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We're here for you. Now more than ever.

How Blue Cross Blue Shield of Michigan
is responding to the coronavirus (COVID-19)

At Blue Cross Blue Shield of Michigan and Blue Care Network, we're committed to caring for Michigan and everyone who calls it home – like we've done for over 80 years. Learn more about our response to COVID-19 (PDF).

As we continue to navigate this pandemic together, you can still count on us to be your trusted advisor. A partner for care. A concerned employer. And a committed member of the community.

BCBSM ID Card

We're in this together

The world may feel different now, but we're doing what we can to help you feel more secure. That includes offering no-cost care options, so you can focus on your health, instead of worrying about copays and deductibles. We've also put together the following information to answer questions you might have. If you need more help, please don't hesitate to let us know. You can reach us by calling the number on the back of your Blue Cross ID card.

Member

At-home COVID-19 testing

As of Jan. 15, 2022, and through the end of the public health emergency, all individuals with pharmacy coverage through Blue Cross Blue Shield of Michigan and Blue Care Network have more ways to get at-home COVID-19 rapid diagnostic tests at no cost.

At-home testing options and costs

There are a couple of ways to get your at-home tests at no cost or reimbursed by your insurance company.

Medicare members can learn more information about testing coverage here.
If you have our pharmacy coverage, you also have options to get FDA-authorized qualified COVID-19 Antigen or Molecular tests or be reimbursed for tests that you've purchased.

Not sure whether you have our pharmacy coverage? Check your Blue Cross member ID card and look for the following: RxBIN and RxGrp.

If your card has this RxBIN: 610011
AND
Has one of these:
  1. RxGrp: BCBSMAN
  2. RxGrp: BCBSMRX1
  3. RxGrp: MIBCNRX
You have our pharmacy coverage.
If you're looking for information about at-home tests and have our pharmacy coverage:
The new preferred pharmacy network allows members with BCBSM or BCN pharmacy coverage to get up to eight COVID-19 tests every 30 days. At this time, the preferred pharmacy network for COVID-19 at home tests include Walmart, Rite Aid, Sams Club, Walgreens, Meijer and Kinney Drugs (out of state). To avoid paying out-of-pocket charges, you'll need to present your Blue Cross member ID card at the pharmacy to get your tests in person.
If you didn't use your Blue Cross member ID card or if you purchased a fully self-administered FDA authorized test from a non-preferred pharmacy or other retailer, you can be reimbursed up to $12 or the cost of the test, whichever is lower. Please note, tests purchased from third parties, such as from neighbors, friends, or online resale marketplaces, will not be reimbursed. To request reimbursement, submit this form.
If you have our pharmacy coverage you can purchase at-home tests online. Once you're logged in, choose Get Started to order your tests online.
If you purchased an at-home test between Jan. 15 and Jan. 31, 2022, or purchased an at-home test ordered by a provider and want to be reimbursed, submit this form.
Don't have our pharmacy coverage?
You should work with your employer or Pharmacy Benefit Manager to determine how to get your COVID-19 tests covered at no cost.
Medicare at-home test options:
If you have a Medicare Advantage plan or Part B coverage you can use your Medicare card to receive up to eight at-home COVID-19 tests per month at no charge from participating pharmacies. You can find the participating pharmacies here.
Learn more about other testing options here.
Please note:
BCBSM and BCN will not reimburse you for tests used for employment purposes.
Other types of COVID-19 diagnostic tests that are FDA-approved or authorized and determined appropriate by a qualified health professionals will still be covered. Learn more here.
Member

COVID-19 vaccines. Protect yourself and prevent the spread.

Getting vaccinated is the only way to prevent new, and potentially more dangerous COVID-19 variants from emerging. Our best shot at protecting the great progress we've made is if more people get vaccinated.

Learn about vaccine eligibility and find a location:
Anyone age 5 or older is now eligible to get a COVID-19 vaccine at no cost. You can find a location through this Vaccine Finder website. It's a joint effort between the Centers for Disease Control and other entities. Just enter your ZIP code and you'll see vaccine locations near you, based on available data.
What we know about the vaccines, according to the CDC:
They're safe and effective at keeping you from getting the coronavirus
They cannot give you the virus; they teach your body how to respond to it
They're effective in protecting you against the Delta variant and others
For more information on COVID-19 vaccines, check out our vaccine FAQs.

Care Options for COVID-19

We offer different ways for you to see a health care professional from the comfort of your home, so you can keep yourself and others safe.

Primary Care Physician

Primary Care Physician

If you don't have a primary doctor yet, log in to your online member account to find one. Then, give them a call.

Many doctors are offering telehealth visits, which are visits done online or over the phone.

Log in to find a doctor

24-Hour Nurse Line

24-Hour Nurse Line

You can speak with a registered nurse if you have questions about the coronavirus or would like free health care advice.

Blue Cross Blue Shield of Michigan PPO:

1-800-775-BLUE (2583)

Blue Care Network HMO and HMO-POS:

1-855-624-5214

Blue Cross Medicare Supplement and Legacy Medigap:

1-844-278-6316

TTY users, call 711.

Blue Cross Online Visits

Blue Cross Online VisitsSM

You can have a face-to-face, virtual visit with a U.S. board-certified doctor - anytime, day or night. You can also make an appointment to see a therapist or psychiatrist.

Start an online visit

Make sure to include your subscriber ID, also known as enrollee ID, when you sign up so your coverage applies correctly.

Mental Health Support

Mental Health Support

Help is just a phone call away if you're feeling anxious or need support.

COVID-19 Crisis Hotline:

1-833-848-1764

For information and referral to providers offering online group therapy and support, contact:

Blue Cross Blue Shield of Michigan PPO:

1-800-762-2382

Blue Care Network HMO:

1-800-482-5982

Medicare Plus Blue PPO:

1-888-803-4960

BCN Advantage HMO and HMO-POS:

1-800-431-1059

Or, learn more about all the mental health options available to you.

corona virus

Check your symptoms and risk for COVID-19

The CDC has a prevention tool you can use. Simply answer a few questions about your current health and learn more about next steps.

Start CDC assessment

In general, people who are 65 or older, and anyone with certain underlying medical conditions might be at a higher risk. Read about what the CDC recommends for these high-risk groups.

Guidance on prescription drugs

Have Blue Cross pharmacy coverage? We're taking precautions to make sure you can get the prescription drugs you need. No matter if you've been exposed to the coronavirus or not.

Helping members get access

You can continue to get your prescriptions filled at your local pharmacy or by mail. Whichever is most convenient for you. Remember to take the right precautions if you plan to visit your pharmacy. Using the pharmacy drive-thru is also a good option.

Don't have pharmacy coverage with us? Reach out to your pharmacy carrier to see what options they may have available to you.

90-day mail-order prescriptions

If you need a medication to maintain your health, a 90-day mail-order prescription through OptumRx® home delivery might be the right choice. It can help you have enough on hand, so you don't run out. Simply contact your pharmacy to transfer your prescription to mail order. You can also log in to your online member account or call OptumRx home delivery:

  • Blue Cross Blue Shield of Michigan members, call 1-855-811-2223
  • Blue Care Network members, call 1-844-642-9087
Member

If you have questions about your health plan and benefits

You have options to get the support you need when it's convenient for you.

Online support

You can access your plan information, like coverage and claims, anytime. Just log in to your online member account.

Phone support

Our Customer Service Representatives are here to help. You can call the number on the back of your Blue Cross ID card to speak with a representative and get your questions answered.
corona virus

Where you can get more information

Visit our blog to stay up to date on the latest coronavirus news and guidelines. We take the health of our community seriously and are reporting on breaking news, as it develops.

Get coronavirus updates by email or text. Just register for an account with us.

For recent coronavirus cases and statistics, please visit the State of Michigan site.

If you're still feeling stressed or concerned

The coronavirus pandemic can feel overwhelming, even when you're armed with the facts. We want you to know, we're here to help.

Mental health and well-being services are available to you, even if you haven't been exposed to the virus. We can help with these options:

Blue Cross Online Visits

Blue Cross Online Visits

You can have a face-to-face, virtual therapy or psychiatry visit.

Schedule an appointment

Include your subscriber ID, also known as enrollee ID, when you sign up so we can make sure your coverage applies correctly.

Mental Health Support

Mental Health Support

Help is just a phone call away if you're feeling anxious or need support.

COVID-19 Crisis Hotline:

1-833-848-1764

For information and referral to providers offering online group therapy and support, contact:

Blue Cross Blue Shield of Michigan PPO:

1-800-762-2382

Blue Care Network HMO:

1-800-482-5982

Medicare Plus Blue PPO:

1-888-803-4960

BCN Advantage HMO and HMO-POS:

1-800-431-1059

Or, learn more about all the mental health options available to you.

Blue Cross Virtual Well-Being

Blue Cross Virtual Well-Being

View free, weekly webinars designed to help you during these challenging times.

Topics include resiliency, working from home and preparing healthy meals from pantry items.

Register to attend

Frequently Asked Questions

Still have questions? We have answers. Explore our Frequently Asked Questions to learn more about how we're addressing the COVID-19 pandemic.

What are the different types of COVID-19 tests?

There are two kinds of tests:

  • A diagnostic test, which determines if a person has an active COVID-19 infection. A diagnostic test includes at-home tests.
  • An antibody test, which determines if a person already had a COVID-19 infection. So, the person may have some level of immunity.

What happens during a COVID-19 diagnostic test?

The test involves inserting a swab through the back of the nasal passage to detect genetic material specific for the virus.

A positive result confirms the presence of the virus that causes a COVID-19 infection. A negative result means that the virus wasn't detected at the level needed to confirm infection. It does not rule out infection.

Can you tell me more about at-home, COVID-19 diagnostic tests?

All individuals with BCBSM and BCN commercial health coverage are eligible to receive reimbursement for up eight (8) at-home COVID-19 rapid antigen or molecular tests over a 30-day period. These are the types of tests that you can get over the counter at a pharmacy, retail store or even through online purchases.

The FDA lists all authorized tests on their website:

  • Authorized antigen tests
  • Authorized molecular tests

To get to the tests that qualify for reimbursement, you’ll need to type “OTC” in the search box. That will bring up a list of tests and all of those are part of the at-home rapid diagnostic COVID-19 reimbursement program (except for one test in the antigen page which is listed as “Telehealth, Proctor Supervised.”).

Will Blue Cross cover a test for me if I don't have symptoms?

Yes, Blue Cross will cover a test under the following conditions:

  • If a qualified health professional* determines a test is appropriate and it's FDA-approved or authorized.
  • Or, all individuals with BCBSM and BCN commercial health coverage are eligible to receive reimbursement for up eight (8) at-home COVID-19 rapid antigen or molecular tests over a 30-day period

Blue Cross does not cover the cost of workplace or screening tests – also called routine testing (such as routine public health testing, testing for participation in sports, ability to travel, admission to the armed services, schools, workplaces or residential facilities).

Will you cover multiple tests for the same person?

Yes, if a qualified health professional* determines a test is appropriate and it's FDA-approved or authorized or as part of the at-home COVID-19 rapid antigen or molecular test reimbursement program for BCBSM and BCN commercial health members.

Do you cover tests from drive-through sites? And is cost sharing waived for those, too?

Yes, if a qualified health professional* determines a test is appropriate and it's FDA-approved or authorized.

Will I be charged for a COVID-19 test offered at certain locations?

Several counties and municipalities are offering COVID-19 tests for community residents. They're covering the cost of tests, so your health plan shouldn't be billed.

We recommend you check with these sites before going for a test, as each site may have different requirements regarding appointments, physician orders, symptoms and residence.

What if I go to a testing facility but I don't get a test? Will I get a bill?

It depends on the services received and diagnosis recorded on the claim if you'll get a bill for your visit.

I'm a BCN member. Can only my primary care physician order a COVID-19 test?

Not necessarily, but you do need an order from a health care provider*.

Do you cover workplace screening tests for COVID-19?

No, Blue Cross doesn't cover the cost of workplace or occupational screening tests for COVID-19.

However, we do cover the cost of testing if a health care provider* orders an FDA-approved test and determines that the test is medically necessary** or as part of the at-home COVID-19 rapid antigen or molecular test reimbursement program for BCBSM and BCN commercial health members.

Do you cover other screening tests for COVID-19?

No, Blue Cross doesn't cover the cost of other screening tests for COVID-19, such as testing to participate in sports or admission to the armed services, educational institution, workplace or residential facility. However, we do cover the cost of testing if a health care provider* orders an FDA-approved test and determines that the test is medically necessary** or as part of the at-home COVID-19 rapid antigen or molecular test reimbursement program for BCBSM and BCN commercial health members.

*A health care provider should be a licensed physician, pharmacist or clinician operating within the scope of their license. They should use their best judgment in accordance with accepted standards of medical practice. This is in keeping with the Families First Act and CARES Act of 2020.

**Test orders must show medical necessity and the ordering provider should have resources to act on test results. This is in keeping with the Families First Act and CARES Act of 2020.

What can you tell me about the COVID-19 vaccines?

The FDA has given full approval for the Comirnaty vaccine, which was previously known as the Pfizer-BioNTech COVID-19 vaccine. The organization has also issued emergency use authorization for the Moderna and Johnson & Johnson vaccines. The Comirnaty and Moderna vaccines are distributed in two doses, administered a few weeks apart. The Johnson & Johnson vaccine is delivered in one dose. It’s important to note that the CDC considers all three vaccines safe and effective in the fight against COVID-19.

Do I need both doses of the Moderna or Pfizer COVID-19 vaccine?

Yes. This will give you the best protection against COVID-19. The CDC and Michigan Department of Health and Human Services both agree it's important to get the second dose.

The second dose must be from the same vaccine manufacturer as your first dose. If you can, it would be best to follow up with the same provider who gave you your first shot.

How can I get a COVID-19 vaccine?

You can get one at your county health department, hospital or pharmacy. Other civic locations are distributing vaccines, too.

At a county health department. Visit the State of Michigan website. Then, find your county health department and make an appointment. Please note: The government has said that demand exceeds the current supply. So, you may not be able to make an appointment with the health department right away. If that's the case, keep checking back as more vaccines become available.

At a local hospital. Many hospital systems are providing the vaccine by appointment for their patients. Each is notifying patients in its own way. Follow their instructions to make an appointment with them.

At a nearby pharmacy. Some pharmacies have also started the appointment process, or intend to soon. Check with your local pharmacy about their vaccine plans.

No matter where you decide to go, check to see what identification you'll need to bring. For example, some sites may want you to bring your government-issued, Medicare ID card and your Blue Cross ID card. If you're not sure, it may be best to bring both.

How much will a COVID-19 vaccine cost me?

You won't have to pay anything to get the vaccine. We're covering the cost to administer it, so our members have an opportunity to get vaccinated.

Are the COVID-19 vaccines safe?

The FDA says that it puts every vaccine or drug through rigorous testing. It only releases those that it deems safe. Ask your physician about the benefits of the vaccine. You can also learn more by visiting the CDC or State of Michigan website.

How long does it take for a COVID-19 vaccine to work?

About two weeks after the second dose of a two-dose vaccine, or two weeks after a one-dose vaccine. You can learn more by checking out the CDC's vaccine information.

Will I need a different COVID-19 vaccine for the Delta variant or other variants?

Not if you're fully vaccinated, according to the CDC and FDA.

Will the COVID-19 vaccine stop you from spreading the virus?

According to the CDC, early data shows that vaccines are preventing people with no symptoms from spreading COVID-19. However, the organization is still gathering information.

When can I get the vaccine if I have COVID-19?

You should wait until you’re recovered from COVID-19 and done with your quarantine period. If you have further questions about this, please check with your doctor.

Who should get a COVID-19 vaccine booster?

Any individual 12 years of age and older may receive a COVID-19 booster dose following the below guidance based on your initial vaccine series:

  • Pfizer-BioNTech: Booster dose at least 5 months after initial series for individuals 12 and older
  • Moderna: Booster dose at least 6 months after initial series for individuals 18 and older
  • Johnson & Johnson: Booster dose at least 2 months after their initial first dose for individuals 18 and older

Can I "mix and match" what booster I get?

The CDC and FDA have also allowed for the "mix and match" strategy use of boosters – in other words, people can receive booster shots different from the original shot they received. However, it's important to note that products should NOT be mixed during the initial series or when immunocompromised individuals are receiving an additional dose. People should check with their physicians when considering the mix and match strategy for vaccines.

Can doctors prescribe medications during a telehealth visit?

Yes, doctors who offer telehealth services can prescribe medications. If you get your care through Blue Cross Online Visits, the doctor will submit your prescription to your pharmacy of choice.

Is physical, occupational and speech therapy included in telehealth visits?

Yes, but costs apply per your plan's benefits. You should work with your doctor to develop a plan for online therapy.

How can I pay my premium bill if there are no more walk-in centers?

That depends on your plan type.

If you have an individual plan, you can pay online, by phone or make payments at any Moneygram location in the state. You can also mail your payment to us. See individual plan mailing addresses.

Please note: If you have a Medicare Advantage PPO plan or a Prescription BlueSM PDP plan, you'll need to pay by mail. See Medicare mailing addresses.

You can pay:

  • Online. Subscribers can log in, look for "Pay your premium" and select "Pay now."
  • By phone. You can call the number on the back of your Blue Cross ID card.
  • By mail. Simply follow the instructions on your bill to send us your payment.

What if I can't pay my premium bill?

You can always call the number on the back of your ID card if you have questions or concerns.

I've lost my job because of the coronavirus. What happens to my coverage?

If you had coverage through your employer, you can check with them about COBRA.

We also may be able to help you continue your coverage or move into a new plan. We can check to see if you qualify for federal subsidies, too.

To learn more:
Blue Cross Medicare Advantage members, call 1-888-803-4960.
BCN Medicare Advantage members, call 1-800-431-1059.
All other members, call 1-877-610-2583.
  • You can also learn about COBRA and other options, or job loss as a qualifying life event.

Are there any medications currently being used for COVID-19 treatment?

On May 1, 2020, remdesivir became the first fully FDA-approved treatment for COVID-19 for hospitalized patients. The drug already was being used under an emergency order for hospitalized patients with severe COVID-19.

On February 9, 2021, the FDA granted emergency authorization use status to a monoclonal antibody treatment. It's a combination of experimental drugs, bamlanivimab and etesevimab, administered together to treat mild to moderate COVID-19 infections. It's approved for people at risk of progressing to severe cases, but it's not approved for patients who are already hospitalized or receiving oxygen therapy.

Blue Cross Blue Shield of Michigan will continue to monitor medications for COVID-19 and keep you up-to-date.

Are there any steps being put in place for specialty pharmacy?

If you're interested in receiving your specialty medication through free mail delivery, you can transfer your prescription to AllianceRx Walgreen Pharmacy. For more information, call them at 1-855-244-2555.

Where can I find additional resources if I'm feeling anxious about the COVID-19 pandemic?

You can see resources including support options on our mental health site, or check out our blog.

Do I need a prior authorization for COVID-19 lab testing or services?

No. We're waiving prior authorizations for testing, and services related to testing. You also won't need one for a hospital stay that's due to COVID-19.

What is the Families First Coronavirus Response Act?

The Families First Coronavirus Response Act is a new law. It mandates that we cover and waive cost-sharing for test-related items and services during provider, urgent care and ER visits when they result in an order, or administration of, a COVID-19 lab test. As we continue to assess the requirements, more information may be coming.

What is the CARES Act and how does it impact me?

The Coronavirus Aid, Relief, and Economic Security, or CARES Act, is a $2 trillion federal coronavirus response package that was recently signed into law.

The CARES Act states:
High deductible health plans must cover telehealth services before the deductible.
Individual and group health plans must cover COVID-19 testing and vaccines.
Patients can use funds in Health Savings Accounts, Health Flexible Spending Accounts and Health Reimbursement Arrangements to pay for over-the-counter drugs without a prescription and for menstrual care products.

I'm a UAW member who's not yet on Medicare. What communications have you sent me about COVID-19?

Based on your communications preferences, you may have received emails or text messages. To see the communications that we sent you, download our zip file.

You can update your communication preferences anytime by logging in to your member account, choosing Account Settings, then Communication Preferences.

Employer

We've got you covered all the way around

Over 80 years of experience has shown us just how personal health care is, especially in times like these. Here's how we're helping you stay prepared.

Your questions, answered

We've made a list of the most popular questions that you, our employers and agents, ask. You can see them by logging in to your employer or agent secured services account. They're in a document called the Group FAQ.

Have questions about the COVID-19 vaccine?

We’ve got answers for you and your employees. Together, we can all do our part to prepare, protect and prevent the further spread of the virus.

  • Access our COVID-19 employer toolkit and read the vaccine info
  • Learn What You Should Know about the COVID-19 vaccine
  • Blog: What You Need to Know About COVID-19

At-home COVID-19 testing

As of Jan. 15, 2022, and through the end of the public health emergency, your employees have options to get at-home COVID-19 rapid diagnostic tests at no cost.

The federal government is offering four free at-home COVID-19 tests to all households. Your employees can order at covidtests.gov.

If you offer BCBSM or BCN pharmacy coverage to your employees:
  • They can get up to eight COVID-19 tests per calendar month. These tests are available at no cost at one of the preferred pharmacies. Learn more by logging in to your employer secured services account.
  • If a COVID-19 test was purchased at a non-preferred pharmacy employees can be reimbursed $12 or the cost of the test, whichever is lower. They can submit reimbursement using this form.
  • If you don’t offer BCBSM or BCN pharmacy coverage your employees should contact their Pharmacy Benefit Manager. Find more information when you log in to employer secured services account.
Employer

Exclusively for our small group customers

If you have additional questions or concerns about COVID-19, you can call our helpline at 1-866-582-5052 from 8 a.m. to 5 p.m. ET, Monday through Friday, or send us an email.

The purpose of the helpline and mailbox is to assist you with Blue Cross policies, small business resources, requests for support and other issues connected to COVID-19.

Medical Care icon

Medical care

$0 FDA-approved, COVID-19 lab tests when authorized by a health care provider

$0 nurse line, available 24/7

Access to virtual medical visits and phone consultations for common services through network doctors or Blue Cross Online Visits℠

$0 initial cost of a COVID-19 vaccine**

Mental Health icon

Mental health

Access to virtual therapy visits through Blue Cross Online Visits

24-hour mental health crisis hotline

Pharmacy icon

Pharmacy

No-cost substitutions if drugs are out of stock

Dental icon

Dental

Expanded access to emergency dental care with teledentistry

Well being icon

Well-being

Weekly virtual well-being webinars to address mind, body and financial concerns during the crisis

Service and care support icon

Service and care support

24/7 online account and mobile app access - employees can manage their plan plus get questions answered with the MIBlue Virtual Assistant

Proactive outreach by care managers for the most at-risk members

Helpful blog content

**The cost will be handled by the government, employers and health plans like Blue Cross to make sure everyone has an opportunity to get vaccinated. For more information, please log in to your employer or agent secured services account and read our FAQs.

Employer3

COVID-19 resources to share with your employees

Employer toolkit for COVID-19

This toolkit will help your employees know their health care options during the pandemic. It has general information, including email templates, flyers and other materials.

Get the toolkit

Blue Cross Virtual Well-Being

Help your employees find mind, body and financial balance during these difficult times with our weekly, virtual well-being webinars.

Share the webinars

MI Blues Perspectives blog

Your employees can see updates from Blue Cross Blue Shield of Michigan, the CDC and the State of Michigan anytime, and all in one place.

Share the blog

Blue Cross COVID-19 page

Tell your employees about the For Members tab of this page, so they can know their options. You can also share this easy-to-remember link with them: bcbsm.com/coronavirus.

You're our heroes on the front line

And for that, you have our gratitude. If you're a Michigan provider, Provider Secured Services is your best Blue Cross resource for the coronavirus. You'll find the most up-to-date information there.

Log in now Not yet registered? Learn how to get an account .

Read our list of temporary changes (PDF) to see how Blue Cross and Blue Care Network are supporting providers and protecting members during the COVID-19 pandemic.

Read our Provider Alerts for recent updates

We're committed to keeping you up to date on the changes we're making in response to the coronavirus pandemic.
You can find out what we've updated and when we've changed it with our provider alerts:

Current Provider Alerts
Changes coming for the end of the public health emergency (PDF)
Check coverage for COVID-19 vaccines for Blue Cross commercial members, starting April 1 (PDF)
Monoclonal antibody COVID-19 infusion no longer payable (PDF)
COVID-19 vaccine product coverage (PDF)
Billing changes coming for COVID-19 treatment products (PDF)
Clarification - DME-P&O and telehealth visits (PDF)
COVID-19 testing codes, U0003 and U0004, have a frequency limit (PDF)
New procedure codes for Pfizer COVID-19 vaccines denying incorrectly (PDF)
CS modifier limited to specific codes, resulting in COVID-19 testing, effective Sept. 1 (PDF)
Ambulance providers should use POS 60 to bill for COVID-19 vaccine administration (PDF)
At-home COVID-19 testing policy revised (PDF)
POS changes for commercial claims for telemedicine services starting May 1 (PDF)
Bill Original Medicare for over-the-counter COVID-19 tests for Medicare Plus Blue and BCN Advantage members (PDF)
Claims for services delivered via telehealth with POS 10 that was incorrectly denied (PDF)
Monoclonal antibody COVID-19 infusion Sotrovimab no longer payable in Michigan (PDF)
Medicare sequestration resumes April 1 with a 1% reduction (PDF)
COVID-19 test to treat program coverage (PDF)
Locating pharmacies stocked with oral COVID-19 therapeutic products (PDF)
Important information about reimbursements for monoclonal antibody COVID-19 infusions (PDF)
Claims for services delivered via telehealth with POS 10 are denying incorrectly (PDF)
Claims with telehealth POS 10 are denying incorrectly (PDF)
Ending temporary suspension of clinical review requirements (PDF)
EMS providers can be reimbursed for administering COVID-19 infusions in any location (PDF)
Testing code added to in-office billable lists (PDF)
Clarification: Billing for IOP services provided via telemedicine for some members (PDF)
Temporary suspension of clinical review requirements (PDF)
Claims for Pfizer booster vaccine were applying cost sharing in error (PDF)
Testing code added to in-office billable list for BCN, BCN Advantage and Medicare Plus Blue (PDF)
Sequestration suspension extended through March 31, 2022 (PDF)
Temporary suspension of clinical review requirements (PDF)
Provider Doctor
Telehealth services require place of service code 10 beginning February 1 (PDF)
Bill Medicare Advantage plans for COVID-19 vaccines, monoclonal antibody products and administration (PDF)
Claims for Pfizer COVID-19 vaccines for children ages 5 through 11 with Blue Cross commercial coverage (PDF)
Claims for COVID-19 dose 3 vaccines no longer applying member cost sharing (PDF)
Assistance is available for post-acute care placements (PDF)
Claims for Pfizer and Moderna COVID-19 dose 3 vaccines (PDF)
Behavioral health services delivered via synchronous telemedicine (PDF)
Intensive outpatient program and partial hospital program services now payable via telemedicine (PDF)
Additional autism interventions now payable via telemedicine (PDF)
Respiratory syncytial virus cases are higher than normal this fall (PDF)
COVID-19 testing must be medically necessary to be covered (PDF)
Ivermectin requires prior authorization (PDF)
Temporary waiving of member cost share for COVID-19 treatment ends Sept. 30 (PDF)
Special webinar series focuses on COVID-19’s effect on mental health (PDF)
Clinical review requirements suspended for admission to SNFs from all Michigan hospitals (PDF)
COVID-19 billing change for IOP services (PDF)
MSMS COVID-19 conference to be held Oct. 6 (PDF)
Ends Feb. 28, 2022: Clinical review requirements temporarily suspended to SNFs from hospitals in certain states (PDF)
FDA authorizes additional vaccine dose (PDF)
Reimbursement announced for home health care agencies (PDF)
COVID-19 testing and diagnosis codes reminder (PDF)
EMS providers can receive reimbursement (PDF)
COVID-19 vaccine can cause inaccurate mammogram results (PDF)
Agencies can administer COVID-19 vaccine in home for eligible patients (PDF)
87811 is not covered in the physician's office for BCN commercial or BCN AdvantageSM (PDF)
Temporary suspension clinical review requirements SNFs ending (PDF)
Use the CS modifier only for COVID-19 testing (PDF)
Don't balance bill members for claim denials for 99072 (PDF)
2% sequestration suspended through Dec. 31, 2021 (PDF)
Clinical review requirements suspended for admission to SNFs (PDF)
Temporary waiving of early medication refill limits ending (PDF)
2% sequestration suspension extended to April 30, 2021 (PDF)
Clarification and reminders about COVID-19 testing (PDF)
BCBSM ending anti-stockpiling quantity limits (PDF)
Janssen vaccine receives emergency use authorization (PDF)
COVID-19 testing reminders and at-home testing (PDF)
COVID-19 vaccine billing for nonparticipating providers (PDF)
Blue Cross extends waiving member cost sharing for COVID-19 treatments (PDF)
COVID-19 telehealth code chart changes (PDF)
OPC providers can bill only for services that fall within their scope of practice (PDF)
New ICD-10-CM diagnosis codes to capture COVID-19 diagnoses (PDF)
Waiving of early medication refill limits for commercial products (PDF)
Medicare-covered telehealth services reminder (PDF)
Billing for COVID-19 vaccine administration (PDF)
Two percent sequestration suspension extended to March 31 (PDF)
Some temporary changes conclude Dec. 31, 2020 (PDF)
Medicare-covered telehealth billable for duration of PHE (PDF)
BCBSM will provide $0 cost sharing for vaccine coverage (PDF)
Autism spectrum disorder services telehealth update (PDF)
COVID-19 treatment cost share waived through March 31, 2021 (PDF)
Clinical review requirements suspended (PDF)
Clarification for billing (PDF)
11 new codes for telehealth services (PDF)
Coverage decisions announced for additional COVID-19 testing codes (PDF)
Time extension to complete cardiac and pulmonary rehabilitation visits (PDF)
Additional laboratory services covered (PDF)
Blue Cross and BCN clarify pre-operative COVID-19 testing guidelines (PDF)
Temporary claim submission extension concluded Sept. 30, 2020 (PDF)
Updates on temporary sequestration relief and DRG enhancement for MA (PDF)
Benefit period extended for authorized PT-OT-ST for BCN HMO members (PDF)
Temporary inpatient enhancement requires positive COVID-19 test (PDF)
Pharmacies can bill for COVID-19 testing (PDF)
Extended authorization end dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
Extending global referrals for BCN HMO (PDF)
Telehealth update: Clarifying billing information for PPO members (PDF)
Telehealth update: Temporarily allowing direct-line ABA interventions (PDF)
Temporary authorization extension for select medical and pharmacy benefit drugs concludes Aug. 1, 2020 (PDF)
Two groups extending cost share waivers (PDF)
Temporary waiving of early medication refill limits ends July 14 (PDF)
Additional COVID-19 testing coverage information (PDF)
MESSA no cost telehealth extension update (PDF)
Webinar examines how some practices are coping (PDF)
Blue Cross and BCN will not pay cost share directly to providers (PDF)
Blue Cross and BCN waiving cost share for MA members (PDF)
Suggestions for reopening offices (PDF)
Ending 90-day extension to claim submissions (PDF)
Clinical review requirements return July 1 (PDF)
Updated patient testing recommendations (PDF)
Updated telehealth documents (PDF)
Clinical review required for acute care admissions with non-COVID-19-related diagnoses (PDF)
Waiving member cost share for telehealth originating site facility fee (PDF)
Update of temporary changes (PDF)
Billing Tips (PDF)
Updated patient testing and billing recommendations (PDF)
COVID-19 related utilization management changes (PDF)
Relaxation of HIPAA compliance requirements for telehealth visits (PDF)
Updated patient testing and billing recommendations (PDF)
CMS expands telehealth codes coverage (PDF)
Providers encouraged to use self-help tools (PDF)
COVID-19 webinars announced (PDF)
Telehealth billing changes and FAQs (PDF)
Waiving cost sharing for Medicare Advantage members (PDF)
Updates to patient testing recommendations (PDF)
List of COVID-19 temporary changes now available (PDF)
Temporary quantity limits (PDF)
Home-based substance use disorder treatments (PDF)
HIPAA compliance requirements extension (PDF)
Outpatient psychiatric centers change the order of modifiers (PDF)
Billing and cost share waivers (PDF)
Hospitals must notify naviHealth before transferring Medicare Advantage members to SNFs (PDF)
Sequestration relief and DRG enhancement for providers treating COVID-19 (PDF)
Tele-town hall for physicians on CARES Act (PDF)
MSMS Partnership for access to COVID-19 webinars (PDF)
Changes to authorization durations for elective and non-urgent procedures (PDF)
We're extending the benefit period for PT, OT and ST (PDF)
Blue Cross and BCN support outpatient behavioral health treatment delivered via telemedicine (PDF)
We've updated the Telehealth for behavioral health providers document (PDF)
We've updated the billing recommendations for COVID-19 testing, including drive through (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for commercial members (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
Autism assessments and protocol modification during the COVID-19 crisis (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
No-cost telehealth services to members expanded plus general telehealth clarifications (PDF)
New COVID-19 diagnosis code effective April 1, 2020 (PDF)
Changes to authorization durations for elective and nonurgent procedures, including PT, OT and ST, during the COVID-19 pandemic (PDF)
We're granting a 90-day extension to claim submission time limits (PDF)
How to submit a plan notification for acute care hospital facility admissions and request for post-acute care admissions (PDF)
We've updated the telehealth procedure codes for COVID-19 and our telehealth guides for providers (PDF)
COVID-19 testing and treatment covered at no member cost-sharing (PDF)
Finding a member's benefits for Blue Cross Online VisitsSM (PDF)
Outpatient psychiatric centers (PDF)
Clinical requirements suspended for acute care admissions, skilled nursing facility transfers (PDF)
No-cost telehealth services expanded to behavioral health, extended through June 30 (PDF)
Influenza testing now covered in the physician's office (PDF)
Diagnosis codes, PPEs and ensuring providers are available to care for members (PDF)
Autism services and telehealth (PDF)
Submit claims electronically during the COVID-19 pandemic (PDF)
State of Michigan announces temporary restrictions on non-essential procedures (PDF)
Telehealth billing changes for outpatient psychiatric centers (PDF)
COVID-19 updates from the Michigan Department of Health and Human Services (PDF)
Michigan Department of Health and Human Services guidance on testing (PDF)
ICD-10-CM coding guidelines (PDF)
Michigan Department of Health and Human Services guidance on testing (PDF)

Vaccines

COVID-19 Vaccine Information (PDF)
COVID-19 vaccine billing information at a glance (PDF)

Billing

COVID-19 Billing Tips at a Glance (PDF)
COVID-19 Billing Tips (PDF)

What you need to know about COVID-19 patient testing

Blue Cross is fully covering the cost of coronavirus testing from any Michigan lab for most members.

Use this document to learn the codes you'll need. You'll also see our testing recommendations from the Michigan Department of Health and Human Services as well as the Centers for Disease Control and Prevention:
Billing recommendations for COVID-19 testing including drive-through (PDF)
COVID-19 patient testing recommendations (PDF)
Services that result in a COVID-19 test and the CS modifier (PDF)

Pharmacy updates

Stay up-to-date on how medication supplies are changing during the COVID-19 public health crisis. Find information on quantity limits, how to request authorization from the safety of your own home and more.

Temporary quantity limits (PDF)
Pharmacies encouraged to join the Blue Cross Vaccine Affiliation Program (PDF)
COVID-19 testing for pharmacies:
For commercial members (Blue Cross PPO and BCN HMO)
For Medicare Advantage members (Medicare Plus Blue and BCN Advantage)

How to use telehealth services to see patients

Telehealth is an umbrella term that includes telemedicine, telephone and online visits which can be beneficial in reducing the need for in-person medical care.

Read through our medical policy to understand our requirements and general guidelines:
Telehealth Medical Policy (PDF)
These telehealth guides will help you learn which services you can use and when to use them:
Telehealth for Medical Providers (PDF)
Telehealth for Behavioral Health Providers (PDF)
Guidelines for autism interventions (PDF)
The following codes have no member cost-share during the COVID-19 pandemic:
Telehealth procedure codes for COVID-19 (PDF)
To save you time, we're downloading these codes monthly as needed from the Centers for Medicare & Medicaid Services:
Medicare-covered telehealth services for the COVID-19 PHE (PDF)
Frequently asked questions for providers
Frequently asked questions for providers (PDF)
To determine if your patient has telemedicine (provided by network providers) or Blue Cross Online VisitsSM access (conducted by Amwell), consult the following chart:
Determining members telehealth benefits (PDF)
Step-by-step instructions to find Blue Cross Online VisitsSM access (conducted by Amwell)
Finding a member's benefits for Blue Cross Online VisitsSM (PDF)

Changes we've made to utilization management

We've made it easier for providers to deliver coronavirus testing and treatment services.

Read about our recent changes and how they might help you expedite care:
Ends Feb. 28, 2022: Clinical review requirements temporarily suspended to SNFs from hospitals in certain states (PDF)

General resources for coronavirus care

Looking for more information? Read through our general resources:

From the State of Michigan:
COVID-19 vaccine provider guidance and educational resources
Resources for health professionals
Coronavirus updates
From the Centers for Disease Control and Prevention:
Information for health care providers from the CDC
Provider

We've got information that's just for you

If you're a Medicaid member, please visit the Blue Cross Complete of Michigan website. You'll see coronavirus information that's specifically for you, including your care options and other helpful resources.

Visit Medicaid site

Your health is more important than ever

We've created an online COVID-19 site that's just for Medicare members. It includes care options, articles, FAQs and more. It's our privilege to serve you – now, and always.

Get Medicare info

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