred as a result of the effect of a disaster or emergency. PDF COVID-19 Over-the-Counter (OTC) Test Kit Claim Form - Cigna Each state Medicaid program decides the coverage for COVID-19 testing. In the early months of the COVID-19 pandemic, the guidance directed nursing homes to restrict visitation by all visitors and non-essential health care personnel (except in compassionate care situations such as end-of-life), cancel communal dining and other group activities, actively screen residents and staff for symptoms of COVID-19, and use personal protective equipment (PPE). Nursing home residents who have Medicare coverage and who need inpatient hospital care, or other Part A, B, or D covered services related to testing and treatment of coronavirus disease, are entitled to those benefits in the same manner that community residents with Medicare are. Most testing facilities require you to have an order form a physician in order for you to get the COVID-19 test. Details can be found. xref
Reimbursement requests take up to 4-6 weeks to process, Questions? You can submit up to 8 tests per covered member per month. How do I check the status of my Medicare claim? Traditional Medicare beneficiaries who need post-acute care following a hospitalization would face copayments of $194.50 per day for extended days in a SNF (days 21-100). Call 1-800-Medicare (1-800-633-4227) with any questions about this initiative. If you have any questions, call the phone number on the back of your Blue Cross ID card and well help. endstream
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<. Please use this form for repayment of your money used for COVID-19 testing after you received an initial COVID-19 test. Medicare will pay eligible pharmacies and other participating locations directly, so beneficiaries will not have to pay anything up front for the tests. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400