During the COVID-19 federal Public Health Emergency (PHE), Blue Cross® Blue Shield® of Arizona (BCBSAZ) aligned with the Centers for Medicare and Medicaid Services (CMS) expanded health benefit coverage guidelines, such as covering COVID-19 testing and testing-related services at no out-of-pocket cost.
As the incidence of COVID-19 cases has continued to diminish, CMS announced the May 11, 2023, end to the PHE. Effective May 11, 2023, BCBSAZ benefits will return to standard benefit provisions.
What this means for you
- COVID-19 testing and testing-related services (including telehealth visits for these services) will return to your standard benefit. Depending on your member benefit plan, you may have cost share responsibilities.
- Over-the-counter COVID-19 test costs will no longer be reimbursed.
- Standard requirements for pre-service review of COVID-19 testing, treatment, and admissions to post-acute care facilities will be reinstated.
- Approved COVID-19 vaccines will be covered as preventive services with no out-of-pocket costs when obtained in-network. Out-of-network (OON) vaccines will incur standard OON charges.
Please consult your member benefit booklet in the member portal to review your plan’s standard benefits azblue.com/MyBlue.
For additional assistance please call the number on the back of your member ID card.