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COVID-19 update for members covered by Arkansas Blue Cross and Blue Shield and Health Advantage (fully insured health plans)

Arkansas Blue Cross and Blue Shield and Health Advantage are committed to the safety and well-being of our members. Since the beginning of the COVID-19 public health emergency, we have been working closely with the state and federal government during the coronavirus outbreak to help our fully insured members get access to the care they need during the coronavirus outbreak.

Status of COVID-19 expanded benefits

At the outset of the COVID-19 public health emergency, Arkansas Blue Cross and Health Advantage temporarily extended a number of voluntary, expanded COVID-19-related benefits and suspended some of our normal practices.

Of course, those measures covered under federal mandates will remain in force until federal officials advise that they may be discontinued. Officials have announced the federal mandate will continue through January 11, 2023.

Please note: Decisions about coverage changes for members of self-funded health plans served by BlueAdvantage Administrators of Arkansas or Health Advantage are made by the employers or plan sponsors who fund those self-funded programs. If you have questions about coverage, please call the number on the back of the health plan member ID card.

Here is an updated rundown of the status of COVID-19-related benefits and measures:

Coverage (at no cost to our members) of COVID-19 diagnostic tests ordered by healthcare providers – and an initial medical exam that prompts a provider-ordered COVID-19 test.

This applies to diagnostic testing services that meet primary coverage criteria for COVID-19 as defined by the Centers for Disease Control & Prevention (CDC) and are ordered by a healthcare provider. It also includes an initial medical exam that results in a provider-ordered COVID-19 test. For COVID-19 tests and the initial exams that prompt them, providers should not collect cost-sharing amounts from the member while this voluntary temporary measure remains in force.

This measure will remain unchanged and in force until the public health emergency declaration is terminated by the federal government.

Coverage (at no cost to our members) of eight over-the-counter, at-home COVID-19 tests each month.

Our fully insured members may select up to eight (8) at-home rapid COVID-19 antigen tests at local or online in-network pharmacies for each covered member of their family each month.

Your health plan should cover the cost of eligible tests when you complete your transaction with no out-of-pocket expense to you. Please be aware that most tests are packaged in sets of two. If you purchase boxes containing two tests each, you should be covered for four boxes.

If you obtain a test from another source, keep your receipt and the product box or a photo of the box and submit a claim to us for reimbursement. A separate form for each patient is required. We are only covering diagnostic testing. We are not covering testing for employment purposes (including at-home rapid COVID-19 antigen tests).

This measure will remain unchanged and in force until the public health emergency declaration is terminated by the federal government.

If you have questions about the status of COVID-19-related benefits and related member cost-sharing, please call the customer service number on the back of your health plan member ID card.