Friday, January 14, 2022
Members can begin seeking reimbursement for tests purchased on or after Jan. 15
PITTSBURGH (Jan. 14, 2022) — The Biden Administration announced new federal guidance on Jan. 10, 2022 that people with employer-sponsored or individual health insurance coverage can seek reimbursement for the purchase of over-the-counter COVID-19 tests from their employer group or health insurer effective Jan. 15.
Over-the-counter, at-home, diagnostic tests that are approved by the FDA can qualify for reimbursement. Per federal guidelines, Highmark members can seek reimbursement for up to 8 qualifying tests per month.
“Highmark is committed to putting our customers first,” said Thomas Doran, executive vice president and chief operating officer for Highmark Inc. “Throughout the pandemic, we have made it a priority that our members have access to COVID testing, treatment and vaccines because we know these are important tools for keeping our members and our communities healthy and safe. We are prepared to process reimbursement requests beginning on Jan. 15 so that our members have access to diagnostic testing without any financial barriers.”
To get reimbursed, Doran said members should submit a manual claim form through the member portal, located at highmarkbcbs.com, and upload a copy of their receipt and UPC label from the test. Highmark is also working to have additional options for members to get reimbursed, or to purchase a test from a participating pharmacy or retailer without any up-front costs.
The Biden Administration did not include Medicare in this guidance, noting that at this time, Medicare cannot pay for at-home tests through this program. Highmark’s Medicare Advantage members, however, can continue to have access to COVID-19 testing at no cost when ordered by a clinician, Doran said.
Highmark is encouraging anyone with questions about the federal guidance or the reimbursement process to visit its informational website highmarkanswers.com for the latest updates.
About Highmark Inc.
One of America's leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to customers. As the fourth-largest overall Blue Cross Blue Shield-affiliated organization, Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of more than 6 million members in Pennsylvania, Delaware, West Virginia and New York. Its diversified businesses serve group customer and individual needs across the United States through dental insurance and other related businesses. For more information, visit www.highmark.com.
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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.
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