BCBS – COVID-19 Provider Update

COVID-19 Extended Coverage Updates

Effective March 1, 2020, through the end of the emergency declaration, BCBSND will waive any cost-sharing, including co-pays,deductibles and co-insurance for testing of COVID-19 so that the cost-sharing does not serve as a barrier to access these important tests. BCBSND will also waive cost-sharing for an in-network provider office visit, urgent care center and emergency room visit when testing for COVID-19. This is regardless of confirmed diagnosis and applies to all symptomatic BCBSND members including FEP and self-funded members. BCBSND will cover services and testing performed during a visit related and resulting in COVID-19 testing at no cost-share to the member. Services must be in accordance with accepted standards of current medical practice and medically appropriate for the individual. Waiving cost-shares may be done on a retrospective case-by-case basis.
With the expansion of COVID-19 testing technology,currently, there is no coverage for asymptomatic individuals for public health surveillance screening purposes. COVID-19 antibody or serological testing will be covered at 100% when medically indicated. COVID-19 antibody or serological testing is not covered for those who have previously tested positive for COVID-19.