![]() Group customers must contact their legal advisors if they have questions about proposed rules and new regulations, what they will require and how they will affect their benefit plans if finalized. While we provide information about federal guidance, we do not provide groups with legal or compliance advice. Our self-insured customers who have their pharmacy benefits carved-out will need to confirm how their carved-out PBM is managing COVID-19 diagnostic OTC testing. There is no option to opt-in or opt-out of diagnostic testing coverage.Covered under pharmacy benefit, not medical.We may have more vendors join in the future.)įor our self-insured customers who use BCBSIL and Prime Therapeutics to administer their pharmacy benefit, here's our approach: Direct-to-consumer shipping (allows member ability to order COVID-19 tests directly through a vendor partner, such as Walgreens and other major pharmacy chains.Member-submitted claims processing directly through Prime’s current process.Point-of-sale at more than 65,000 in-network pharmacies.Claims will be submitted directly from the pharmacy to BCBSIL. Members can use the same broad networks used for COVID-19 vaccines to request tests. What this means to you: BCBSIL will cover COVID-19 diagnostic OTC tests through our extensive network of participating pharmacies, for our fully insured members, and self-insured group members who have Prime Therapeutics ® coverage through BCBSIL. At-home testing for employment purposes is not considered a covered benefit under this federal guidance.Coverage is effective through the end of the federal public health emergency.Allows coverage of eight (8) tests per covered member, every 30 days (or, for example, 4 boxes with 2 tests per box).Without prior authorization or medical management techniques.Without cost-share, up to $12 per test under the safe harbor (for plans that provide access to the tests through a pharmacy network and direct-to-consumer shipping program, with no up-front cost to the member).Requires group health plans and issuers to cover COVID-19 diagnostic OTC tests without a prescription or health assessment from a provider.15, 2022, coverage for at-home COVID-19 diagnostic OTC tests is required for all Blue Cross and Blue Shield of Illinois (BCBSIL) fully insured and self-insured groups, and individual and family plans Update: BCBSIL Approach to OTC COVID-19 Testing Coverage January 14, 2022Īs you’re aware, the federal government released guidance this week about coverage of over-the-counter (OTC) COVID-19 diagnostic tests. “We certainly could not have done this without GSU, Prairie Hills School District and IASA-South Cook’s leadership,’’ said Pepper, Senior Director, Government Relations & Civic Engagement. ![]() ![]() Walgreen’s Donovan Pepper said the pharmacy giant was grateful for the collaboration of all partners to provide the vaccination to educators and others in the CDC priority group. There is no greater moment than right now!” “Our purpose as leaders is to serve our students, families, boards of education, and communities. Kimako Patterson, President of IASA-South Cook and Superintendent of Prairie-Hills Elementary School District 144, said the opportunity to partner with Walgreens and Governors State to provide the one-shot Johnson & Johnson vaccine was an honor and a privilege. Many of the schools that participated host our College of Education students as student-teachers and are located in communities disproportionately impacted by the virus.”ĭr. ![]() “GSU was proud to open our campus to the surrounding area to ensure that K-12 teachers received vaccinations. President Cheryl Green said hosting the clinic on campus was an act of service to the community, where many of the university’s students train and graduates work. ![]() The clinic represented the largest gathering on campus in more than a year since classes were moved off campus in March 2020 when COVID-19 first disrupted life across the world. launched a pop-up COVD-19 clinic at Governors State University to vaccinate nearly 1,500 people, many from the Illinois Association of School Administrators’ South Cook County district.īasking in long awaited sunshine, a host of volunteers from Governors State and Markham’s Prairie-Hills School District 144 ensured a seamless process inside the university’s gymnasium. – In a perfect spring kickoff, Walgreen Co. ![]()
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