In response to the worldwide COVID-19 pandemic, for those with BCBSND coverage, we’re expanding benefits to include:
BCBSND will waive out-of-pocket costs for medically necessary laboratory COVID-19 testing—that includes co-pays, deductibles and co-insurance. 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.
BCBSND will waive out-of-pocket costs for the treatment of COVID-19, including hospital stays and outpatient treatment. This applies to BCBSND members on fully insured employer sponsored plans and individual plans.
Effective March 10, BCBSND asked 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 lessen the pressure on our health care system during the pandemic, we are expanding coverage for telehealth for all BCBSND members to include video calls, phone calls, email or online chats, including FaceTime or Skype calls.
In addition, we’re covering cost shares for all telehealth visits for Fully Insured and Individual members. Those services may include, but are not limited to:
Effective March 24, 2020, BCBSND is allowing customers to have 62 days to pay their premiums (which is an extension from the current 31-day requirement) for all members with individual plans or small group coverage (businesses with under 50 employees).
In support of the larger businesses (those with 50 or more employees), BCBSND representatives will work with them directly on a case-by-case basis to determine alternative payment plans.
Members who experience a reduction in income or are laid off due to the pandemic may qualify for premium relief through the federal government’s Advanced Premium Tax Credit (APTC) program as a qualifying event.
BCBSND encourages members to learn more about the program online or by calling BCBSND Member Services at by calling 844-363-8457.
As businesses around the country are forced to reduce hours or lay off employees, BCBSND is also allowing greater flexibility in eligibility requirements: