COVID-19 Expanded Coverage Update

Blue Cross Blue Shield of North Dakota (BCBSND) is extending coverage for the following services through December 31, 2020:

COVID-19 Treatment

  • BCBSND is waiving out-of-pocket costs for the treatment of COVID-19, including hospital stays and outpatient treatment. This applies to BCBSND fully insured members. Out-of-pocket costs include incremental medical co-pays, deductibles and co-insurance charges related to the treatment for COVID-19 and will be paid at in-network rates.

Prescriptions

  • BCBSND is increasing access to prescriptions by allowing pharmacies to refill prescriptions earlier than typically allowed. In addition, most plans allow members to fill maintenance medications for up to a 90-day supply through local or mail-order pharmacies.
  • To ensure members have the medications they need on hand, BCBSND allows pharmacies to waive “refill too soon” limits on prescriptions.

DME Supplies

  • DME requests for additional supplies outside the normal quantity and frequency limits during the COVID-19 emergency are updated to allow members up to an additional 90-day supply through local or mail-order suppliers.

As a reminder, all services are reviewed based on medical necessity and appropriateness and are not guaranteed for payment. For additional information in regards to changes and updates to COVID-19 related items, please visit our website for the latest updates at  https://www.bcbsnd.com/coronavirus/covid-19providers