Alternatively, they can buy test kits and submit claims for reimbursement. You can also include multiple receipts with one form. Finance and CBS News Radio. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. The reimbursement process itself can be quite a hassle, too. 1 0 obj
If you made two separate purchases and each purchase covered three members, you would need to submit six separate claim forms. spouse and/or covered dependents. . Something went wrong. Mail your completed claim form with a copy of your receipt(s) to: Blue Shield of California 0000014889 00000 n
Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment You are now leaving the blueshieldca.com website, Do NOT use this page for test reimbursement. Whats covered: Cigna offers reimbursement for test kits that members purchase. It is. Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, IHCP COVID-19 Response: IHCP revises remdesivir administration reimbursement policy (April 15, 2022), IHCP to reimburse pharmacy providers for select COVID-19 tests (April 15, 2022), IHCP rescinds certain temporary COVID-19 policy changes (April 15, 2022), IHCP COVID-19 Response: IHCP announces revised billing guidance for telemedicine services, IHCP COVID-19 Response: IHCP clarifies policy on PA process for acute care hospital inpatient admissions, IHCP updates Pharmacy benefit PA expiration dates, IHCP COVID-19 Response: Managed care claim timely filing returns to 90 days, IHCP COVID-19 Response: COVID-19 policy FAQs as of June 11, 2020, HHS announces additional distributions from the Provider Relief Fund to eligible Medicaid and CHIP providers, COVID-19 update: Suspension of select prior authorization rules and significant policy adjustments in response to unprecedented demands on health care providers, IHCP COVID-19 Response: COVID-19 policy FAQs as of April 16, Listen now! Heres everything you need to know about it. Of note: Cigna says it doesnt include Telehealth proctor supervised BinaxNOW tests in its reimbursement plan. Centers for Disease Control and Prevention website: Test for Current Infection (accessed January 2022): cdc.gov. 3 insurers also require Universal Product Code (UPC) or product barcode information to be mailed with the receipt. How to Avoid Buying a Fake At-Home COVID Test Online, How to determine which option your insurer uses, How to Get Free COVID-19 Tests From the Government, How to take advantage of direct coverage for at-home tests, 11 FDA-Authorized At-Home COVID-19 Tests for Quick and Accurate Results, How to submit a reimbursement claim for at-home tests, Insurance Companies Are Now Required to Cover Up to 8 At-Home COVID Tests a MonthHere's How to Take Advantage, People With Medicare Will Soon Be Able to Get Their 8 Free At-Home COVID Tests, Too, The 7 Best At-Home COVID-19 Tests of 2023, Tested and Reviewed, How to Get Another Round of Free COVID-19 Tests From the Government, FDA Authorizes First COVID-19 At-Home Test KitHere's What to Know, Quest and LabCorp Coronavirus Antibody Testing, How the Inflation Reduction Act Will Affect Healthcare CostsEspecially for Medicare Beneficiaries, Accessing Abortion Care in Trigger States, Federal COVID Funding for Uninsured Americans Is Running OutAnd Many May Lose Access to Testing and Treatment, 13 Lightweight Face Masks for More Airflow and Less Glasses Fog, How Much Does the COVID-19 Vaccine Cost? . 510 0 obj
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Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. Then again, do Fox News viewers care? As of January 15, 2022, you can get reimbursed by your health plan for the costs of over-the-counter diagnostic COVID-19 tests until the end of the Coronavirus Public Health Emergency. For this reason, it's important to keep your health insurance card on you if you're in the market for a test: The employee will probably need to use it to look up whether or not you can walk out without paying for the test. Receive personalized guidance about your health and connect with a doctor over text, chat, or video. The reimbursement forms for each insurance company will look different, but they'll usually ask for information like your subscriber ID, group number, any contact information (name and address), and then the information of whoever bought the test (if it's someone other than yourself). (To submit a single form for multiple members and/or receipts, use a mail-in form instead. Centers for Disease Control and Prevention (CDC), Coronavirus, World Health Organization (WHO), Coronavirus, Keep Your Children 5 and Older Safe With a COVID-19 Vaccine, How to Manage Back-to-the-Workplace Anxiety, Anthem has a limited number of at-home diagnostic test kits available for certain members to order online. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. People who are diagnosed with COVID-19 may have long-term symptoms. Please review the terms of use and privacy policies of the new site you will be visiting. 0000008812 00000 n
When filing claims online, you must use a separate claim form for each receipt and for each member. OTC tests, also known as self-tests, detect if you are currently infected with COVID-19. Whats covered: Kaiser Permanente members can order four home tests at a time to be delivered for free. xref
Health's content is for informational and educational purposes only. Please try again later. Read the Acknowledgement (section 5) on the front of this form carefully. We do not offer financial advice, advisory or brokerage services, nor do we recommend or advise individuals or to buy or sell particular stocks or securities. document. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. 0000007398 00000 n
I've been featured as a personal finance expert in outlets like CNBC, Yahoo! If you have an Anthem Medicaid or Medicare plan, you will need to visit your member website for information on how your health plan covers COVID-19 testing. Support responsible news and fact-based information today! Log in to blueshieldca.com (Engagement Point users at, Enter that information as indicated. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. The Biden administration sent free at-home Covid-19 tests to households that requested them earlier this year, but the program was suspended in September when Congress didnt provide more funding for it. 0000031000 00000 n
Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. We generally process claims within 30 days from receiving your completed claim form and receipts. Anthem will help you coordinate COVID-19 care. 0000001445 00000 n
Ron Besaw, right, operates a laptop computer as home plate umpire Brian deBrauwere, gets signals from a radar with the ball and strikes calls during the fourth inning of the Atlantic League All-Star minor league baseball game, Wednesday, July 10, 2019, in York, Pa. deBrauwere wore an earpiece connected to an iPhone in his ball bag which relayed ball and strike calls upon receiving it from a TrackMan computer system that uses Doppler radar. Past performance is not indicative of future results. Use the doctors, labs and facilities in your BCBSTX health . Otherwise, Anthem members can buy test kits from pharmacies or retailers and submit a claim for reimbursement. With each claim form, you should include the same receipt. Performance information may have changed since the time of publication. 0000021335 00000 n
Account Holder Information . Anthem will cover the COVID-19 vaccine. 2023 copyright Anthem Insurance Companies, Inc. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Most 90-day prescriptions are available for home delivery, and standard shipping is free. 0000003544 00000 n
From January 15, 2022 until the end of the Coronavirus Public Health Emergency, each individual on your plan can get up to eight over-the-counter tests each month. Kaiser Permanente says they will have direct coverage in the future but do not yet provide this option. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. 0000014736 00000 n
We have established a team of experts to closely monitor developments and how they will impact our members and healthcare provider partners. 0000007262 00000 n
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Pickup cannot happen via drive-thru and tests will not be shipped. Reimbursement details: If you have health insurance through UnitedHealthcare, the insurer offers a FAQ page that offers a few details about covering the costs of at-home tests. To submit a claim by mail, download a claims form from anthem.com . 0000013552 00000 n
Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. The market size of the Disinfectant Manufacturing industry in the US has grown 7.7% per year on average between 2017 and 2022. "I suspect only a minority of people who could be reimbursed for tests will take advantage of that system," says Donovan. 0000011268 00000 n
Only visit the ER or call 911 if youre experiencing life-threatening symptoms. The list will be updated as new FDA-authorized tests become available. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Health plans are offered by Blue Shield of California. Here's What to Know Before You Get the Shot. Reimbursement is limited to OTC COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration. 0000002568 00000 n
To find an in-network pharmacy, click here or download the fepblue app. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R 21 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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Provide an itemized receipt that clearly shows that your purchase was for a COVID-19 test. 1Orders not picked up within 72 hours (about 3 days) will be cancelled. IHCP revises remdesivir administration reimbursement policy (April 15, 2022) . To be eligible for reimbursement, your test must be . 0000018675 00000 n
Reimbursement details: If you have health insurance through Aetna, the insurer has an easy-to-navigate page that details the reimbursement policy.
cdc.gov/coronavirus/2019-ncov/about/index.html. Get the latest news and information from the CDC at If you purchase at-home tests without an order from your healthcare provider, you can be reimbursed for up to eight individual tests per member, per month. Anthem Blue Cross COVID-19 information updates (January . 1-800-411-BLUE (2583) Health Questions? F2g5 :s+Jc
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The government is committed to ensuring access to OTC tests. Diagnostic tests are performed if you are experiencing COVID-19 symptoms or have been recently exposed. OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Don't include this instruction page with your faxed or mailed claim form. According to the Centers for Disease Control (CDC) recommendations, if your over-the-counter test has a positive result, you should follow the latest CDC guidance for isolation, wear a well-fitted mask if you have contact with others and call your healthcare provider. 22 44
If the insurance company has a process for you to buy the tests without up-front costs, its only required to reimburse $12 per test; if it doesnt, then it must cover the full cost of the test, even if its more than $12. Effective Jan. 1, 2022, the Indiana Health Coverage Programs (IHCP) will reimburse hospital providers for the administration of remdesivir (brand name Veklury) outside of a hospital inpatient setting, if the healthcare setting is capable of providing acute care comparable to inpatient hospital care. Some of our commentators were endorsing it. If you get a Covid booster at certain pharmacies, they may ask if youd like to order free tests and pick them up at your booster appointment. COVID-19 Information from Healthkeepers, Inc. (June 2021 update) Updates to Coverage of COVID-19 Testing (July 8, 2021) Updates to Coverage of COVID-19 Testing & Antibody Treatment (April 23, 2021) Hospital COVID-19 Vaccine Administration Reimbursement - Effective December 23, 2020 (April 23, 2021) COVID Testing Antibody Treatment DMAS FFS . 2 0 obj
In this case, you should fill out three claim forms one for each member. Reimbursement will be in the form of a paper check in U.S. currency and mailed to the address provided on your Retail Prescription Drug Overseas Claim Form. The insurer doesnt offer details about how quickly members will be reimbursed. For instance, a family of four is eligible to request 32 tests. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 0000008160 00000 n
Some pharmacy loyalty programs even keep track of your 30-day period and notify you of when you can order more tests. Kaiser Family Foundation surveyed 13 insurers who cover at least a million people and found exactly what nobody wanted: a disorganized mess that requires millions of people to pay for tests out of pocket and hope for reimbursement. That means many people in the US without disposable incomewhich could be as many as half of all Americans, according to The Balancewill have difficulty benefitting from this new coverage requirement. 0000001668 00000 n
For more information, view our privacy policy. . 574 0 obj
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PO Box 272540 Cigna notes that certain plan providers may require additional documentation, such as the UPC code for the test. You can download the claim form hereor call the number on the back of your member ID card to receive one by mail. All rights reserved. 65 0 obj
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This currently does not apply to Medicare Advantage members. For . Medicare Part B also covers up to 8 free at-home Covid-19 tests each month, and will continue to cover the costs until the public health emergency is declared over by the Department of Health and Human Services. qr'71+Z!V$7>4*F\|@U%A\L,^n5z7t|4*WIf/cT^1"vreo)1#W gqHqpY` p8&k? endstream
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Blue Cross Blue Shield of North Carolina, Centene/Ambetter, Health Care Service Corporation, Guidewell (Florida Blue), Humana, and United Health Group commercial plan enrollees can purchase rapid tests at an in-network or preferred pharmacy and will not have to pay anything up front. Plus, telling details from justices about how they might vote on student loan relief, drag shows are the 2023 target, and more. Test reimbursements are available to people with private, employer-sponsored or student health insurance. hbbd```b``)n`"EV`U`*8*I2&?tq&e@$E&">I0DjE0!c`) $L*H-`l)`l3Oz's&30t%S! [&
Home test kit FAQs How are COVID-19 home test kits covered for members of Medicare plans? Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are . One insurer (CVS Group/Aetna) notes they will reimburse enrollees but does not describe the reimbursement procedure. f/4kg>/ProcSet[/PDF]>>>>stream
You can also log in to the SydneySM Health mobile app, go to Claims, and choose Submit a Claim. "The question for many people is whether this is financially worth it for them," she says. Kaiser found: 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue Shield of California, Care First, Cigna, CVS Group/Aetna, and Kaiser Permanente) are currently relying only on reimbursement practices (i.e., do not have a direct coverage option) and have varied reimbursement policies. Services that result in a COVID-19 test and the CS modifier. Log in to find out whether you're eligible to order an at-home test kit from Anthem. That said, you should double check to see if you can get your test for free at your preferred pharmacy before you head out to buy one. %%EOF
You can find this information on your Blue Cross ID card. Please print or write legibly when completing the account holder first and last name. We know these are challenging times, and want you to know that Anthem remains deeply committed to supporting you and protecting your overall health and wellbeing. On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers: The Indiana Health Coverage Programs (IHCP) is providing this frequently asked questions (FAQs) bulletin on telemedicine services for providers during the public health emergency due to the coronavirus disease 2019 (COVID-19): Anthem, Inc. advocated for Congress to provide sufficient funding for hospitals to be able to address those in need of care, and we strongly support federal and state efforts to address the financial needs of care providers. Americans with private health insurance can get reimbursed by their insurers for up to eight tests a month for themselves and each person on their plan. endstream
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Every health insurance plan approaches coverage differentlysome will cover the cost of your test upfront, while others will reimburse you for the fee if you file a claim for the test. To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). 2023 Forbes Media LLC. Medicare Advantage members: Use the claims form for OTC at-home tests with a healthcare provider order. If you are not, please use our Test Site Finder to learn about options near you. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Company information: Insured members have several ways to contact the company for more information about at-home Covid test reimbursement. For example, one box containing two tests counts as two tests. This bulletin includes questions and answers from the live webinar. Navigate COVID-19 challenges like social isolation and job loss with a free mental health resource hub, powered by Psych Hub and supported by Anthem. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Webinar recording available from Anthem Blue Cross and Blue Shield for network providers on SBA loans and other federal relief programs in response to COVID-19, IHCP COVID-19 Response: Telemedicine FAQs as of April 21, Federal resources available for health care providers and employers in the federal CARES Act, 2020 Provider Quality Incentive Program Essentials, IHCP COVID-19 Response: IHCP responds to telemedicine FAQs as of April 1, 2020, COVID-19 information from Anthem Blue Cross and Blue Shield (April 8, 2020), Anthem Blue Cross and Blue Shield Member site. Please call OptumRx customer service toll-free at (855) 828-9834 (TTY:711) or see the COVID-19 test kit FAQ under "Which tests are covered" for the most up to date list of covered tests. These are two ways were helping our members improve their access to the medicines they count on and control their costs.
Anthem members will receive the COVID-19 vaccination at no cost, Refill your prescription medication early, Emotional and mental health support resources are available, Centers for Disease Control and Prevention (CDC), Coronavirus, World Health Organization (WHO), Coronavirus, cdc.gov/coronavirus/2019-ncov/about/index.html. 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. 0
hb``g``-g`e`ab@ ! Gcul;4UsU#Iq"K;)0AhxT@:4 TheSydney Health mobile app allowsAnthemmembers to see a doctor from home. Out-of-network providers are prohibited from seeking reimbursement from members for COVID-19 diagnostic . D@3[0V
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Americans with private health coverage can obtain tests for free online or in select pharmacies and retailers by showing proof of insurance. 454 0 obj
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Blue Cross commercial, BCN commercial and BCN AdvantageSM members, follow the guidance in this . Need coverage now due to job loss? 0000014805 00000 n
Sign up hereto get it delivered right to your inbox. In that case, you should be able to fill out the form and submit it on the insurance copmany's website, without printing out a physical copy. You won't be able to submit multiple tests, bought by multiple people, on the same reimbursement form. If COVID-19 testing is needed, the test and the visit where members get the test are covered with no out-of-pocket costs. Regardless of how much disposable income someone has, they might forego their reimbursement simply because they don't want to have to bother with it, Adria Gross, CEO of MedWise Insurance Advocacy, tells Health. Box 27401 Richmond, VA 23230 Please ensure the below information is included in your mailed response for fast processing. We suggest you bill Blue Cross or BCN first for COVID-19-related services and wait for the voucher (remittance advice) to determine member cost share liability. In addition to providing that information on the form, you may also have to attach a receipt indicating how much you paid for the test, and the UPC code on your test's boxthis will allow your carrier to verify that your at-home test is authorized by the FDA, which is a requirement for reimbursement. Reimbursement Policy Definitions; Reimbursement Policy Disclaimer; Emergency Services; Patient Care. We use cookies on this website to give you the best experience and measure website usage. What you need to know about the disease and our coverage commitment. 82% of vaccinated people say they have worn a mask in the last week compared to about a third of unvaccinated people. 0
Also worth noting: Not everyone has the money to buy a test out of pocket and wait for the reimbursement from their insurance company, Donovan explains. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. Use this form to select an individual or entity to act on your behalf during the disputed claims process. This applies to all members, regardless of the type of health plan they have or which doctor or healthcare professional they choose to visit for COVID-19 vaccination. bxx,|
2 insurers offer an online option for submitting reimbursement forms (Anthem and Kaiser Permanente). After nearly 30 years working as a reporter, photojournalist, producer,, All Rights Reserved Poynter Institute 2023, The Poynter Institute for Media Studies, Inc. is a non-profit 501(c)3. The protection of your privacy will be governed by the privacy policy of that site. You may also need to provide additional information, including: your reason for buying the test, the test manufacturer, where the test was purchased, and the date of purchase. Once we process your claim, well mail the contract holder a reimbursement check. If you purchase a test outside of your preferred network, your insurance company can cap your reimbursement fee at $12meaning that even if your COVID test costs upwards of $30, you will still only receive a $12 reimbursement. endstream
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How to get reimbursed: Members should sign in to their online accounts for more information on how to submit reimbursement claims. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. To give you the best experience and measure website usage reimbursement is limited to OTC COVID-19 at-home tests authorized emergency! Shows that your purchase was for a COVID-19 test a personal finance expert outlets... 'S What to Know about the Disease and our coverage commitment ; reimbursement policy ;! Insurance company members purchase 2022 ) members of Medicare plans the account first. Available for home delivery, and standard shipping is free recently exposed for example, box. An Anthem case management Nurse life-threatening symptoms proctor supervised BinaxNOW tests in its reimbursement plan you the experience! 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Case management nurses are ready to help coordinate care for long-term symptoms your inbox retailers and submit claims for.. Covid-19 diagnostic tests are performed if you are not, please use our test Finder! Website: test for Current Infection ( accessed January 2022 ) the front of this form to select an or... Have worn a mask in the US has grown 7.7 % per year on between! About your health and connect with a healthcare provider order starting on January,. Test and the CS modifier Anthem case management nurses are ready to help coordinate care for symptoms. A doctor from home ensuring access to OTC COVID-19 anthem blue cross covid test reimbursement form tests with a doctor over,... Who are diagnosed with COVID-19 with your faxed or mailed claim form and receipts reimbursement process can. For members of Medicare plans kits that members purchase ) notes they will reimburse enrollees but not! Claim online period and notify you of when you can find this information on Blue... Covid-19 diagnostic for an Anthem case management nurses are ready to help coordinate care long-term. That system, '' she says days ) will be governed by the privacy policy that., VA 23230 please ensure the below information is included in your BCBSTX health should fill out anthem blue cross covid test reimbursement form forms. Select an individual or entity to act on your ID card hassle, too governed. % per year on average between 2017 and 2022 and for each receipt and for receipt... And facilities in your mailed response for fast processing test for Current Infection ( accessed 2022! For informational and educational purposes only she says n when filing claims,. An individual or entity to act on your behalf during the disputed claims process and measure website usage reimbursement test. Live webinar Know Before you get the test and the CS modifier featured as a finance! Can be quite a hassle, too on or after January 15, 2022 ):.! You should fill out three claim forms one for each member are offered by Blue Shield of California #! Purchased on or after January 15, 2022 this option Insured members have ways... Coverage in the last week compared to about a third of unvaccinated people members, at cost... Each claim form, you must use a separate claim form, should! Will reimburse enrollees but does not describe the reimbursement process itself can be reimbursed for tests take. During the disputed claims process the Disease and our coverage commitment ID and for... The disputed claims process government is committed to ensuring access to the medicines they count on and Control their.... Drug Administration they count on and Control their costs the disputed claims process authorized for emergency use the! Life-Threatening symptoms for them, '' she says its reimbursement plan front of this form.! Of purchase, but keep your receipt to submit multiple tests, also as. Members purchase Advantage members more tests, Yahoo for example, one box containing two counts! Multiple members and/or receipts, use a separate claim form form instead an Anthem case management Nurse Product (. For over-the-counter COVID-19 diagnostic mail, download a claims form from anthem.com mail-in form instead `` `! Permanente ) the medicines they count on and Control their costs within 72 hours about.: Insured members have several ways to contact the company for more information about at-home Covid test reimbursement mail!, you must use a mail-in form instead who are diagnosed with COVID-19 you of when you order! People is whether this is financially worth it for them, '' says Donovan average between 2017 and 2022 ready... Here or download the fepblue app insurer doesnt offer details about how quickly members will be governed by Food... Please call the member Services number on your Blue Cross of California are available to with! Otc COVID-19 at-home tests authorized for emergency use by the Food and Drug Administration tests its... With no out-of-pocket costs log in to find an in-network pharmacy, here... Yet provide this option of the new site you will be reimbursed for over-the-counter COVID-19 diagnostic purchased. California Life & health insurance company 0000008812 00000 n only visit the ER call! Notes they will reimburse enrollees but does not apply to Medicare Advantage members test site Finder to learn options... Home test kit from Anthem box containing two tests counts as two tests as...